Skip to main content
Top
Gepubliceerd in: Journal of Child and Family Studies 8/2014

01-11-2014 | Original Paper

The Association Between Therapeutic Alliance and Treatment Outcomes in a Group Triple P Intervention

Auteurs: Fred Schmidt, Suzanne Chomycz, Carolyn Houlding, Alexandra Kruse, Jessica Franks

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 8/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

A growing literature has examined the association between therapeutic alliance and treatment outcomes in child therapy. Few studies, however, have specifically investigated the role of therapeutic alliance within evidence-based parenting programs for children with externalizing behavioural difficulties. The current study prospectively collected measures of therapeutic alliance for 117 families completing a Triple P parenting program in a community children’s mental health center. Higher levels of mother and father rated therapeutic alliance were associated with greater gains in parenting skills and parental sense of competence. Parental rated therapeutic alliance was also associated with greater improvements in child conduct problems for mothers, but not fathers. However, therapist ratings of therapeutic alliance had limited associations with treatment improvement. The implications of the findings for clinical practice are discussed.
Literatuur
go back to reference Bickel, R. (2007). Multilevel analysis for applied research: It’s just regression. New York: The Guildford Press. Bickel, R. (2007). Multilevel analysis for applied research: It’s just regression. New York: The Guildford Press.
go back to reference Crowe, T. P., & Grenyer, B. F. S. (2008). Is therapist alliance or whole group cohesion more influential in group psychotherapy outcomes? Clinical Psychology and Psychotherapy, 15, 239–246. doi:10.1002/cpp.583.PubMedCrossRef Crowe, T. P., & Grenyer, B. F. S. (2008). Is therapist alliance or whole group cohesion more influential in group psychotherapy outcomes? Clinical Psychology and Psychotherapy, 15, 239–246. doi:10.​1002/​cpp.​583.PubMedCrossRef
go back to reference de Graaf, I., Speetjens, P., Smit, F., de Wolff, M., & Tavecchio, L. (2008a). Effectiveness of the Triple P Positive Parenting Program on behavioral problems in children: A meta-analysis. Behavior Modification, 32, 714–735. doi:10.1177/0145445508317134. de Graaf, I., Speetjens, P., Smit, F., de Wolff, M., & Tavecchio, L. (2008a). Effectiveness of the Triple P Positive Parenting Program on behavioral problems in children: A meta-analysis. Behavior Modification, 32, 714–735. doi:10.​1177/​0145445508317134​.
go back to reference Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child & Adolescent Psychology, 37, 215–237. doi:10.1080/15374410701820117.CrossRef Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child & Adolescent Psychology, 37, 215–237. doi:10.​1080/​1537441070182011​7.CrossRef
go back to reference Goodman, R. (1999). The extended version of the strengths and difficulties questionnaire as a guide to child psychiatric caseness and consequent burden. Journal of Child Psychology and Psychiatry, 40, 791–799. doi:10.1111/1469-7610.0094. Goodman, R. (1999). The extended version of the strengths and difficulties questionnaire as a guide to child psychiatric caseness and consequent burden. Journal of Child Psychology and Psychiatry, 40, 791–799. doi:10.​1111/​1469-7610.​0094.
go back to reference Hawley, K. M., & Garland, A. F. (2008). Working alliance in adolescent outpatient therapy: Youth, parent and therapist reports and associations with therapy outcomes. Child & Youth Care Forum, 37, 59–74. doi:10.1007/s10566-008-9050-x.CrossRef Hawley, K. M., & Garland, A. F. (2008). Working alliance in adolescent outpatient therapy: Youth, parent and therapist reports and associations with therapy outcomes. Child & Youth Care Forum, 37, 59–74. doi:10.​1007/​s10566-008-9050-x.CrossRef
go back to reference Kazdin, A. E., & Durbin, K. A. (2012). Predictors of child–therapist alliance in cognitive-behavioral treatment of children referred for oppositional and antisocial behavior. Psychotherapy, 49, 202–217. doi:10.1037/a0027933.PubMedCrossRef Kazdin, A. E., & Durbin, K. A. (2012). Predictors of child–therapist alliance in cognitive-behavioral treatment of children referred for oppositional and antisocial behavior. Psychotherapy, 49, 202–217. doi:10.​1037/​a0027933.PubMedCrossRef
go back to reference Kazdin, A. E., Marciano, P. L., & Whitley, M. K. (2005). The therapeutic alliance in cognitive-behavioral treatment of children referred for oppositional, aggressive, and antisocial behavior. Journal of Consulting and Clinical Psychology, 73, 726–730. doi:10.1037/0022-006X.73.4.726. Kazdin, A. E., Marciano, P. L., & Whitley, M. K. (2005). The therapeutic alliance in cognitive-behavioral treatment of children referred for oppositional, aggressive, and antisocial behavior. Journal of Consulting and Clinical Psychology, 73, 726–730. doi:10.​1037/​0022-006X.​73.​4.​726.
go back to reference Kazdin, A. E., Siegel, T. C., & Bass, D. (1992). Cognitive problem-solving skills training and parent management training in the treatment of antisocial behavior in children. Journal of Consulting and Clinical Psychology, 60, 733–747. doi: 10.1037/0022-006X.60.5.733. Kazdin, A. E., Siegel, T. C., & Bass, D. (1992). Cognitive problem-solving skills training and parent management training in the treatment of antisocial behavior in children. Journal of Consulting and Clinical Psychology, 60, 733–747. doi: 10.​1037/​0022-006X.​60.​5.​733.
go back to reference Kazdin, A. E., Whitley, M., & Marciano, P. L. (2006). Child–therapist and parent–therapist alliance and therapeutic change in the treatment of children referred for oppositional, aggressive, and antisocial behavior. Journal of Child Psychology and Psychiatry, 47, 436–445. doi:10.1111/j/1469-7610.2005.013475.x.PubMedCrossRef Kazdin, A. E., Whitley, M., & Marciano, P. L. (2006). Child–therapist and parent–therapist alliance and therapeutic change in the treatment of children referred for oppositional, aggressive, and antisocial behavior. Journal of Child Psychology and Psychiatry, 47, 436–445. doi:10.​1111/​j/​1469-7610.​2005.​013475.​x.PubMedCrossRef
go back to reference Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behavior Research and Therapy, 33, 335–343. doi:10.1016/0005-7967(94)00075-U.CrossRef Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behavior Research and Therapy, 33, 335–343. doi:10.​1016/​0005-7967(94)00075-U.CrossRef
go back to reference Marker, C. D., Comer, J. S., Abramova, V., & Kendall, P. C. (2013). The reciprocal relationship between alliance and symptom improvement across the treatment of children anxiety. Journal of Clinical Child & Adolescent Psychology, 42, 22–33. doi:10.1080/15374416.2012.723261.CrossRef Marker, C. D., Comer, J. S., Abramova, V., & Kendall, P. C. (2013). The reciprocal relationship between alliance and symptom improvement across the treatment of children anxiety. Journal of Clinical Child & Adolescent Psychology, 42, 22–33. doi:10.​1080/​15374416.​2012.​723261.CrossRef
go back to reference Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68, 438–450. doi:10.1037//0022-006X.68.3.438. Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68, 438–450. doi:10.​1037/​/​0022-006X.​68.​3.​438.
go back to reference Mazzucchelli, T. G., & Sanders, M. R. (2010). Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support. Clinical Psychology: Science and Practice, 17, 238–252. doi:10.1111/j.1468-2850.2010.01215.x. Mazzucchelli, T. G., & Sanders, M. R. (2010). Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support. Clinical Psychology: Science and Practice, 17, 238–252. doi:10.​1111/​j.​1468-2850.​2010.​01215.​x.
go back to reference McLeod, B. D., & Weisz, J. R. (2005). The therapy process observational coding system—alliance scale: Measure characteristics and prediction of outcome in usual clinical practice. Journal of Consulting and Clinical Psychology, 73, 323–333. doi:10.1037/0022-006x.73.2.323.PubMedCrossRef McLeod, B. D., & Weisz, J. R. (2005). The therapy process observational coding system—alliance scale: Measure characteristics and prediction of outcome in usual clinical practice. Journal of Consulting and Clinical Psychology, 73, 323–333. doi:10.​1037/​0022-006x.​73.​2.​323.PubMedCrossRef
go back to reference Nowak, C., & Heinrichs, N. (2008). A comprehensive meta-analysis of Triple P—Positive Parenting Program using hierarchical linear modeling: Effectiveness and moderating variables. Clinical Child and Family Psychology Review, 11, 114–144. doi:10.1007/s10567-008-0033-0.PubMedCrossRef Nowak, C., & Heinrichs, N. (2008). A comprehensive meta-analysis of Triple P—Positive Parenting Program using hierarchical linear modeling: Effectiveness and moderating variables. Clinical Child and Family Psychology Review, 11, 114–144. doi:10.​1007/​s10567-008-0033-0.PubMedCrossRef
go back to reference Ohan, J. L., Leung, D. W., & Johnston, C. (2000). The parenting sense of competence scale: Evidence of a stable factor structure and validity. Canadian Journal of Behavioral Science, 34, 251–261. doi:10.1037/h0087122. Ohan, J. L., Leung, D. W., & Johnston, C. (2000). The parenting sense of competence scale: Evidence of a stable factor structure and validity. Canadian Journal of Behavioral Science, 34, 251–261. doi:10.​1037/​h0087122.
go back to reference Sanders, M. R. (1999). Triple P—Positive Parenting Program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review, 2, 71–90. doi:10.1023/A:1021843613840. Sanders, M. R. (1999). Triple P—Positive Parenting Program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review, 2, 71–90. doi:10.​1023/​A:​1021843613840.
go back to reference Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Allyn and Bacon. Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Allyn and Bacon.
go back to reference Thomas, R., & Zimmer-Gembeck, M. J. (2007). Behavioral outcomes of Parent–Child interaction therapy and triple P—Positive Parenting Program: A review and meta-analysis. Journal of Abnormal Child Psychology, 35, 475–495. doi:10.1007/s10802-007-9104-9.PubMedCrossRef Thomas, R., & Zimmer-Gembeck, M. J. (2007). Behavioral outcomes of Parent–Child interaction therapy and triple P—Positive Parenting Program: A review and meta-analysis. Journal of Abnormal Child Psychology, 35, 475–495. doi:10.​1007/​s10802-007-9104-9.PubMedCrossRef
Metagegevens
Titel
The Association Between Therapeutic Alliance and Treatment Outcomes in a Group Triple P Intervention
Auteurs
Fred Schmidt
Suzanne Chomycz
Carolyn Houlding
Alexandra Kruse
Jessica Franks
Publicatiedatum
01-11-2014
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 8/2014
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-013-9792-4

Andere artikelen Uitgave 8/2014

Journal of Child and Family Studies 8/2014 Naar de uitgave