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This study investigates the relationship between working alliance and treatment outcome, the change of working alliance throughout therapy and patient characteristics as predictors of working alliance.<\/jats:p>\n <\/jats:sec><jats:sec>\n <jats:title>Methods<\/jats:title>\n <jats:p>Data from a randomized controlled trial including 44 participants was used. Patient characteristics were assessed at baseline and working alliance was assessed after two, four, six, eight and ten sessions. A linear mixed model, multiple linear regression and best subset regression were conducted.<\/jats:p>\n <\/jats:sec><jats:sec>\n <jats:title>Results<\/jats:title>\n <jats:p>Working alliance changed significantly during therapy (\u03b2\u2009=\u20091.46, <jats:italic>SE<\/jats:italic>\u2009=\u20090.27, <jats:italic>t<\/jats:italic>(162)\u2009=\u20095.38, <jats:italic>p<\/jats:italic>\u2009<\u2009.001). Early working alliance predicted prolonged grief symptoms, when controlled for baseline scores of grief (\u03b2\u2009=\u2009\u2212\u00a0.27, <jats:italic>p<\/jats:italic>\u2009=\u2009.023). Moreover, self-efficacy (\u03b2\u2009=\u2009.47, <jats:italic>p<\/jats:italic>\u2009<\u2009.001) and need for social support (\u03b2\u2009=\u2009\u2212\u00a0.38, <jats:italic>p<\/jats:italic>\u2009=\u2009.010) predicted early working alliance.<\/jats:p>\n <\/jats:sec><jats:sec>\n <jats:title>Conclusions<\/jats:title>\n <jats:p>This study shows the relevance of establishing early working alliance in the therapeutic process. Attention should be paid to the initial self-efficacy and need for social support of patients, as it influences the experience of working alliance. To address individual working alliance patterns and characteristics in therapy, further research is needed.<\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s10608-023-10383-8","type":"journal-article","created":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T21:41:28Z","timestamp":1683754888000},"page":"587-597","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Relationship Between Working Alliance and Treatment Outcome in an Internet-Based Grief Therapy for People Bereaved by Suicide"],"prefix":"10.1007","volume":"47","author":[{"ORCID":"http:\/\/orcid.org\/0000-0002-3241-7471","authenticated-orcid":false,"given":"Viktoria","family":"Schmidt","sequence":"first","affiliation":[]},{"given":"Julia","family":"Treml","sequence":"additional","affiliation":[]},{"given":"Julia","family":"Deller","sequence":"additional","affiliation":[]},{"given":"Anette","family":"Kersting","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2023,5,9]]},"reference":[{"key":"10383_CR1","unstructured":"American Psychiatric Association (Ed.). 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