Accès ouvert
2026
article
OpenAlex
Fredrik Falkenström, Julian A. Rubel, Antonia Stachelscheid, Wolfgang Lutz
Objective: The working alliance is a robust predictor of psychotherapy outcomes, and recent theories suggest that congruence between therapist and patient perceptions of the alliance may further enhance outcomes.This study examined whether session-by-session congruence in emotional bond ratings predicted next-session symptom improvement.Method: …
se, de
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Accès ouvert
2026
article
OpenAlex
Jakob Mechler, Karin Lindqvist, Fredrik Falkenström, Per Carlbring et autres
Internet-delivered psychotherapies show promise for adolescent major depression (MDD), but little is known about which baseline characteristics predict improvement or moderate differential effects between internet-delivered cognitive-behavioral therapy (ICBT) and psychodynamic therapy (IPDT). This study examined pretreatment predictors and moderators of symptom change …
se, pt
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Accès ouvert
2026
article
OpenAlex
Karin Lindqvist, Jakob Mechler, Paraskevi Peristera, Per Carlbring et autres
Introduction: Adolescent depression poses a major public health concern with substantial clinical and societal implications. Both internet-delivered cognitive behavioural therapy (ICBT) and internet-delivered psychodynamic therapy (IPDT) have shown efficacy, but questions remain regarding long-term efficacy and cost-effectiveness. The present study presents a …
se, kr, us, pt, gb, no
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2025
article
OpenAlex
Nina Reinholt, Fredrik Falkenström, Elizabeth H. Eustis, Carsten Hjorthøj et autres
OBJECTIVES: Identifying the mechanisms of change in first-line cognitive behavioral therapy (CBT) protocols for adult anxiety and depression could enhance outcomes for the individual. We explored (a) the effect of four group CBT protocols on general emotion regulation skills, (b) the effect …
dk, se, us
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2025
article
OpenAlex
Libby Igra, Celia Faye Jacobsen, Fredrik Falkenström, Susanne Lunn et autres
This study examined whether clients with more impaired interpersonal functioning benefit more from alliance rupture-repairs. Accordingly, we investigated if a client's level of interpersonal functioning moderates the relationship between alliance rupture patterns and psychotherapy outcomes. Data from 514 adults in outpatient psychotherapy …
dk, se
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Accès ouvert
2025
article
OpenAlex
Fredrik Falkenström, Rikard Fjällström, Dan Bengtsson
OBJECTIVE: While randomized clinical trials offer high internal validity, their generalizability to real-world practice is often limited due to ethical and/or legal problems with experimental manipulations, especially the assignment of participants to waiting lists or placebo conditions. The quasi-experimental multiple baseline panel …
se
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2025
article
OpenAlex
Ylva Gidhagen, Rolf Holmqvist, Fredrik Falkenström
OBJECTIVE: To assess the frequency of alliance ruptures and repairs and their impact on treatment outcome in psychotherapy among patients with substance use disorder. The moderating effects of treatment orientation, attachment style and type of substance use were analyzed. METHODS: Eighty-three patients …
se
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Accès ouvert
2025
article
OpenAlex
Oliver Rumle Hovmand, Fredrik Falkenström, Nina Reinholt, Anne Bryde Christensen et autres
BACKGROUND: Homework is integral to cognitive behavioral therapy (CBT) treatment programs. Previous research has reported mostly positive findings regarding the effect of homework adherence on CBT outcomes, but only limited research has evaluated the effect in transdiagnostic CBT (tCBT). METHODS: This secondary …
dk, se
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Accès ouvert
2025
article
OpenAlex
Frederik Weischer Frandsen, Alessandro Talia, Stig Poulsen, Fredrik Falkenström et autres
Mentalization based therapy (MBT) has developed its therapeutic stance and interventions based on attachment theory. Accordingly, prescribed MBT interventions are likely to resemble the way securely attached therapists speak in sessions. This paper will compare the Therapists Attunement Scales (TASc)—an instrument that …
dk, cz, ch, se, gb
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2025
article
OpenAlex
Daniel Maroti, Helena Petersen, Mattias Rööst, Fredrik Falkenström et autres
OBJECTIVE: This randomized cross-over trial aimed to compare the effects of a one-session emotion-focused intervention, the Life Stress Interview (LSI), with a Basic Assessment of Psychiatric Symptoms (BAS) condition for patients with persistent physical symptoms (PPS). METHODS: One hundred eighty-nine participants (n=189), …
se, us
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Accès ouvert
2025
article
OpenAlex
Celia Faye Jacobsen, Libby Igra, Susanne Lunn, Karen‐Inge Karstoft et autres
Objective This study investigated whether therapists’ level of professional self-doubt (PSD), in interaction with their internal relational models (i.e., their self-affiliation or attachment style), their experience level, and their professional coping strategies, impacted the alliance and symptom change in therapy.Methods 555 clients …
dk, se
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2025
article
OpenAlex
Celia Faye Jacobsen, Fredrik Falkenström, Karen‐Inge Karstoft, Libby Igra et autres
OBJECTIVE: This study investigated two proposed change mechanisms in preference accommodation, thought to improve psychotherapy outcomes: a direct effect of a match between clients' initial preferences and their subsequent experiences of the therapy activities, or a mediated "matching effect" operating through the …
dk, us
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