University of Oslo, Norway.
Haukeland University Hospital.
J Clin Psychol. 2018 Jun;74(6):793-805. doi: 10.1002/jclp.22551. Epub 2017 Nov 16.
We examined whether motivation and treatment credibility predicted alliance in a 10-session cognitive behavioral treatment delivered in community clinics for youth anxiety disorders.
Ninety-one clinic-referred youths (mean = 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.
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.
我们考察了动机和治疗可信度是否能预测在社区诊所进行的为期 10 节的认知行为治疗中青少年焦虑障碍的联盟关系。
91 名诊所转介的青少年（平均年龄=11.4 岁，标准差=2.1，范围为 8-15 岁，49.5%为男孩）患有焦虑障碍，他们在治疗前评估治疗动机，并在第 1 次治疗后评估治疗可信度。青少年和治疗师（YT）在第 3 次治疗（早期）和第 7 次治疗（晚期）后评估联盟关系。采用分层线性模型来检验动机和治疗可信度是否能预测 YT 早期联盟、YT 联盟变化和 YT 联盟协议。
动机预测了较高的早期 YT 联盟，但不能预测 YT 联盟变化或联盟协议。青少年评估的治疗可信度预测了较高的早期青少年联盟和较高的 YT 积极联盟变化，但不能预测早期治疗师联盟或联盟协议。
努力在治疗早期增强青少年的动机和治疗可信度，可能有助于形成强大的 YT 联盟。
