{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T09:47:00Z","timestamp":1791798420251,"version":"4.3.4"},"reference-count":80,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010665","name":"H2020 Marie Sk\u0142odowska-Curie Actions","doi-asserted-by":"publisher","award":["101030608"],"award-info":[{"award-number":["101030608"]}],"id":[{"id":"10.13039\/100010665","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine whether and how patients' perceptions of working alliance, alliance ruptures, real relationship and affective reactions towards the therapist differ across in\u2010person, videoconferencing and telephone psychotherapy sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A total of 1175 adult patients undergoing various individual psychotherapies completed self\u2010report measures following sessions conducted in\u2010person (746 sessions), via video call (1037 sessions), or by telephone (149 sessions). Linear mixed models with marginal structural model (MSM) were employed. Interaction effects with age group, time\u2010in\u2010treatment and session frequency were also examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients reported similar levels of alliance, real relationship, positive and negative affective reactions and occurrences of alliance ruptures and repairs in both in\u2010person and video call sessions. However, levels of alliance dimensions\u2014agreement on therapy goals, therapy tasks and affective bond\u2014were significantly lower in telephone sessions compared to in\u2010person (\u03b2\u2009=\u2009\u2212.21 to \u2212.25) and video call (\u03b2\u2009=\u2009\u2212.34 to \u2212.37) sessions. Positive affective reactions were also lower in telephone sessions compared to video call sessions (\u03b2\u2009=\u2009\u2212.22). Age, time in treatment and session frequency significantly moderated some associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The therapeutic relationship is comparable between in\u2010person and video call sessions. Telephone sessions, however, are associated with lower working alliance and in\u2010session positive affective reactions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.70050","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T04:31:16Z","timestamp":1775190676000},"page":"944-966","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The therapeutic relationship in in\u2010person, video call, and telephone psychotherapy sessions"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4807-7184","authenticated-orcid":false,"given":"Alberto","family":"Stefana","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Health Ohio State University  Columbus Ohio USA"},{"name":"Center for Behavioural Sciences and Mental Health National Institute of Health  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9577-8450","authenticated-orcid":false,"given":"Teresa","family":"Fazia","sequence":"additional","affiliation":[{"name":"Italy Department of Brain and Behavioural Sciences University of Pavia  Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7258-1938","authenticated-orcid":false,"given":"Andrea","family":"Nova","sequence":"additional","affiliation":[{"name":"Italy Department of Brain and Behavioural Sciences University of Pavia  Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/cps0000073"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2023.2193299"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/09515070.2020.1773404"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2024.102430"},{"key":"e_1_2_13_6_1","unstructured":"American Psychological Association. (2022).Psychologists struggle to meet demand amid mental health crisis 2022\u2014COVID\u201019 Practitioner Impact Survey.https:\/\/www.apa.org\/pubs\/reports\/practitioner\/2022\u2010covid\u2010psychologist\u2010workload"},{"key":"e_1_2_13_7_1","unstructured":"American Psychological Association. (2023).Infographic: Percentage of psychologists offering remote or in\u2010person treatment 2020\u20132023.https:\/\/www.apa.org\/pubs\/reports\/practitioner\/2023\u2010infographics\/telehealth\u2010location"},{"key":"e_1_2_13_8_1","first-page":"111","volume-title":"Working alliance skills for mental health professionals","author":"Bedi R.","year":"2020"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2022.448"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.705699"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci13121714"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003065120939298"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.265"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119402350"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.2196\/19004"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010021815\u2010093623"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/21507686.2024.2341336"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2014.947997"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2023.2229505"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/09515070.2020.1777089"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0039774"},{"key":"e_1_2_13_22_1","volume-title":"Childhood and society","author":"Erikson E. H.","year":"1963"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000185"},{"key":"e_1_2_13_24_1","first-page":"74","volume-title":"The therapeutic alliance: An evidence\u2010based guide to practice","author":"Eubanks\u2010Carter C.","year":"2010"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2021.106314"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2594"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000172"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000424"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503300802389242"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029838"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.4081\/ripppo.2019.373"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/2041\u2010210X.12504"},{"key":"e_1_2_13_33_1","unstructured":"Greifer N.(2025).cobalt: Covariate balance tables and plots. R package version 4.6.1.https:\/\/ngreifer.github.io\/cobalt\/"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e31823ab7d2"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503300500352500"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.848408"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000521"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.01.057"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010024\u201005522\u20108"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.1802"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.591146"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525\u20101497.2001.016009606.x"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/0165025414533223"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1037\/int0000101"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000740"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1037\/cps0000056"},{"key":"e_1_2_13_47_1","unstructured":"Lo J. Rae M. Amin K. Cox C. Panchal N. &Miller B. F.(2022).Telehealth has played an outsized role meeting mental health needs during the COVID\u201019 pandemic.https:\/\/www.kff.org\/mental\u2010health\/issue\u2010brief\/telehealth\u2010has\u2010played\u2010an\u2010outsized\u2010role\u2010meeting\u2010mental\u2010health\u2010needs\u2010during\u2010the\u2010covid\u201019\u2010pandemic\/"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1159\/000080393"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1037\/int0000213"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.2196\/26187"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10615\u2010022\u201000844\u20100"},{"key":"e_1_2_13_52_1","first-page":"xxv","volume-title":"Psychoanalytic psychotherapy: A practitioner's guide","author":"McWilliams N.","year":"2004"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.658"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016085"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.1007\/s42087\u2010023\u201000381\u20103"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000722"},{"key":"e_1_2_13_57_1","doi-asserted-by":"publisher","DOI":"10.1108\/10748120110424816"},{"key":"e_1_2_13_58_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ\u201012\u20102021\u20100091"},{"key":"e_1_2_13_59_1","first-page":"x","volume-title":"Negotiating the therapeutic alliance: A relational treatment guide","author":"Safran J. D.","year":"2000"},{"issue":"2","key":"e_1_2_13_60_1","first-page":"126","article-title":"Early identification of treatment failures in short\u2010term psychotherapy. An assessment of therapeutic alliance and interpersonal behavior","volume":"7","author":"Samstag L. W.","year":"1998","journal-title":"The Journal of Psychotherapy Practice and Research"},{"key":"e_1_2_13_61_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2023.2233685"},{"key":"e_1_2_13_62_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1276222"},{"key":"e_1_2_13_63_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X231161774"},{"key":"e_1_2_13_64_1","doi-asserted-by":"publisher","DOI":"10.2196\/44790"},{"key":"e_1_2_13_65_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10879\u2010021\u201009492\u2010w"},{"key":"e_1_2_13_66_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_13_67_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2025.2495827"},{"key":"e_1_2_13_68_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.70049"},{"key":"e_1_2_13_69_1","doi-asserted-by":"publisher","DOI":"10.1080\/0803706X.2024.2436993"},{"key":"e_1_2_13_70_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2024.1494261"},{"key":"e_1_2_13_71_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2024.2320331"},{"key":"e_1_2_13_72_1","doi-asserted-by":"publisher","DOI":"10.12688\/openreseurope.16466.2"},{"key":"e_1_2_13_73_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2024.1346760"},{"key":"e_1_2_13_74_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12155156"},{"key":"e_1_2_13_75_1","doi-asserted-by":"publisher","DOI":"10.2196\/55369"},{"key":"e_1_2_13_76_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00406\u2010020\u201001137\u20108"},{"key":"e_1_2_13_77_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v043.i13"},{"key":"e_1_2_13_78_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21035"},{"key":"e_1_2_13_79_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.835214"},{"key":"e_1_2_13_80_1","doi-asserted-by":"publisher","DOI":"10.1177\/00030651020500011601"},{"key":"e_1_2_13_81_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pecinn.2024.100302"}],"container-title":["British Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bjc.70050","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/bjc.70050","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bjc.70050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T09:03:30Z","timestamp":1791795810000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1111\/bjc.70050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,2]]},"references-count":80,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/bjc.70050"],"URL":"https:\/\/doi.org\/10.1111\/bjc.70050","archive":["Portico"],"relation":{},"ISSN":["0144-6657","2044-8260"],"issn-type":[{"value":"0144-6657","type":"print"},{"value":"2044-8260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,2]]},"assertion":[{"value":"2025-11-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}