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Therapist-youth agr...
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Fjermestad, Krister W.
(författare)
Therapist-youth agreement on alliance change predicts long-term outcome in CBT for anxiety disorders
- Artikel/kapitelEngelska2016
Förlag, utgivningsår, omfång ...
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2015-12-09
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Wiley,2016
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:su-130546
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https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-130546URI
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https://doi.org/10.1111/jcpp.12485DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Background: 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.Methods: 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).Results: 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.Conclusions: 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.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Lerner, Matthew D.
(författare)
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McLeod, Bryce D.
(författare)
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Wergeland, Gro Janne H.
(författare)
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Heiervang, Einar R.
(författare)
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Silverman, Wendy K.
(författare)
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Öst, Lars-GöranStockholms universitet,Klinisk psykologi(Swepub:su)ost
(författare)
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De Los Reyes, Andres
(författare)
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Havik, Odd E.
(författare)
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Haugland, Bente S. M.
(författare)
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Stockholms universitetKlinisk psykologi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Child Psychology and Psychiatry: Wiley57:5, s. 625-6320021-96301469-7610
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Fjermestad, Kris ...
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Lerner, Matthew ...
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McLeod, Bryce D.
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Wergeland, Gro J ...
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Heiervang, Einar ...
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Silverman, Wendy ...
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Öst, Lars-Göran
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De Los Reyes, An ...
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Havik, Odd E.
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Haugland, Bente ...
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Stockholms universitet