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The Revised Helping Alliance Questionnaire (HAq-II) : Psychometric Properties.

L Luborsky1, J P Barber, L Siqueland

  • 1Center for Psychotherapy Research, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; Harvard Medical School, Boston, Massachusetts; and Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania.

The Journal of Psychotherapy Practice and Research
|June 16, 2012
PubMed
Summary
This summary is machine-generated.

The revised Helping Alliance questionnaire (HAq-II) reliably measures therapeutic alliance in cocaine-dependent patients. This validated tool shows strong consistency and correlation with other alliance measures.

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Area of Science:

  • Psychology
  • Psychiatry
  • Clinical Psychology

Background:

  • The therapeutic alliance is crucial in psychotherapy.
  • Early self-report measures like the Helping Alliance questionnaire (HAq-I) have been refined.
  • A revised version, HAq-II, was developed to exclude improvement-focused items.

Purpose of the Study:

  • To evaluate the psychometric properties of the revised 19-item Helping Alliance questionnaire II (HAq-II).
  • To assess the reliability and validity of the HAq-II in patients with cocaine dependence.

Main Methods:

  • The HAq-II was administered to 246 patients diagnosed with DSM-III-R cocaine dependence.
  • Internal consistency and test-retest reliability were assessed.
  • Convergent validity was examined using the California Psychotherapy Alliance Scale (CALPAS).

Main Results:

  • The HAq-II demonstrated excellent internal consistency and test-retest reliability.
  • The HAq-II showed good convergent validity with the CALPAS total score.
  • Early alliance levels did not correlate with pretreatment psychiatric severity or depression.

Conclusions:

  • The HAq-II is a reliable and valid measure for assessing the therapeutic alliance in cocaine dependence.
  • The findings support the use of HAq-II in clinical and research settings.
  • Therapeutic alliance measurement is robust and independent of initial patient severity.