Journal article
The Therapy Process Observational Coding System: Group cohesion scale in youth anxiety treatment: Psychometric properties
Journal of clinical psychology, v 79(8), pp 1726-1739
Aug 2023
PMID: 36799300
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
There are no well-established measures of group cohesion, defined as the collaborative bond between group members, in group cognitive behavioral therapy (GCBT) with youth. We therefore examined the Therapy Process Observational Coding System for Child Psychotherapy-Group Cohesion Scale (TPOCS-GC), which has previously only been used with adult samples, in a youth sample.
Observers coded 32 sessions from 16 groups with 83 youth aged 8 to 15 years (90.7% European White). Youth had anxiety disorders and received manualized GCBT in community clinics. We examined psychometric properties of the TPOCS-GC and its' construct validity in terms of relations with pretreatment variables, alliance and fidelity during treatment, and post-treatment variables. Group cohesion was measured twice during treatment (early and late).
The TPOCS-GC was internally consistent (α = 0.72) and was reliably coded (M ICC = 0.61). Higher clinical severity at pretreatment predicted lower early group cohesion. Higher youth age, higher clinical severity at pretreatment, and higher youth-rated early alliance predicted lower late group cohesion. Higher therapist-rated early alliance predicted higher early group cohesion. Higher therapist-rated late alliance predicted higher late group cohesion. Higher late group cohesion predicted lower clinical severity and higher client treatment satisfaction at post-treatment. Early group cohesion did not predict any post-treatment variables.
A four-item version of the TPOCS-GC can be reliably used in youth GCBT. The TPOCS-GC is distinct from, but associated with, multiple clinical variables.
Metrics
Details
- Title
- The Therapy Process Observational Coding System: Group cohesion scale in youth anxiety treatment: Psychometric properties
- Creators
- Krister W Fjermestad - University of OsloBryce D McLeod - Virginia Commonwealth UniversityWendy K Silverman - Yale UniversityJon F Bjaastad - Stavanger University HospitalMatthew D Lerner - Stony Brook UniversityGro Janne H Wergeland - Haukeland University Hospital
- Publication Details
- Journal of clinical psychology, v 79(8), pp 1726-1739
- Publisher
- Wiley
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000939512800001
- Scopus ID
- 2-s2.0-85148448684
- Other Identifier
- 991021862275904721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Psychology, Clinical