The relationships between therapeutic alliance and internalizing and externalizing symptoms in Trauma-Focused Cognitive Behavioral Therapy

Child Abuse & Neglect
Karina P M ZorzellaRobert A Cribbie

Abstract

Therapeutic alliance has been considered an important factor in child psychotherapy and is consistently associated with positive outcomes. Nevertheless, research on alliance in the context of child trauma therapy is very scarce. This study examined the relationships between child therapeutic alliance and psychopathology in an empirically supported child trauma therapy model designed to address issues related to trauma with children and their caregivers. Specifically, we examined the extent to which the child's psychopathology would predict the establishment of a positive alliance early in treatment, as well as the association between alliance and outcome. Participants were 95 children between the ages of 7 and 12 and their caregivers, who went through a community-based Trauma-Focused Cognitive Behavioral Therapy program in Canada. Caregivers filled out the CBCL prior to assessment and following treatment. Children and therapists completed an alliance measure (TASC) at three time points throughout treatment. Symptomatology and child gender emerged as important factors predicting alliance at the beginning of treatment. Girls and internalizing children developed stronger alliances early in treatment. In addition, a strong early al...Continue Reading

References

Oct 1, 1995·Journal of Pediatric Psychology·W N Friedrich, L C Schafer
Apr 1, 1995·Child Abuse & Neglect·M J EltzN Sarlin
May 1, 1995·Journal of the American Academy of Child and Adolescent Psychiatry·D Cicchetti, S L Toth
Aug 1, 1993·Journal of Consulting and Clinical Psychology·A O Horvath, L Luborsky
Jul 17, 1998·Journal of the American Academy of Child and Adolescent Psychiatry·T M AchenbachC Stanger
Feb 29, 2000·Journal of Clinical Child Psychology·P FlorsheimW C Hwang
Jul 7, 2000·Journal of Consulting and Clinical Psychology·D J MartinM K Davis
Jun 11, 2003·Journal of Consulting and Clinical Psychology·Stephen R Shirk, Marc Karver
Jun 10, 2004·Journal of the American Academy of Child and Adolescent Psychiatry·Judith A CohenRobert A Steer
Jul 29, 2004·Journal of Consulting and Clinical Psychology·Marylene CloitreClaude M Chemtob
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
Mar 1, 2005·Child Abuse & Neglect·Judith A CohenKraig Knudsen
Jun 29, 2005·Journal of Consulting and Clinical Psychology·Torrey A Creed, Philip C Kendall
Nov 9, 2005·Child Abuse & Neglect·David FinkelhorSherry L Hamby
Mar 23, 2006·Journal of Consulting and Clinical Psychology·Aaron HogueHoward A Liddle
May 5, 2006·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Jonathan Green
Aug 25, 2007·Annual Review of Clinical Psychology·Dante Cicchetti, Sheree L Toth
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
Jun 16, 2010·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Eamon McCroryEssi Viding
Jun 26, 2010·Development and Psychopathology·Ann S Masten, Dante Cicchetti
Mar 16, 2011·Psychotherapy·Stephen R ShirkRenee Brown
Dec 19, 2012·Journal of Family Psychology : JFP : Journal of the Division of Family Psychology of the American Psychological Association (Division 43)·Isabela GranicBruce Ferguson
Jan 2, 2013·Journal of Consulting and Clinical Psychology·Birgit KleimAnke Ehlers
Jan 24, 2013·Journal of Consulting and Clinical Psychology·Bruce A ArnowJames H Kocsis
Feb 6, 2013·Child Abuse & Neglect·Ryan MillsLane Strathearn
Apr 16, 2013·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Brian C ChuLaurie J Zandberg
Jul 17, 2013·Journal of Consulting and Clinical Psychology·Rory C O'ConnorJ Mark G Williams
Sep 1, 2015·Child Abuse & Neglect·Sheila KonanurKarina P M Zorzella

❮ Previous
Next ❯

Citations

Mar 9, 2017·Child Abuse & Neglect·Karina P M ZorzellaRobert T Muller
Mar 9, 2018·Child and Adolescent Psychiatry and Mental Health·Veronica KirschLutz Goldbeck
Jun 5, 2020·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Yan-Fei HouXiao-Yuan Zhang
Dec 12, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Kristianne S OvenstadSilje M Ormhaug

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.