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Common change factors and mediation of the alliance–outcome link during treatment of depression.

Schwartz, Caroline ; Hilbert, Sven ; Schlegl, Sandra ; Diedrich, Alice ; Voderholzer, Ulrich


Objective: Alliance, Mastery/Self-Efficacy, Problem Actualization, and Problem Clarification exemplify common or nonspecific factors of change in psychotherapy (Grawe, 1997). In this study, we tested the hypothesis that other change factors mediate the alliance-outcome link on a within-person level over the treatment course. Method: Our sample consisted of 193 patients with major depression ...


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