{"id":6120,"date":"2025-12-11T05:08:38","date_gmt":"2025-12-11T04:08:38","guid":{"rendered":"https:\/\/nkvts.dev08.dekodes.no\/english\/academic-article\/the-therapeutic-alliance-in-treatment-of-traumatized-youths-relation-to-outcome-in-a-randomized-clinical-trial\/"},"modified":"2025-12-11T05:08:38","modified_gmt":"2025-12-11T04:08:38","slug":"the-therapeutic-alliance-in-treatment-of-traumatized-youths-relation-to-outcome-in-a-randomized-clinical-trial","status":"publish","type":"academic-article","link":"https:\/\/nkvts.dev08.dekodes.no\/english\/academic-article\/the-therapeutic-alliance-in-treatment-of-traumatized-youths-relation-to-outcome-in-a-randomized-clinical-trial\/","content":{"rendered":"\n

Objective: We examined the contribution of alliance to the outcome of therapy with traumatized youths across two different treatment conditions (trauma-focused cognitive behavioral therapy [TF-CBT] and therapy as usual [TAU]). Method: Participants were 156 youths (M age = 15.1 years, range = 10–18; 79.5% girls), randomly assigned to TF-CBT or TAU. Symptoms were assessed pretreatment, midtreatment (Session 6), and posttreatment (Session 15). Alliance was assessed after Sessions 1 and 6, using the Therapeutic Alliance Scale for Children—Revised (TASC-R). Results: Alliance scores were comparable across treatment conditions, but TF-CBT participants had significantly lower posttraumatic stress symptoms (PTSS) posttreatment (d = 0.51). Hierarchical regression analyses showed that there were no significant alliance effects in models without an Alliance × Treatment Group interaction: Alliance ratings were significant predictors of reduction in PTSS (Est. = ?0.53, p = .003, 95% confidence interval [CI] = ?0.87 to ?0.18) and additional outcomes measured in TF-CBT but not in TAU (PTSS posttreatment: Est. = 0.01, p = .647, 95% CI = ?0.29 to 0.47). Conclusion: This study was the first to investigate the contribution of alliance to outcome among adolescents with posttraumatic symptoms, treated with TF-CBT or TAU. Our findings indicated that there was an important interaction between alliance and therapeutic approach, as alliance predicted outcome in TF-CBT, but not in the nonspecific treatment condition. A positive working relationship appeared to be especially important in the context of this evidence-based treatment, which requires youth involvement in specific therapy tasks. Further, findings showed that use of a manual did not compromise alliance formation. (PsycINFO Database Record (c) 2014 APA, all rights reserved)<\/p>\n<\/body><\/html>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"file":0,"project":[0]},"publication_tag":[],"topic_tax":[],"class_list":["post-6120","academic-article","type-academic-article","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/academic-article\/6120","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/academic-article"}],"about":[{"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/types\/academic-article"}],"wp:attachment":[{"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/media?parent=6120"}],"wp:term":[{"taxonomy":"publication_tag","embeddable":true,"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/publication_tag?post=6120"},{"taxonomy":"topic_tax","embeddable":true,"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/topic_tax?post=6120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}