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Gepubliceerd in:

01-09-2017 | Original Paper

Therapeutic Alliance, Perceived Treatment Barriers, and Therapeutic Change in the Treatment of Children with Conduct Problems

Auteurs: Alan E. Kazdin, Emily McWhinney

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 1/2018

Abstract

We examined two emergent processes in treatment (parent-therapist alliance and perceived barriers to treatment participation) in parent management training for children (N = 234, 55 girls and 179 boys, ages 4–14) referred clinically for oppositional, aggressive, and antisocial behavior. We predicted that two parent characteristics (interpersonal relationships and quality of daily life) evaluated prior to treatment would predict quality of the therapeutic alliance and perceived barriers during treatment. Alliance and perceived barriers were significantly related to treatment outcome. Stronger alliance and fewer perceived barriers were associated with greater therapeutic change. Interpersonal relationships and quality of daily life, each represented with multiple measures, predicted quality of the therapeutic alliance and perceived barriers during treatment. Alliance and barriers continued to predict therapeutic change even after controlling for pretreatment predictors of these emergent processes.

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Abidin, R. R. (1995). Parenting Stress Index: manual (3rd ed.). Odessa, FL: Psychological Assessment Resources.

American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (DSM-IV-TR). Washington, DC: American Psychiatric Association.

American Psychological Association (2015). Stress in America: Paying with our health. Washington, DC: American Psychological Association.

Aneshensel, C. S., & Stone, J. D. (1982). Stress and depression: A test of the buffering model of social support. Archives of General Psychiatry, 39, 1392–1396.CrossRefPubMed

Busby, D. M., Christensen, C., Crane, D. R., & Larson, J. H. (1995). A revision of the Dyadic Adjustment Scale for use with distressed and nondistressed couples: Construct hierarchy and multidimensional scales. Journal of Marital and Family Therapy, 21(3), 289–308.CrossRef

Caughter, S., & Dunsmuir, S. (2017). An exploration of the mechanisms of change following an integrated group intervention for stuttering, as perceived by school-aged children who stutter (CWS). Journal of Fluency Disorders, 51, 8–23.CrossRefPubMed

Crits-Christoph, P., Gibbons, M. B. C., & Mukherjee, D. (2013). Psychotherapy process outcome research. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (6th ed.). (pp. 298–339). New York: Wiley.

De Los Reyes, A., Aldao, A., & Augenstein, T. M. (2017). Assessment issues in child and adolescent psychotherapy. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (3rd ed.). (pp. 537–554). New York: Guilford Press.

Dew, S. E., & Bickman, L. (2005). Client expectancies about therapy. Mental Health Services Research, 7(1), 21–33.CrossRefPubMed

Dolbier, C. L., & Steinhardt, M. A. (2000). The development and validation of the sense of support scale. Behavioral Medicine, 25, 169–179.CrossRefPubMed

Eddy, J. M., & Chamberlain, P. (2000). Family management and deviant peer association as mediators of the impact of treatment condition on youth antisocial behavior. Journal of Consulting and Clinical Psychology, 68, 857–863.CrossRefPubMed

Forgatch, M. S., & DeGarmo, D. S. (1999). Parenting through change: an effective prevention program for single mothers. Journal of Consulting and Clinical Psychology, 67(5), 711–724.CrossRefPubMed

Foster, S. L., & Robin, A. L. (1997). Family conflict and communication in adolescence. In E. J. Mash & L. G. Terdal (Eds.), Assessment of childhood disorders (3rd ed.). (pp. 627–682). New York: Guilford.

Frisch, M. B. (2014). Quality-of-life-inventory. In R. A. Cummins & A. C. Michalos (Eds.), Encyclopedia of quality of life and well-being research. (pp. 5374–5377). Netherlands: Springer

Frisch, M. B., Clark, M. P., Rouse, S. V., Rudd, M. D., Paweleck, J. K., Greenstone, A., & Kopplin, D. A. (2005). Predictive and treatment validity of life satisfaction and the quality of life inventory. Assessment 12(1), 66–78.CrossRefPubMed

Henderson, C. E., Rowe, C. L., Dakof, G. A., Hawes, S. W., & Liddle, H. A. (2009). Parenting practices as mediators of treatment effects in an early-intervention trial of multidimensional family therapy. American Journal of Drug and Alcohol Abuse, 35(4), 220–226.CrossRefPubMedPubMedCentral

Horvath, A. O., & Bedi, R. P. (2002). The alliance. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness to patients (pp. 37–69). New York: Oxford University Press.

Horvath, A. O., Del Re, A. C., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48, 9–16.CrossRefPubMed

Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the working alliance inventory. Journal of Counseling Psychology, 36, 223–233.CrossRef

Karver, M. S., Handelsman, J. B., Fields, S., & Bickman, L. (2005). A theoretical model of common process factors in youth and family therapy. Mental Health Services Research, 7, 35–52.CrossRefPubMed

Karver, M. S., Handelsman, J. B., Fields, S., & Bickman, L. (2006). Meta-analysis of therapeutic relationship variables in youth and family therapy: the evidence for different relationship variables in the child and adolescent treatment outcome literature. Clinical Psychology Review, 26, 50–65.CrossRefPubMed

Kazdin, A. E. (2000). Perceived barriers to treatment participation and treatment acceptability among antisocial children and their families. Journal of Child and Family Studies, 9, 157–174.CrossRef

Kazdin, A. E. (2009). Parent management training: Treatment for oppositional, aggressive, and antisocial behavior in children and adolescents. New York: Oxford University Press.

Kazdin, A. E. (2014). Moderators, mediators, and mechanisms of change in psychotherapy. In W. Lutz & S. Knox (Eds.), Quantitative and qualitative methods in psychotherapy (pp. 87–101). East Sussex: Routledge.

Kazdin, A. E. (2015). Psychosocial treatments for conduct disorder in children a nd adolescents. In P. E. Nathan, J. M. Gorman (eds.) A guide to treatments that work (4th ed.). (pp. 141–173). New York: Oxford University Press. .

Kazdin, A. E. (2017a). Parent management training and problem-solving skills training for child and adolescent conduct problems. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents. (3rd ed.). (pp. 142–158). New York: Guilford Press.

Kazdin, A. E. (2017b). Research design in clinical psychology (5th ed.). Boston, MA: Pearson.

Kazdin, A. E., Bass, D., Ayers, W. A., & Rodgers, A. (1990). The empirical and clinical focus of child and adolescent psychotherapy research. Journal of Consulting and Clinical Psychology, 58, 729–740.CrossRefPubMed

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.CrossRefPubMed

Kazdin, A. E., Holland, L., & Crowley, M. (1997a). Family experience of barriers to treatment and premature termination from child therapy. Journal of Consulting and Clinical Psychology, 65, 453–463.CrossRefPubMed

Kazdin, A. E., Holland, L., Crowley, M., & Breton, S. (1997b). Barriers to participation in treatment scale: evaluation and validation in the context of child outpatient treatment. Journal of Child Psychology and Psychiatry, 38, 1051–1062.CrossRefPubMed

Kazdin, A. E., Marciano, P. L., & Whitley, M. (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.CrossRefPubMed

Kazdin, A. E., Siegel, T., & 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.CrossRefPubMed

Kazdin, A. E., & Wassell, G. (2000). Predictors of barriers to treatment and therapeutic change in outpatient therapy for antisocial children and their families. Mental Health Services Research, 2, 27–40.CrossRefPubMed

Kazdin, A. E., & Whitley, M. K. (2006). Pretreatment social relations, therapeutic alliance, and improvements in parenting practices in parent management training. Journal of Consulting and Clinical Psychology, 74, 346–355.CrossRefPubMed

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.CrossRefPubMed

Kurdek, L. A. (1992). Dimensionality of the dyadic adjustment scale: evidence from heterosexual and homosexual couples. Journal of Family Psychology, 6(1), 22–35.CrossRef

Lloyd, B. H., & Abidin, R. R. (1985). Revision of the parenting stress index. Journal of Pediatric Psychology, 10, 169–177.CrossRef

Mischel, W., & Shoda, Y. (1995). A cognitive-affective system theory of personality: Reconceptualizing situations, dispositions, dynamics, and invariance in personality structure. Psychological Review, 102, 246–268.CrossRefPubMed

Moos, R. H., & Moos, B. S. (1981). Family Environment Scale manual. Palo Alto, CA: Consulting Psychologists Press.

Norcross, J. C. (Ed.) (2011). Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed.). New York: Oxford University Press.

Orlinsky, D. E., Rønnestad, M. H., & Willutzki, U. (2004). Fifty years of psychotherapy process-outcome research: continuity and change. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed.). (pp. 307–389). New York: Wiley.

Rabbitt, S. M., Carrubba, E., Lecza, B., McWhinney, E., Pope, J., & Kazdin, A. E. (2016). Reducing therapist contact in parenting programs: evaluation of internet-based treatments for child conduct problems. Journal of Child and Family Studies, 25(6), 2001–2020.CrossRefPubMedPubMedCentral

Shirk, S. R., & Karver, M. S. (2003). Prediction of treatment outcome from relationship variables in child and adolescent therapy: a meta-analytic review. Journal of Consulting and Clinical Psychology, 71, 452–464.CrossRefPubMed

Shirk, S. R., Karver, M. S., & Brown, R. (2011). The alliance in child and adolescent psychotherapy. Psychotherapy, 48, 17–24.CrossRefPubMed

Spanier, G. B., & Thompson, L. (1982). A confirmatory analysis of the dyadic adjustment scale. Journal of Marriage and the Family, 44, 731–738.CrossRef

Zilcha-Mano, S. (2017). Is the alliance really therapeutic? Revisiting this question in light of recent methodological advances. American Psychologist, 72(4), 311–325.CrossRefPubMed

Zilcha-Mano, S., & Errázuriz, P. (2017). Early development of mechanisms of change as a predictor of subsequent change and treatment outcome: the case of working alliance. Journal of Consulting and Clinical Psychology, 85(5), 508–520.CrossRefPubMed

Titel: Therapeutic Alliance, Perceived Treatment Barriers, and Therapeutic Change in the Treatment of Children with Conduct Problems
Auteurs: Alan E. Kazdin
Emily McWhinney
Publicatiedatum: 01-09-2017
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 1/2018
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-017-0869-3

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