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Motivation and treatment credibility predict alliance in cognitive behavioral treatment for youth with anxiety disorders in community clinics
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Number of Authors: 82018 (English)In: Journal of Clinical Psychology, ISSN 0021-9762, E-ISSN 1097-4679, Vol. 74, no 6, p. 793-805Article in journal (Refereed) Published
Abstract [en]

Objective We examined whether motivation and treatment credibility predicted alliance in a 10-session cognitive behavioral treatment delivered in community clinics for youth anxiety disorders.

Method Ninety-one clinic-referred youths (mean(age)=11.4 years, standard deviation=2.1, range 8-15 years, 49.5% boys) with anxiety disorders-rated treatment motivation at pretreatment and perceived treatment credibility after session 1. Youths and therapists (YT) rated alliance after session 3 (early) and session 7 (late). Hierarchical linear models were applied to examine whether motivation and treatment credibility predicted YT early alliance, YT alliance change, and YT alliance agreement.

Results Motivation predicted high early YT alliance, but not YT alliance change or alliance agreement. Youth-rated treatment credibility predicted high early youth alliance and high YT positive alliance change, but not early therapist alliance or alliance agreement.

Conclusion Efforts to enhance youth motivation and treatment credibility early in treatment could facilitate the formation of a strong YT alliance.

Place, publisher, year, edition, pages
2018. Vol. 74, no 6, p. 793-805
Keywords [en]
alliance, anxiety, cognitive behavioral therapy, effectiveness research, treatment credibility, treatment motivation, youth
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:su:diva-157688DOI: 10.1002/jclp.22551ISI: 000433580500001PubMedID: 29143977OAI: oai:DiVA.org:su-157688DiVA, id: diva2:1236123
Available from: 2018-07-31 Created: 2018-07-31 Last updated: 2018-07-31Bibliographically approved

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Öst, Lars-Göran
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