Do caregivers’ perspectives matter? Working alliances and treatment outcomes in trauma-focused cognitive behavioural therapy with children and adolescents
Wissenschaftlicher Artikel
Authors
Loos, Sabine
Tutus, Dunja
Kilian, Reinhold
Goldbeck, Lutz
Institutions
UKU. Klinik für Psychiatrie und Psychotherapie IIUKU. Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie
Published in
European Journal of Psychotraumatology ; 11 (2020). - Art.-Nr. 1753939. - ISSN 2000-8198. - eISSN 2000-8066
Link to original publication
https://dx.doi.org/10.1080/20008198.2020.1753939Peer review
ja
Document version
publishedVersion
Abstract
Background: Caregivers play a key role in the success of trauma-focused cognitive behavioural therapy (TF-CBT). Yet, the effect of their alliance on treatment outcomes besides the other parties in treatment has hardly been studied.
Objective: This study examined the working alliance (WA) of therapists, patients and caregivers in TF-CBT and its contribution on treatment outcome over time.
Methods: N = 76 children and adolescents (mean age = 12.66 years, range 7–17, M/F ratio: .43) participated in the TF-CBT arm of a randomized controlled trial. The WA was assessed with the Working Alliance Inventory Short Version (WAI-S) at two measurement points, while symptom level of posttraumatic stress symptoms (PTSS) was assessed with the Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA). Paired sample t-tests, intraclass correlations (ICC), and mixed-effects regression models for longitudinal data were performed.
Results: The alliance rating was high across all informants, with caregivers achieving the highest rating. The average level of cross-informant agreement on the alliance was low between therapists and caregivers (ICC = .26) and moderate between therapists and patients (ICC =.65). A significant contribution of an alliance improvement to the reduction of PTSS over time was found in each of the two tested models: therapists with patients model (b = .682) and therapists with caregivers model (b = .807). However, these effects were not detected with all four perspectives in one comprehensive model.
Conclusion: In summary, the potential of caregivers’ views should receive more attention in the therapeutic process of trauma-focused therapy.
Funding information
Gefördert vom Ministerium für Wissenschaft, Forschung und Kunst Baden-Württemberg
Is supplemented by
https://www.tandfonline.com/doi/suppl/10.1080/20008198.2020.1753939Subject Headings
Posttraumatisches Stresssyndrom [GND]Kognitive Verhaltenstherapie [GND]
Kind [GND]
Jugend [GND]
Stress Disorders, Post-Traumatic [MeSH]
Cognitive behavioral therapy [MeSH]
Child [MeSH]
Adolescent [MeSH]
Keywords
Traumafocused cognitive behavioural therapy (TF-CBT); Posttraumatic stress symptoms (PTSS); Posttraumatic stress disorder (PTSD); Children; Adolescents; Working allianceDewey Decimal Group
DDC 150 / PsychologyDDC 610 / Medicine & health
Metadata
Show full item recordCitation example
Loos, Sabine et al. (2020): Do caregivers’ perspectives matter? Working alliances and treatment outcomes in trauma-focused cognitive behavioural therapy with children and adolescents. Open Access Repositorium der Universität Ulm. http://dx.doi.org/10.18725/OPARU-34043