Therapeutic Alliance : A Comparison Study between Adolescent Patients and Their Therapists

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Gergov , V , Marttunen , M , Lindberg , N , Lipsanen , J & Lahti , J 2021 , ' Therapeutic Alliance : A Comparison Study between Adolescent Patients and Their Therapists ' , International Journal of Environmental Research and Public Health , vol. 18 , no. 21 , 11238 . https://doi.org/10.3390/ijerph182111238

Title: Therapeutic Alliance : A Comparison Study between Adolescent Patients and Their Therapists
Author: Gergov, Vera; Marttunen, Mauri; Lindberg, Nina; Lipsanen, Jari; Lahti, Jari
Contributor organization: HUS Psychiatry
Nuorisopsykiatria
Department of Psychology and Logopedics
Clinicum
Department of Psychiatry
Teachers' Academy
Date: 2021-11
Language: eng
Number of pages: 16
Belongs to series: International Journal of Environmental Research and Public Health
ISSN: 1661-7827
DOI: https://doi.org/10.3390/ijerph182111238
URI: http://hdl.handle.net/10138/337337
Abstract: The aim of this study was to examine the congruence of adolescent- and therapist-rated therapeutic alliance, and to explore which rating or combination of ratings would predict treatment outcome or premature termination. We also studied whether the alliance changes over the course of treatment and if the change is related to the outcome or dropout. This study comprised 58 adolescents clinically referred for psychotherapeutic interventions. The alliance (Working Alliance Inventory, patient/therapist ratings) and treatment outcomes (Beck Depression Inventory, Clinical Outcomes in Routine Evaluation-Outcome Measure) were measured at baseline and at 3-, 6-, and 12-month follow-ups. The alliance did not change significantly over the course of therapy, but adolescent and therapist ratings did not correlate. Low values in the early assessment of adolescent-rated alliance and discrepancy between the ratings were significant predictors of undesirable treatment outcome. Weak adolescent- or therapist-rated alliance later in treatment and change for the worse in adolescent-rated alliance was associated with treatment dropout. As adolescent-rated alliance predicts treatment outcome better than therapist-rated alliance, therapists should frequently use assessments of therapeutic relationship within the therapy and pay attention if the adolescent feels the alliance is weakening or his/her evaluation is contrary to the therapist's.
Subject: adolescents
psychotherapy
alliance
naturalistic study
predictors
BRIEF OUTCOME MEASURE
WORKING ALLIANCE
PSYCHOMETRIC PROPERTIES
CLINICAL-OUTCOMES
FAMILY-THERAPY
COMMON FACTORS
CHILD
PSYCHOTHERAPY
ASSOCIATION
PREDICTORS
3124 Neurology and psychiatry
3142 Public health care science, environmental and occupational health
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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