Analysis of the influence of interpersonal problems in a Generalized Anxiety Disorder treatment. A Process-outcome single case study.

GÓMEZ PENEDO, JUAN MARTÍN; ROUSSOS, ANDRÉS J.

Brisbane

Congreso; 44th International Annual Meeting, Society for Psychotherapy Research; 2013

Society for Psychotherapy Research

Aim: The interpersonal problems are specific disabilities in the relations with others. Previous research suggests that therapist interventions should be tuned with patient´s interpersonal problems, since this variable is related to therapeutic alliance and outcome. The aim of this research is to analyze the relations among interpersonal problems, therapeutic alliance, psychotherapy interventions and outcome in a single case study. Methods: Forty-seven psychotherapy sessions of a Cognitive Behavioral Therapy (CBT) of a patient diagnosed with a Generalized Anxiety Disorder were audio recorded. For the analysis of the psychotherapy interventions Comparative Psychotherapy Process Scale (CPPS) was performed. The Inventory of Interpersonal Problems was used to assess baseline interpersonal problems. Alliance was measured by the Working Alliance Inventory and Outcome was rated using SCL-90 and OQ.45, every two sessions. Results: Preliminary results suggest that therapeutic alliance and the evolution of outcome information are correlated. The patient´s self-reported interpersonal problems show a general reduction of interpersonal distress. Additional analysis will explore the therapist critical interventions and its relationship with therapeutic alliance and outcome evolution. Discussion: Results shows that the interaction among different elements of process and change during therapy, needs a holistic model where the different elements and its contribution are included