Therapeutic Alliance Trajectories and Associations With Outcome in Psychodynamic Child Psychotherapy

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dc.authoridCavdar, Alev/0000-0002-2899-4727
dc.authorwosidCavdar, Alev/JLL-8856-2023
dc.contributor.authorHalfon, Sibel
dc.contributor.authorOzsoy, Deniz
dc.contributor.authorCavdar, Alev
dc.date.accessioned2024-07-18T20:56:56Z
dc.date.available2024-07-18T20:56:56Z
dc.date.issued2019
dc.departmentİstanbul Bilgi Üniversitesien_US
dc.description.abstractObjective: This study investigated therapeutic alliance (TA) trajectories, their demographic and symptomatic predictors, and associations with outcome in psychodynamic child psychotherapy. Method: The sample included 89 Turkish children (M-age = 6.87, SD = 2.11. 46% girls) with internalizing (37.11%), externalizing (21.14%). and comorbid (38.20%) problems; 12% of the children were in the nonclinical range. Independent raters coded 328 sessions from different phases of treatment using the Therapy Process Observational Coding System-Alliance Scale. Outcome measures were collected at intake and termination (Children's Behavior Checklist and Teacher Rating Form). Results: Multilevel growth curve modeling indicated that TA showed a quadratic trend (high-low-high) over the course of treatment. The shape-of-change methodology indicated three subgroups following a stable pattern, a slow and an accelerated quadratic TA trajectory. Externalizing problems (teacher report) negatively predicted average TA strength. Boys and children with internalizing problems showed a declining TA trajectory, whereas children with externalizing problems (teacher report) showed an upward TA trajectory. Multivariate multiple regression analyses showed that the average TA (i.e., intercept) and the positive quadratic slope (the high-low-high pattern) positively predicted changes in internalizing and externalizing problems (teacher report). Discussion: This study was the first to show the course of TA development in psychodynamic child psychotherapy, identify a number of child characteristics that facilitate and impede TA. Investigating both the strength and patterns of TA development when examining associations with outcome is important.en_US
dc.identifier.doi10.1037/ccp0000415
dc.identifier.endpage616en_US
dc.identifier.issn0022-006X
dc.identifier.issn1939-2117
dc.identifier.issue7en_US
dc.identifier.pmid31070387en_US
dc.identifier.scopus2-s2.0-85065434457en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage603en_US
dc.identifier.urihttps://doi.org/10.1037/ccp0000415
dc.identifier.urihttps://hdl.handle.net/11411/8912
dc.identifier.volume87en_US
dc.identifier.wosWOS:000472153600003en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAmer Psychological Assocen_US
dc.relation.ispartofJournal of Consulting and Clinical Psychologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTherapeutic Allianceen_US
dc.subjectPsychodynamic Child Psychotherapyen_US
dc.subjectMultilevel Modelingen_US
dc.subjectCognitive-Behavioral Therapyen_US
dc.subjectObservational Coding Systemen_US
dc.subjectDynamic Psychotherapyen_US
dc.subjectWorking Allianceen_US
dc.subjectSessionen_US
dc.subjectPatternsen_US
dc.subjectPredictionen_US
dc.subjectInvolvementen_US
dc.titleTherapeutic Alliance Trajectories and Associations With Outcome in Psychodynamic Child Psychotherapyen_US
dc.typeArticleen_US

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