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

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 i...

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Autores principales:	Vera Gergov, Mauri Marttunen, Nina Lindberg, Jari Lipsanen, Jari Lahti
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	adolescents psychotherapy alliance naturalistic study predictors Medicine R
Acceso en línea:	https://doaj.org/article/1d41dc20d5054b0ca9547a25792641fd
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spelling	oai:doaj.org-article:1d41dc20d5054b0ca9547a25792641fd2021-11-11T16:23:48ZTherapeutic Alliance: A Comparison Study between Adolescent Patients and Their Therapists10.3390/ijerph1821112381660-46011661-7827https://doaj.org/article/1d41dc20d5054b0ca9547a25792641fd2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11238https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The 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.Vera GergovMauri MarttunenNina LindbergJari LipsanenJari LahtiMDPI AGarticleadolescentspsychotherapyalliancenaturalistic studypredictorsMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11238, p 11238 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adolescents psychotherapy alliance naturalistic study predictors Medicine R
spellingShingle	adolescents psychotherapy alliance naturalistic study predictors Medicine R Vera Gergov Mauri Marttunen Nina Lindberg Jari Lipsanen Jari Lahti Therapeutic Alliance: A Comparison Study between Adolescent Patients and Their Therapists
description	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.
format	article
author	Vera Gergov Mauri Marttunen Nina Lindberg Jari Lipsanen Jari Lahti
author_facet	Vera Gergov Mauri Marttunen Nina Lindberg Jari Lipsanen Jari Lahti
author_sort	Vera Gergov
title	Therapeutic Alliance: A Comparison Study between Adolescent Patients and Their Therapists
title_short	Therapeutic Alliance: A Comparison Study between Adolescent Patients and Their Therapists
title_full	Therapeutic Alliance: A Comparison Study between Adolescent Patients and Their Therapists
title_fullStr	Therapeutic Alliance: A Comparison Study between Adolescent Patients and Their Therapists
title_full_unstemmed	Therapeutic Alliance: A Comparison Study between Adolescent Patients and Their Therapists
title_sort	therapeutic alliance: a comparison study between adolescent patients and their therapists
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/1d41dc20d5054b0ca9547a25792641fd
work_keys_str_mv	AT veragergov therapeuticallianceacomparisonstudybetweenadolescentpatientsandtheirtherapists AT maurimarttunen therapeuticallianceacomparisonstudybetweenadolescentpatientsandtheirtherapists AT ninalindberg therapeuticallianceacomparisonstudybetweenadolescentpatientsandtheirtherapists AT jarilipsanen therapeuticallianceacomparisonstudybetweenadolescentpatientsandtheirtherapists AT jarilahti therapeuticallianceacomparisonstudybetweenadolescentpatientsandtheirtherapists
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Therapeutic Alliance: A Comparison Study between Adolescent Patients and Their Therapists

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