Four perspectives on traumatized youths’ therapeutic alliance: Correspondence and outcome predictions,Psychotherapy Research

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Four perspectives on traumatized youths’ therapeutic alliance: Correspondence and outcome predictions
Psychotherapy Research ( IF 2.6 ) Pub Date : 2021-12-10 , DOI: 10.1080/10503307.2021.2011983
Kristianne S Ovenstad _{1,

2} , Tine K Jensen _{1,

3} , Silje M Ormhaug ₃

Affiliation

ABSTRACT

Objective

Does the rater-perspective of youths’ therapeutic alliance matter? To answer this, we evaluated the relationships between four perspectives of youths’ alliance, then, we examined whether each perspective and potential discordance between the perspectives predicted outcomes.

Method

Participants were 65 youth (M age = 15.11, SD = 2.14; 76.9% girls) undergoing trauma-focused cognitive behavioral therapy (TF-CBT) and their therapists (n = 24). Youths’ alliance was rated by youth, therapists and parents using the Therapeutic Alliance Scale for Children-revised and by observers using the Therapy Process Observational Coding System-Alliance scale. Posttraumatic stress symptoms (PTSS) were assessed with the Child PTSD Symptom Scale (CPSS) and the Clinician Administered PTSD Scale for Children and Adolescents (CAPS-CA).

Results

The alliance ratings by youth-parent, parent-therapist, and therapist-observer significantly correlated. Only a higher youth-rated alliance significantly predicted fewer PTSS. Furthermore, a higher therapist-rated than youth-rated alliance significantly predicted higher scores on CPSS and CAPS-CA, and a higher parent-rated than youth-rated alliance predicted significantly higher CPSS score.

Conclusion

Therapists should explicitly check in with youth clients about the alliance; because only youths’ evaluation of their alliance predicted the outcome and an overestimation of their alliance by therapists and parents predicted more PTSS.

Trial registration: ClinicalTrials.gov identifier: NCT00635752..

中文翻译：

创伤青少年治疗联盟的四种观点：对应与结果预测

摘要

客观的

青少年治疗联盟的评估者视角重要吗？为了回答这个问题，我们评估了青年联盟的四个视角之间的关系，然后，我们检查了每个视角以及视角之间潜在的不一致是否能预测结果。

方法

参与者是 65 名青年（M年龄 = 15.11，SD = 2.14；76.9% 的女孩），他们正在接受以创伤为中心的认知行为疗法 (TF-CBT) 及其治疗师 ( n = 24)。青少年联盟由青少年、治疗师和父母使用经修订的儿童治疗联盟量表和观察者使用治疗过程观察编码系统 - 联盟量表进行评分。使用儿童 PTSD 症状量表 (CPSS) 和临床医生管理的儿童和青少年 PTSD 量表 (CAPS-CA) 评估创伤后应激症状 (PTSS)。