Therapeutic Alliance, Attendance, and Outcomes in Youths Receiving CBT or Client-Centered Therapy for Anxiety.
Therapeutic Alliance, Attendance, and Outcomes in Youths Receiving CBT or Client-Centered Therapy for Anxiety.
复制标题
接受 CBT 或以客户为中心的焦虑疗法的青少年的治疗联盟、出勤率和结果。
DOI：
10.1080/15374416.2023.2261547
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
McMakin,DanaL
中科院分区：
文献类型：
--
作者：
Bose,Deepika;Pettit,JeremyW;Silk,JenniferS;Ladouceur,CecileD;Olino,ThomasM;Forbes,ErikaE;Siegle,GregJ;Dahl,RonaldE;Kendall,PhillipC;Ryan,NealD;McMakin,DanaL
治疗联盟和结果之间的正相关（例如，青年症状严重程度）已在青年焦虑文献中记录;然而，对早期联盟有助于青年积极结果的条件知之甚少。本研究探讨了治疗联盟，会议出席率和结果之间的关系，在青年（N= 135; 55.6%女性）参加了一项随机临床试验，该试验测试了认知行为疗法或以客户为中心的疗法对焦虑症的疗效。（2）联盟-结果关联因干预类型而异，与以客户为中心的治疗相比，认知行为治疗的关联更强;（3）联盟与结果的关系在不同的结果测量时间点不同，早期联盟对结果的影响随时间而衰减。早期联盟的提供者评级预测了治疗后更大的青年评定的焦虑症状严重程度（即更差的治疗结果）。会议出席率预测积极的青年评级的结果，虽然没有间接影响的早期联盟的结果，通过session attendance.ConclusionsResults显示，增加会议出席率是重要的，以提高成果，并不支持早期联盟的预测结果。
ObjectivePositive associations between therapeutic alliance and outcome (e.g. youth symptom severity) have been documented in the youth anxiety literature; however, little is known about the conditions under which early alliance contributes to positive outcomes in youth. The present study examined the relations between therapeutic alliance, session attendance, and outcomes in youths (N= 135; 55.6% female) who participated in a randomized clinical trial testing the efficacy of cognitive-behavioral therapy or client-centered therapy for anxiety.MethodWe evaluated a conceptual model wherein: (1) early alliance indirectly contributes to positive outcomes by improving session attendance; (2) alliance-outcome associations differ by intervention type, with stronger associations in cognitive-behavioral therapy compared to client-centered therapy; and (3) alliance-outcome associations vary across outcome measurement timepoints, with the effect of early alliance on outcomes decaying over time.ResultsContrary to hypotheses, provider ratings of early alliance predicted greater youth-rated anxiety symptom severity post-treatment (i.e. worse treatment outcomes). Session attendance predicted positive youth-rated outcomes, though there was no indirect effect of early alliance on outcomes through session attendance.ConclusionsResults show that increasing session attendance is important for enhancing outcomes and do not support early alliance as a predictor of outcomes.