Alliance and Outcome in Cognitive-Behavioral Therapy for Adolescent Depression / Stephen R. SHIRK in Journal of Clinical Child & Adolescent Psychology, 37-3 (July-September 2008)  

Public ISBD [article]  inJournal of Clinical Child & Adolescent Psychology > 37-3 (July-September 2008) . - p.631-639 Titre : Alliance and Outcome in Cognitive-Behavioral Therapy for Adolescent Depression Type de document : texte imprimé Auteurs : Stephen R. SHIRK, Auteur ; Gretchen GUDMUNDSEN, Auteur ; Heather Crisp KAPLINSKI, Auteur ; Dana L. MCMAKIN, Auteur Année de publication : 2008 Article en page(s) : p.631-639 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1080/15374410802148061 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Alliance and Outcome in Cognitive-Behavioral Therapy for Adolescent Depression [texte imprimé] / Stephen R. SHIRK, Auteur ; Gretchen GUDMUNDSEN, Auteur ; Heather Crisp KAPLINSKI, Auteur ; Dana L. MCMAKIN, Auteur . - 2008 . - p.631-639. Langues : Anglais (eng) in Journal of Clinical Child & Adolescent Psychology > 37-3 (July-September 2008) . - p.631-639 Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1080/15374410802148061 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

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