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Therapist Adherence to Two Treatments for Adolescent Suicide Risk: Association to Outcomes and Role of Therapeutic AlliancePalabras clave(sic)(sic)(sic)
Journal article   Peer reviewed

Therapist Adherence to Two Treatments for Adolescent Suicide Risk: Association to Outcomes and Role of Therapeutic AlliancePalabras clave(sic)(sic)(sic)

Maliha Ibrahim, Suzanne Levy, Bob Gallop, Stephanie Krauthamer Ewing, Aaron Hogue, Jessica Chou and Guy Diamond
Family process, v 61(1), pp 183-197
01 Mar 2022
DOI: https://doi.org/10.1111/famp.12660
PMID: 33904589
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Family Studies Psychology Psychology, Clinical Social Sciences
In psychotherapy research, adherence refers to the extent to which therapists deliver a treatment as intended. This study examined whether therapist adherence to two different manualized treatments was associated with improved client outcomes and whether the association was moderated by therapeutic alliance. The study sample included 320 video recordings of therapy sessions from 118 cases in a randomized controlled trial (RCT) comparing attachment-based family therapy (ABFT) with family-enhanced nondirective supportive therapy (FE-NST). Recordings were selected from early, middle, and late stages of treatment. The adherence measure consisted of 24 items representing essential therapist interventions from both treatments. Trained raters coded tapes from both therapies. Adolescent self-report of alliance was measured at session 4. Adherence to ABFT was associated with a significant increase in family cohesion at mid-treatment but not at posttreatment. Adherence to FE-NST was significantly associated with an increase in suicide ideation posttreatment. Using therapeutic alliance as a moderator, adherence to ABFT was significantly associated with a reduction in suicide ideation, family conflict, and higher client satisfaction posttreatment. Alliance did not positively affect the association of FE-NST adherence to outcomes. Findings suggest that adherence to ABFT interventions may be better linked to treatment outcomes when adolescents feel a strong alliance with their therapist. Implications for future research and therapist training are explored.

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9 Record Views
4 citations in Web of Science
3 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
International collaboration
Web of Science research areas
Family Studies
Psychology, Clinical
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