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AuthorLoos, Sabinedc.contributor.author
AuthorTutus, Dunjadc.contributor.author
AuthorKilian, Reinholddc.contributor.author
AuthorGoldbeck, Lutzdc.contributor.author
Date of accession2020-12-10T08:46:44Zdc.date.accessioned
Available in OPARU since2020-12-10T08:46:44Zdc.date.available
Date of first publication2020-03-29dc.date.issued
AbstractBackground: 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.dc.description.abstract
Languageendc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseCC BY-NC Attribution International 4.0dc.rights
Link to license texthttps://creativecommons.org/licenses/by-nc/4.0/dc.rights.uri
KeywordTraumafocused cognitive behavioural therapy (TF-CBT)dc.subject
KeywordPosttraumatic stress symptoms (PTSS)dc.subject
KeywordPosttraumatic stress disorder (PTSD)dc.subject
KeywordChildrendc.subject
KeywordAdolescentsdc.subject
KeywordWorking alliancedc.subject
Dewey Decimal GroupDDC 150 / Psychologydc.subject.ddc
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHStress Disorders, Post-Traumaticdc.subject.mesh
MeSHCognitive behavioral therapydc.subject.mesh
MeSHChilddc.subject.mesh
MeSHAdolescentdc.subject.mesh
TitleDo caregivers’ perspectives matter? Working alliances and treatment outcomes in trauma-focused cognitive behavioural therapy with children and adolescentsdc.title
Resource typeWissenschaftlicher Artikeldc.type
VersionpublishedVersiondc.description.version
DOIhttp://dx.doi.org/10.18725/OPARU-34043dc.identifier.doi
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-oparu-34105-1dc.identifier.urn
GNDPosttraumatisches Stresssyndromdc.subject.gnd
GNDKognitive Verhaltenstherapiedc.subject.gnd
GNDKinddc.subject.gnd
GNDJugenddc.subject.gnd
InstitutionUKU. Klinik für Psychiatrie und Psychotherapie IIuulm.affiliationSpecific
InstitutionUKU. Klinik für Kinder- und Jugendpsychiatrie/Psychotherapieuulm.affiliationSpecific
Peer reviewjauulm.peerReview
DCMI TypeTextuulm.typeDCMI
CategoryPublikationenuulm.category
DOI of original publication10.1080/20008198.2020.1753939dc.relation1.doi
Source - Title of sourceEuropean Journal of Psychotraumatologysource.title
Source - Place of publicationTAYLOR & FRANCISsource.publisher
Source - Volume11source.volume
Source - Year2020source.year
Source - Article number1753939source.articleNumber
Source - ISSN2000-8198source.identifier.issn
Source - eISSN2000-8066source.identifier.eissn
Bibliographyuulmuulm.bibliographie
Is Supplemented Byhttps://www.tandfonline.com/doi/suppl/10.1080/20008198.2020.1753939dc.relation.isSupplementedBy
xmlui.metadata.uulm.OAfundingGefördert vom Ministerium für Wissenschaft, Forschung und Kunst Baden-Württemberguulm.OAfunding
xmlui.metadata.uulm.OAfundingOpen-Access-Förderung durch die Medizinische Fakultät der Universität Ulmuulm.OAfunding


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