Child–therapist alliance and clinical outcomes in cognitive behavioral therapy for child anxiety disorders / Angela CHIU in Journal of Child Psychology and Psychiatry, 50-6 (June 2009)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 50-6 (June 2009) . - p.751-758 Titre : Child–therapist alliance and clinical outcomes in cognitive behavioral therapy for child anxiety disorders Type de document : Texte imprimé et/ou numérique Auteurs : Angela CHIU, Auteur ; Jeffrey J. WOOD, Auteur ; Kim HAR, Auteur ; Bryce D. MCLEOD, Auteur Année de publication : 2009 Article en page(s) : p.751-758 Langues : Anglais (eng) Mots-clés : Alliance CBT child-anxiety-disorders therapy-process Index. décimale : PER Périodiques Résumé : Background: Few studies have examined the link between child–therapist alliance and outcome in manual-guided cognitive behavioral therapy (CBT) for children diagnosed with anxiety disorders. This study sought to clarify the nature and strength of this relation. Methods: The Therapy Process Observational Coding System for Child Psychotherapy – Alliance scale (TPOCS-A; McLeod, 2005) was used to assess the quality of the child–therapist alliance. Coders independently rated 123 CBT therapy sessions conducted with 34 children (aged 6–13 years) diagnosed with anxiety disorders. Parents reported on children's symptomatology at pre- mid-, and post-treatment. Results: A stronger child–therapist alliance early in treatment predicted greater improvement in parent-reported outcomes at mid-treatment but not post-treatment. However, improvement in the child–therapist alliance over the course of treatment predicted better post-treatment outcomes. Conclusions: The quality of the child–therapist alliance assessed early in treatment may be differentially associated with symptom reduction at mid- and post-treatment. Results underscore the importance of assessing the relation between alliance and outcome over the course of therapy to clarify the role the child–therapist alliance plays in child psychotherapy. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01996.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=756 [article] Child–therapist alliance and clinical outcomes in cognitive behavioral therapy for child anxiety disorders [Texte imprimé et/ou numérique] / Angela CHIU, Auteur ; Jeffrey J. WOOD, Auteur ; Kim HAR, Auteur ; Bryce D. MCLEOD, Auteur . - 2009 . - p.751-758. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 50-6 (June 2009) . - p.751-758 Mots-clés : Alliance CBT child-anxiety-disorders therapy-process Index. décimale : PER Périodiques Résumé : Background: Few studies have examined the link between child–therapist alliance and outcome in manual-guided cognitive behavioral therapy (CBT) for children diagnosed with anxiety disorders. This study sought to clarify the nature and strength of this relation. Methods: The Therapy Process Observational Coding System for Child Psychotherapy – Alliance scale (TPOCS-A; McLeod, 2005) was used to assess the quality of the child–therapist alliance. Coders independently rated 123 CBT therapy sessions conducted with 34 children (aged 6–13 years) diagnosed with anxiety disorders. Parents reported on children's symptomatology at pre- mid-, and post-treatment. Results: A stronger child–therapist alliance early in treatment predicted greater improvement in parent-reported outcomes at mid-treatment but not post-treatment. However, improvement in the child–therapist alliance over the course of treatment predicted better post-treatment outcomes. Conclusions: The quality of the child–therapist alliance assessed early in treatment may be differentially associated with symptom reduction at mid- and post-treatment. Results underscore the importance of assessing the relation between alliance and outcome over the course of therapy to clarify the role the child–therapist alliance plays in child psychotherapy. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01996.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=756

Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial / Jeffrey J. WOOD in Journal of Child Psychology and Psychiatry, 50-3 (March 2009)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 50-3 (March 2009) . - p.224-234 Titre : Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Jeffrey J. WOOD, Auteur ; Amy DRAHOTA, Auteur ; Kim HAR, Auteur ; Angela CHIU, Auteur ; David A. LANGER, Auteur ; Karen M. SZE, Auteur Année de publication : 2009 Article en page(s) : p.224-234 Langues : Anglais (eng) Mots-clés : Cognitive-behavioral-therapy autism-spectrum-disorders anxiety-disorders parent-training Index. décimale : PER Périodiques Résumé : Background: Children with autism spectrum disorders often present with comorbid anxiety disorders that cause significant functional impairment. This study tested a modular cognitive behavioral therapy (CBT) program for children with this profile. A standard CBT program was augmented with multiple treatment components designed to accommodate or remediate the social and adaptive skill deficits of children with ASD that could pose barriers to anxiety reduction. Method: Forty children (7–11 years old) were randomly assigned to 16 sessions of CBT or a 3-month waitlist (36 completed treatment or waitlist). Therapists worked with individual families. The CBT model emphasized behavioral experimentation, parent-training, and school consultation. Independent evaluators blind to treatment condition conducted structured diagnostic interviews and parents and children completed anxiety symptom checklists at baseline and posttreatment/postwaitlist. Results: In intent-to-treat analyses, 78.5% of the CBT group met Clinical Global Impressions-Improvement scale criteria for positive treatment response at posttreatment, as compared to only 8.7% of the waitlist group. CBT also outperformed the waitlist on diagnostic outcomes and parent reports of child anxiety, but not children's self-reports. Treatment gains were maintained at 3-month follow-up. Conclusions: The CBT manual employed in this study is one of the first adaptations of an evidence-based treatment for children with autism spectrum disorders. Remission of anxiety disorders appears to be an achievable goal among high-functioning children with autism. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01948.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=718 [article] Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial [Texte imprimé et/ou numérique] / Jeffrey J. WOOD, Auteur ; Amy DRAHOTA, Auteur ; Kim HAR, Auteur ; Angela CHIU, Auteur ; David A. LANGER, Auteur ; Karen M. SZE, Auteur . - 2009 . - p.224-234. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 50-3 (March 2009) . - p.224-234 Mots-clés : Cognitive-behavioral-therapy autism-spectrum-disorders anxiety-disorders parent-training Index. décimale : PER Périodiques Résumé : Background: Children with autism spectrum disorders often present with comorbid anxiety disorders that cause significant functional impairment. This study tested a modular cognitive behavioral therapy (CBT) program for children with this profile. A standard CBT program was augmented with multiple treatment components designed to accommodate or remediate the social and adaptive skill deficits of children with ASD that could pose barriers to anxiety reduction. Method: Forty children (7–11 years old) were randomly assigned to 16 sessions of CBT or a 3-month waitlist (36 completed treatment or waitlist). Therapists worked with individual families. The CBT model emphasized behavioral experimentation, parent-training, and school consultation. Independent evaluators blind to treatment condition conducted structured diagnostic interviews and parents and children completed anxiety symptom checklists at baseline and posttreatment/postwaitlist. Results: In intent-to-treat analyses, 78.5% of the CBT group met Clinical Global Impressions-Improvement scale criteria for positive treatment response at posttreatment, as compared to only 8.7% of the waitlist group. CBT also outperformed the waitlist on diagnostic outcomes and parent reports of child anxiety, but not children's self-reports. Treatment gains were maintained at 3-month follow-up. Conclusions: The CBT manual employed in this study is one of the first adaptations of an evidence-based treatment for children with autism spectrum disorders. Remission of anxiety disorders appears to be an achievable goal among high-functioning children with autism. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01948.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=718

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