TY  - JOUR
AU  - Matsumoto, Kazuki
AU  - Yoshida, Tokiko
AU  - Hamatani, Sayo
AU  - Sutoh, Chihiro
AU  - Hirano, Yoshiyuki
AU  - Shimizu, Eiji
PY  - 2019
DA  - 2019/11/15
TI  - Prognosis Prediction Using Therapeutic Agreement of Video Conference–Delivered Cognitive Behavioral Therapy: Retrospective Secondary Analysis of a Single-Arm Pilot Trial
JO  - JMIR Ment Health
SP  - e15747
VL  - 6
IS  - 11
KW  - therapeutic alliance
KW  - cognitive behavioral therapy
KW  - obsessive-compulsive disorder
KW  - panic disorder
KW  - social anxiety disorder
KW  - video conferencing
AB  - Background: The therapist-patient therapeutic alliance is known to be an important factor in cognitive behavioral therapy (CBT). However, findings by previous studies for obsessive-compulsive disorder (OCD), panic disorder (PD), and social anxiety disorder (SAD) have not been consistent regarding whether this alliance provides symptomatic improvements. Objective: This study investigated predictors of symptom improvement in patients receiving CBT via video conferencing. Methods: A total of 29 patients who participated in a previous clinical trial were recruited for the current study. Therapeutic alliance and clinical background in patients with OCD, PD, and SAD were measured at first session or the eighth session, which were calculated by multiple regression analyses to estimate the impact on therapeutic response percentage change. Results: The multiple regression analyses showed that, among the independent variables, only patients’ agreement in the therapeutic alliance remained viable, as other variables were a best fit for the excluded model (P=.002). The results show that patients’ agreement on therapeutic goals and tasks explains the prognosis, as the normalization factor beta was 0.54 (SE 32.73; 95% CI 1.23-5.17; P=.002) and the adjusted R2 was .266. Conclusions: Patients' agreement on therapeutic goals and tasks predicts improvement after CBT via video conferencing. Trial Registration: UMIN Clinical Trial Repository UMIN000026609; https://tinyurl.com/ye6dcbwt 
SN  - 2368-7959
UR  - http://mental.jmir.org/2019/11/e15747/
UR  - https://doi.org/10.2196/15747
UR  - http://www.ncbi.nlm.nih.gov/pubmed/31730037
DO  - 10.2196/15747
ID  - info:doi/10.2196/15747
ER  -