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  • Fjermestad, Krister W. (author)

Therapist-youth agreement on alliance change predicts long-term outcome in CBT for anxiety disorders

  • Article/chapterEnglish2016

Publisher, publication year, extent ...

  • 2015-12-09
  • Wiley,2016
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:su-130546
  • https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-130546URI
  • https://doi.org/10.1111/jcpp.12485DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Lerner, Matthew D. (author)
  • McLeod, Bryce D. (author)
  • Wergeland, Gro Janne H. (author)
  • Heiervang, Einar R. (author)
  • Silverman, Wendy K. (author)
  • Öst, Lars-GöranStockholms universitet,Klinisk psykologi(Swepub:su)ost (author)
  • De Los Reyes, Andres (author)
  • Havik, Odd E. (author)
  • Haugland, Bente S. M. (author)
  • Stockholms universitetKlinisk psykologi (creator_code:org_t)

Related titles

  • In:Journal of Child Psychology and Psychiatry: Wiley57:5, s. 625-6320021-96301469-7610

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