Journal article
Therapist-youth agreement on alliance change predicts long-term outcome in CBT for anxiety disorders
Journal of child psychology and psychiatry, v 57(5), pp 625-632
May 2016
PMID: 26647901
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
In individual cognitive behavioral therapy (ICBT) for youth anxiety disorders, it is unclear whether, and from whose perspective, the alliance predicts outcome. We examined whether youth- and therapist-rated alliance, including level of youth-therapist alliance agreement, predicted outcome in a randomized controlled trial.
Youth (N = 91, M age = 11.4 years (SD = 2.1), 49.5% boys, 86.8% Caucasian) diagnosed with separation anxiety disorder, social phobia, or generalized anxiety disorder drawn from the ICBT condition of an effectiveness trial were treated with an ICBT program. Youth- and therapist-rated alliance ratings, assessed with the Therapeutic Alliance Scale for Children (TASC-C/T), were collected following session 3 (early) and 7 (late). Early alliance, change in alliance from early to late, and level of youth-therapist agreement on early alliance and alliance change were examined, in relation to outcomes collected at posttreatment and 1-year follow-up. Outcome was defined as primary diagnosis loss and reduction in clinicians' severity ratings (CSR; Anxiety Disorders Interview Schedule; ADIS-C/P) based on youth- and parent-report at posttreatment and follow-up, and youth treatment satisfaction collected at posttreatment (Client Satisfaction Scale; CSS).
Early TASC-C scores positively predicted treatment satisfaction at posttreatment. Higher levels of agreement on change in TASC-C and TASC-T scores early to late in treatment predicted diagnosis loss and CSR reduction at follow-up.
Only the level of agreement in alliance change predicted follow-up outcomes in ICBT for youth anxiety disorders. The findings support further examination of the role that youth-therapist alliance discrepancies may play in promoting positive outcomes in ICBT for youth anxiety disorders. Clinical trial number NCT00586586, clinicaltrials.gov.
Metrics
Details
- Title
- Therapist-youth agreement on alliance change predicts long-term outcome in CBT for anxiety disorders
- Creators
- Krister W Fjermestad - University of OsloMatthew D Lerner - Stony Brook UniversityBryce D McLeod - Virginia Commonwealth UniversityGro Janne H Wergeland - University of BergenEinar R Heiervang - University of OsloWendy K Silverman - Yale UniversityLars-Göran Öst - Stockholm UniversityAndres De Los Reyes - University of Maryland, College ParkOdd E Havik - University of BergenBente S M Haugland - Norwegian University of Science and Technology
- Publication Details
- Journal of child psychology and psychiatry, v 57(5), pp 625-632
- Publisher
- Wiley
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000374662000010
- Scopus ID
- 2-s2.0-84949894903
- Other Identifier
- 991021862390904721
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
- Psychiatry
- Psychology
- Psychology, Developmental