Universität zu Köln

Dose, Christina ORCID: 0000-0001-5405-4934, Thoene, Ann-Kathrin, Del Giudice, Teresa, Goertz-Dorten, Anja, Faber, Martin, Benesch, Christina, Hautmann, Christopher, Lindenschmidt, Timo and Doepfner, Manfred . Child-therapist and parent-therapist alliances and outcome in the treatment of children with oppositional defiant/conduct disorder. Psychother. Res.. ABINGDON: ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. ISSN 1468-4381

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Abstract

Objective This study examined the quality of therapeutic alliance from different rater perspectives (child, parent, therapist) in cognitive behavioural therapy for children with oppositional defiant disorder (ODD) and conduct disorder (CD), and its association with symptom severity. Further, a panel model with an autoregressive cross-lagged panel design was used to explore whether therapist-rated and parent-rated therapeutic alliance influences change in symptom severity, or vice versa. Methods Sixty boys aged 6-12 years with a principal diagnosis of ODD/CD, and their parents, received individually delivered social competence training for childhood aggressive behaviour problems. Child, therapist, and parent ratings of therapeutic alliance and symptom severity were measured twice. Results Our results indicate good to very good therapeutic alliance that was relatively stable over time. The cross-sectional analyses of the alliance-symptom association revealed moderate correlations. However, effects of early alliance on later treatment outcome or of early symptom severity on later alliance were marginal. The only significant association was found between early parent-rated therapist-parent alliance and later parent-rated symptom severity. Conclusion Our study shows a moderate correlation between simultaneously assessed therapeutic alliance and symptoms. The findings of the panel model indicate that an early good therapeutic alliance is a component of later therapeutic success (parent perspective).

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Dose, Christina UNSPECIFIED orcid.org/0000-0001-5405-4934 UNSPECIFIED Thoene, Ann-Kathrin UNSPECIFIED UNSPECIFIED UNSPECIFIED Del Giudice, Teresa UNSPECIFIED UNSPECIFIED UNSPECIFIED Goertz-Dorten, Anja UNSPECIFIED UNSPECIFIED UNSPECIFIED Faber, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Benesch, Christina UNSPECIFIED UNSPECIFIED UNSPECIFIED Hautmann, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED Lindenschmidt, Timo UNSPECIFIED UNSPECIFIED UNSPECIFIED Doepfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-662908
DOI:	10.1080/10503307.2022.2138791
Journal or Publication Title:	Psychother. Res.
Publisher:	ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
Place of Publication:	ABINGDON
ISSN:	1468-4381
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COGNITIVE-BEHAVIORAL TREATMENT; MENTAL-HEALTH TREATMENT; THERAPEUTIC ALLIANCE; WORKING ALLIANCE; RECIPROCAL RELATIONSHIP; RELATIONSHIP VARIABLES; OUTPATIENT THERAPY; YOUTH; PERSPECTIVES; METAANALYSIS Multiple languages Psychology, Clinical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66290