Therapeutic alliance over the course of child trauma therapy from three different perspectives

Zorzella, Karina P.M.; Rependa, Sara Lynn; Muller, Robert T.

doi:10.1016/j.chiabu.2017.02.032

Cited by 13 publications

(15 citation statements)

References 39 publications

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“… Anderson et al (2012) randomised participants to individual CBT and internet-based CBT. Internet-based CBT ( Stjerneklar et al, 2019 ), Multimodal CBT-( Klebanoff et al, 2019 ), Trauma focused CBT- ( Zorzella et al, 2015 , 2017 ; Valadez-Sanchez, 2017 ; Kirsch et al, 2018 ; Loos et al, 2020 ), and Emotion regulation focused CBT was used by Albaum et al (2020) .…”

Section: Resultsmentioning

confidence: 99%

“…Alliance changes through multiple ratings of different patients when the trauma narrative is introduced in Trauma-focused CBT (TF-CBT) ( Zorzella et al, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

“…There was a significant positive progression in both the therapist and child ratings throughout therapy with the ratings of the child changing significantly from session 3 and session 8 to the final session ( Zorzella et al, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

“…Labouliere et al (2017) had nearly twice the number of females compared to males. Females outnumbered males in the Trauma studies by a nearly 5:1 ratio (Zorzella et al, 2015(Zorzella et al, , 2017. The Valadez-Sanchez study had four female participants (Valadez-Sanchez, 2017).…”

Section: Sexmentioning

confidence: 99%

“…The majority of the study participants in the anxiety related studies were of higher socioeconomic status and moderately higher educational status. The socioeconomic status of the study population was at the lower end of the scale in those that involved trauma and related disorders (Zorzella et al, 2015(Zorzella et al, , 2017. The other study involving PTSD did not elaborate on socioeconomic status.…”

Section: Socioeconomic Statusmentioning

confidence: 99%

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Therapeutic Alliance in Cognitive Behavioural Therapy in Child and Adolescent Mental Health-Current Trends and Future Challenges

Fernandes

2022

Front. Psychol.

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This extended literature review proposes to present the trends in the therapeutic alliance, outcomes, and measures in the last decade within the premises of individual cognitive behaviour therapy (CBT) and its innovations, used as an interventional measure in the context of child and adolescent mental health setting. A brief background of the rationale for conducting this literature search is presented at the start. This is followed by the methodology and design which incorporates the inclusion and exclusion criteria and the basis for the same. The critical appraisal of the primary studies is presented in the literature review section with a brief description of the summary features of the studies in the study tables followed by the results and discussion of the study findings. To summarise, the literature review of primary studies conducted in the last decade demonstrates the need for further research to be conducted both in the field of CBT in children and therapeutic alliance, competence, and therapy outcomes, integrating perspectives in child development, carer alliance, and the social construct theory in children, to allow for further innovations in CBT in the context of increasing challenges in the current times of exponentially developing technology and its utility without compromising the quality of therapy. In conclusion, recommendations are made as a guideline for future studies and research in this field.

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Section: Resultsmentioning

confidence: 99%

“…Alliance changes through multiple ratings of different patients when the trauma narrative is introduced in Trauma-focused CBT (TF-CBT) ( Zorzella et al, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Sexmentioning

confidence: 99%

Section: Socioeconomic Statusmentioning

confidence: 99%

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Therapeutic Alliance in Cognitive Behavioural Therapy in Child and Adolescent Mental Health-Current Trends and Future Challenges

Fernandes

2022

Front. Psychol.

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Therapist's effect on children's therapeutic alliance: A naturalistic study

Casari,

Areas,

Ison

et al. 2023

J Clin Psychol

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ObjectivesThe therapeutic alliance (TA) has been shown to be a predictor of psychotherapy treatment success. In the case of psychotherapy with children, there is a dearth of information on TA's role. The aims of the paper are: (1) To estimate the therapist effects on children TA; (2) to investigate if therapists' TA predicts children's TA; (3) to analyze if children's age and sex predict children's TA; (4) to evaluate if the therapist's characteristics predict children's TA.MethodsThe sample consisted of 77 children undergoing psychotherapy in Argentina, and the therapists (N = 29) providing services to those children. The assessment tools utilized for the study included the Therapy Alliance Scale for Children and the Personal Style of the Therapist Questionnaire (PST‐Q).ResultsFindings indicated that 2% of the children's TA was explained by the therapists (ICC = 0.02), while 17% of the therapists' TA was explained by the therapists (ICC = 0.17). Therapists' TA predicted children's TA. Children's age and sex did not have an effect on their own TA. Moreover, therapists with more experience achieved higher scores of children's TA. Finally, the Operative dimension of the PST had a negative effect on children's TA (i.e., therapists who prefer more spontaneous interventions over structured ones may experience higher levels of therapeutic alliance with child patients).ConclusionWe found a positive effect of the therapist's TA on children's TA, especially in the preference for using more spontaneous intervention techniques. We discuss the implications of the findings on the training of psychotherapists who provide services to children.

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Attrition from pediatric trauma‐focused cognitive behavioral therapy: A meta‐analysis

Wamser‐Nanney

Walker

2022

Journal of Traumatic Stress

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Trauma-focused cognitive behavioral therapy (TF-CBT) is one of the leading interventions for trauma-exposed children and adolescents and is associated with significant improvements in a variety of trauma-related symptoms. Nonetheless, attrition from TF-CBT is quite common, and children who do not receive the full intervention may continue to suffer from trauma-related symptoms. Rates of premature termination have varied across studies, and to date, no meta-analyses have been conducted regarding dropout from TF-CBT. The objective of the present study was to conduct a meta-analysis of the rates of attrition from TF-CBT, as well as review factors related to premature termination from this intervention. A total of 22 studies were available for inclusion in this metaanalysis. The prevalence of attrition was 33.9% (95% CI [26.2%, 42.5%]) from 2,059 children receiving TF-CBT. Clinician-rated attrition was 38.5%, and 17.5% did not receive an adequate dose of TF-CBT (e.g., 12+ sessions). Further, the study type was related to differing rates of dropout, with randomized controlled trials having a much lower attrition rate. Regarding risk factors for premature termination, the emerging literature suggests that a child's age, racial-ethnic minority status, and symptom levels may evince some ties to attrition. Caregiver, family, therapist, and treatment factors remain underexplored in relation to premature termination; however, preliminary work suggests that lack of caregiver attendance and difficulty in the child-therapist relationship may be related to attrition. A substantial number of children prematurely terminate from TF-CBT, underscoring the need to better prevent dropout.

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Therapeutic alliance over the course of child trauma therapy from three different perspectives

Cited by 13 publications

References 39 publications

Therapeutic Alliance in Cognitive Behavioural Therapy in Child and Adolescent Mental Health-Current Trends and Future Challenges

Therapeutic Alliance in Cognitive Behavioural Therapy in Child and Adolescent Mental Health-Current Trends and Future Challenges

Therapist's effect on children's therapeutic alliance: A naturalistic study

Attrition from pediatric trauma‐focused cognitive behavioral therapy: A meta‐analysis

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