Attachment Orientations and Treatment Outcomes in Psychotherapy: Does the Alliance Mediate the Association?

Results indicated that alliance development was not significant, though it approached significance in predicting depression trajectories ( b = −1.30, SE = 0.68, t = −1.92, p = 0.058).

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Results showed that alliance slopes remained at a similar level of approaching significance ( b = −1.31, SE = 0.68, t = −1.92, p = 0.058), indicating that including attachment variables did not substantially alter the alliance‐outcome association.

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Although this relationship did not reach statistical significance, the observed effect was in the hypothesized direction: a negative coefficient, indicating that alliance strengthening over time (i.e., steeper alliance slopes) was almost significantly associated with more favourable depression outcomes (i.e., steeper depression slopes, indicating greater symptom severity reduction).

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