{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T14:49:17Z","timestamp":1747147757699,"version":"3.40.5"},"reference-count":52,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,8,7]],"date-time":"2021-08-07T00:00:00Z","timestamp":1628294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["43\/2013"],"award-info":[{"award-number":["43\/2013"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004263","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado do Rio Grande do Sul","doi-asserted-by":"publisher","award":["11\/3356\u20101","ARD 11\/1940\u20108"],"award-info":[{"award-number":["11\/3356\u20101","ARD 11\/1940\u20108"]}],"id":[{"id":"10.13039\/501100004263","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The revised Helping Alliance Questionnaire (HAq\u2010II) is among the most used instruments that measure therapeutic alliance. Despite its use in research, this instrument is not validated for the Brazilian population. The aim of this study was to explore the evidence of validity of the HAq\u2010II based on the internal structure in a sample of Brazilian psychiatric patients. An ambulatory convenience sample of 204 patients with major depressive disorder (MDD) and 81 patients with obsessive\u2013compulsive disorder (OCD) was randomized between two different types of treatment. The HAq\u2010II was completed by patients (patient version) and by 33 therapists who performed the interventions (therapist version) between the second and third sessions. We used confirmatory factor analysis (CFA) to investigate two models: (1) a one\u2010dimensional therapeutic alliance model and (2) a two\u2010dimensional model considering the factors \u2018positive alliance\u2019 and \u2018negative alliance\u2019. The internal consistency of the HAq\u2010II was measured by Cronbach's alpha. To investigate discriminant validity, we used the <jats:italic>t<\/jats:italic>\u2010test for independent samples, ANOVA and Pearson's correlation coefficient. The analysis showed that the best model of the instrument was one\u2010dimensional. Cronbach's alpha for both versions displayed values above 0.89. The Brazilian version of the HAq\u2010II presented properties similar to those found in the original version. However, studies related to the one\u2010dimensional model with other samples are necessary.<\/jats:p>","DOI":"10.1002\/cpp.2654","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T11:27:48Z","timestamp":1627471668000},"page":"622-630","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evidence of validity of the revised Helping Alliance Questionnaire based on the internal structure in a Brazilian clinical sample"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6174-4781","authenticated-orcid":false,"given":"Carolina Coelho","family":"Scholl","sequence":"first","affiliation":[{"name":"Postgraduate Program in Health and Behavior Catholic University of Pelotas (UCPel)  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana Carret","family":"Soares","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Behavior Catholic University of Pelotas (UCPel)  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"do Nascimento","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais (UFMG)  Belo Horizonte Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9ssica Puchalski","family":"Trettim","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Behavior Catholic University of Pelotas (UCPel)  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana Bonati","family":"de Matos","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Behavior Catholic University of Pelotas (UCPel)  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafaelle Stark","family":"Stigger","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Behavior Catholic University of Pelotas (UCPel)  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andressa Jacondino","family":"Pires","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Behavior Catholic University of Pelotas (UCPel)  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viviane Porto","family":"Tabele\u00e3o","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Behavior Catholic University of Pelotas (UCPel)  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9114-7037","authenticated-orcid":false,"given":"Ricardo Azevedo","family":"da Silva","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Behavior Catholic University of Pelotas (UCPel)  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano Dias de Mattos","family":"Souza","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Behavior Catholic University of Pelotas (UCPel)  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciana de Avila","family":"Quevedo","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Behavior Catholic University of Pelotas (UCPel)  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vera Lucia Marques","family":"de Figueiredo","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health and Behavior Catholic University of Pelotas (UCPel)  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,7]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"325","volume-title":"The psychotherapeutic process: A research handbook","author":"Alexander L. 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