Client-therapist alliance discrepancies and outcome in cognitive-behavioral therapy for youth anxiety

Journal of Clinical Psychology
Laurie J ZandbergBrian C Chu

Abstract

Studies exploring the association between alliance and outcome in youth cognitive-behavioral therapy (CBT) have yielded inconsistent results based upon whose perspective is measured. The current study explored the degree to which youth with the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, anxiety disorders and their therapists agree in their ratings of the alliance at multiple assessment points and evaluated whether inter-rater discrepancies predicted treatment outcome. Youth (N = 62; Mage = 12.43, SD = .76) received empirically supported CBT. Paired samples t tests assessed for significant disagreement between youth- and therapist-rated alliance at sessions 4, 8, and 12. Regression analyses were conducted to evaluate whether discrepancies between raters at each time point predicted posttreatment anxiety symptom scores. Overall, alliance was positive for both child (aged 7-12 years) and adolescent (aged 13-16 years) clients. Discrepancies between youth and therapist ratings of alliance were statistically significant at session 4 for children and session 8 for adolescents, with youth rating the relationship more favorably than therapists. However, rating discrepancies did not predict yout...Continue Reading

References

Jan 1, 1992·Journal of the American Academy of Child and Adolescent Psychiatry·W K Silverman, A R Eisen
Dec 12, 2001·Psychotherapy and Psychosomatics·Anne Grete HersougPer Høglend
Aug 2, 2002·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Jeffrey J WoodVelma Barrios
Oct 23, 2002·Archives of Disease in Childhood·L Diggle, J Deeks
Apr 8, 2003·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Katherine A DeVetHenry T Ireys
Jun 11, 2003·Journal of Consulting and Clinical Psychology·Stephen R Shirk, Marc Karver
Nov 9, 2004·The British Journal of Clinical Psychology·Sam Cartwright-HattonRichard Harrington
Jan 29, 2005·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Kristin M Hawley, John R Weisz
Feb 1, 2005·Behaviour Research and Therapy·Bruce F ChorpitaJennifer Gray
Jun 29, 2005·Journal of Consulting and Clinical Psychology·Torrey A Creed, Philip C Kendall
Apr 2, 2008·Journal of Consulting and Clinical Psychology·Philip C KendallCynthia Suveg
Apr 30, 2008·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Wendy K SilvermanChockalingam Viswesvaran
Jul 23, 2008·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Stephen R ShirkDana L McMakin
Jan 30, 2009·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Angela W ChiuJeffrey J Wood
Jun 3, 2009·Journal of Consulting and Clinical Psychology·Philip C KendallJennifer Hudson
Mar 16, 2011·Psychotherapy·Stephen R ShirkRenee Brown
Apr 13, 2011·Clinical Psychology Review·Bryce D McLeod
May 18, 2011·Journal of Consulting and Clinical Psychology·David A LangerJohn R Weisz
Mar 16, 2012·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Krister W FjermestadBente S M Haugland
Jun 12, 2013·Journal of Consulting and Clinical Psychology·Colleen M CummingsPhilip C Kendall

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Citations

Dec 10, 2015·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Krister W FjermestadBente S M Haugland
Mar 8, 2017·International Journal of Speech-language Pathology·Anneka FreckmannMichelle Lincoln
Mar 13, 2019·Autism : the International Journal of Research and Practice·Phil ReedLisa A Osborne
Jan 8, 2020·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Krister W FjermestadGro Janne Wergeland
Jan 30, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Lucía NúñezMariane Krause
Dec 12, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Kristianne S OvenstadSilje M Ormhaug

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