Alliance and outcome in cognitive-behavioral therapy for adolescent depression.
Alliance and outcome in cognitive-behavioral therapy for adolescent depression.
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青少年抑郁症认知行为治疗的联盟和结果。
DOI：
10.1080/15374410802148061
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
McMakin,DanaL
中科院分区：
文献类型：
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作者：
Shirk,StephenR;Gudmundsen,Gretchen;Kaplinski,HeatherCrisp;McMakin,DanaL
本研究旨在探讨青少年抑郁症的认知行为治疗中，治疗联盟与治疗结果之间的预测关系。54名青少年符合抑郁症的标准，并在学校诊所接受治疗。第三次会议后，从治疗师和青少年的角度来衡量联盟，并通过结构化访谈和自我报告评估抑郁症状的变化。两种模式的联盟结果的关系进行了评估，一个直接和一个通过治疗参与。结果显示，即使在控制了完成的会话数量后，抑郁症患者报告的联盟与抑郁症状的变化之间也存在显着关联。治疗师报告的联盟仅与结局轻微相关，但可预测完成的会话数量。平均而言，联盟表现出适度的关系与结果（r= 0.26）。结果进行了讨论的背景下，在以前的研究中的认知行为相比，儿童和青少年的非行为治疗的差异联盟的结果关系。
This study examined predictive relations between therapeutic alliance and treatment outcomes in manual-guided, cognitive-behavioral therapy for adolescent depression. Fifty-four adolescents met criteria for a depressive disorder and were treated in school-based clinics. Alliance was measured after the third session from both therapist and adolescent perspectives, and change in depressive symptoms was assessed by structured interview and self-report. Two models of alliance–outcome relations were assessed, one direct and one through treatment participation. Results showed significant associations between adolescent-reported alliance and change in depressive symptoms, even after controlling for number of sessions completed. Therapist-reported alliance was only marginally related to outcomes but was predictive of number of sessions completed. On average, alliance showed a modest relation with outcomes (r= .26). Results are discussed in the context of differential alliance–outcome relations in prior studies of cognitive-behavioral compared to nonbehavioral therapy with children and adolescents.