OBJECTIVE: The research on the association between the working alliance and therapist competence/adherence and outcome from cognitive behavioral therapy (CBT) is limited and characterized by inconclusive findings. This study investigates the working alliance and competence/adherence as predictors of outcome of CBT for @entity148 ( @entity148 ) and @entity4697 ( @entity4697 ). METHOD: Eighty-two clinically referred @entity1 (58.5% female; age: M  =  33.6 years, SD  =  10.3) with @entity4697 (n  =  31) or @entity148 (n  =  51) were treated with 12 sessions of manualized CBT by 22 clinicians with limited CBT experience in a randomized controlled effectiveness trial. Independent assessors rated the CBT competence/adherence of the therapists using a revised version of the Cognitive Therapy Adherence and Competence Scale, and the @entity1 rated the quality of the working alliance using the Working Alliance Inventory-short form in therapy sessions 3 and 8. The outcome was assessed by independent assessors as well as by @entity1 self-report. A total of 20.7% of the @entity1 (27.5% @entity148 , 9.7% @entity4697 ) dropped out during treatment. The association between the alliance, competence/adherence, outcome and dropout was investigated using multiple regression analyses. RESULTS: Higher therapist' competence/adherence early in the therapy was associated with a better outcome among @entity4697 @entity1 , lower competence/adherence was associated with dropout among @entity148 @entity1 . Higher rating of the alliance late in the therapy was associated with a better outcome, whereas lower alliance rating late in the therapy was associated with dropout. CONCLUSION: The findings indicate that the therapist competence/adherence and the working alliance have independent contributions to the outcome from CBT for @entity148 , but in different phases of the treatment.

Working alliance and competence as predictors of outcome in cognitive behavioral therapy for social @entity148 and XXXX in adults.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity148 :: ('MESH:D001008', 'Disease') :: ['social anxiety disorder', 'SAD', 'anxiety disorders'] @entity4697 :: ('MESH:D016584', 'Disease') :: ['PD', 'panic disorder']
@entity4697 :: (MESH:D016584,Disease) :: ['panic disorder']
