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Therapist-youth agr...
Therapist-youth agreement on alliance change predicts long-term outcome in CBT for anxiety disorders
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Fjermestad, Krister W. (författare)
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Lerner, Matthew D. (författare)
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McLeod, Bryce D. (författare)
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visa fler...
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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-Göran (författare)
- Stockholms universitet,Klinisk psykologi
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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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visa färre...
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(creator_code:org_t)
- 2015-12-09
- 2016
- Engelska.
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Ingår i: Journal of Child Psychology and Psychiatry. - : Wiley. - 0021-9630 .- 1469-7610. ; 57:5, s. 625-632
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- 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
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
Nyckelord
- alliance
- alliance agreement
- CBT
- anxiety
- youth
- Psychology
- psykologi
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- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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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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visa fler...
-
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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visa färre...
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- SAMHÄLLSVETENSKAP
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SAMHÄLLSVETENSKA ...
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och Psykologi
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Journal of Child ...
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Stockholms universitet