Therapist and client perspectives on the alliance in the treatment of traumatized adolescents

European Journal of Psychotraumatology
Silje M OrmhaugTore Wentzel-Larsen

Abstract

Client ratings of the therapeutic alliance are an important predictor of outcome in the treatment of traumatized adolescents and adults, but less is known about the therapists' perspective. The aim of this study was to investigate how therapists' ratings relate to the adolescents' perspective, how individual therapist and adolescent ratings relate to change in symptoms and treatment satisfaction, and whether discrepant alliance perspectives impact treatment outcome. The sample consisted of 156 youth (mean age 15.1, range 10-18), randomized to trauma-focused cognitive behavioral therapy or treatment as usual, and alliance ratings from 62 therapists. Alliance was measured midtreatment with the Therapeutic Alliance Scale for Children, and the factor structure of the two scales was analyzed with exploratory factor analyses. A change in posttraumatic symptoms was assessed with the Child PTSD Symptom Scale (CPSS) and the Clinicial-Administered PTSD Scale for Children and Adolescents (CAPS-CA). Therapist and client perspectives on the alliance were significantly, but moderately, associated (intraclass correlations [ICC]=0.54, p<0.001). Both scales predicted adolescent treatment satisfaction but only the client scale was significantly ...Continue Reading

References

Jul 29, 2004·Journal of Consulting and Clinical Psychology·Marylene CloitreClaude M Chemtob
Jul 4, 2012·Child Abuse & Neglect·Judith A CohenLaura A Murray
Oct 24, 2012·Psychological Assessment·Erin C AccursoAnn F Garland
Oct 15, 2014·Psychological Assessment·Erin C Accurso, Ann F Garland

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Citations

Nov 1, 2016·Social Cognitive and Affective Neuroscience·Laura NawijnMiranda Olff
Mar 9, 2018·Child and Adolescent Psychiatry and Mental Health·Veronica KirschLutz Goldbeck
Mar 12, 2020·European Child & Adolescent Psychiatry·Patty van BenthemVincent M Hendriks
May 16, 2020·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Antonella CirasolaPeter Martin
Dec 12, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Kristianne S OvenstadSilje M Ormhaug

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