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Therapeutic alliance during trauma focused treatment in adolescent and young adult patients with PTSD

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Titel: Therapeutic alliance during trauma focused treatment in adolescent and young adult patients with PTSD
Autoren: Anne Grass, Rita Rosner, Angelina Ciner, Babette Renneberg, Regina Steil
Quelle: BMC Psychiatry
BMC Psychiatry, Vol 25, Iss 1, Pp 1-12 (2025)
Verlagsinformationen: Springer Science and Business Media LLC, 2025.
Publikationsjahr: 2025
Schlagwörter: Psychiatry, Male, Adult, Adolescent, Cognitive Behavioral Therapy, Therapeutic Alliance, Research, RC435-571, Adolescent [MeSH], Female [MeSH], Cognitive Behavioral Therapy/methods [MeSH], Adolescents, Adult [MeSH], Humans [MeSH], Stress Disorders, Post-Traumatic/psychology [MeSH], Treatment Outcome [MeSH], Abuse, Therapeutic Alliance [MeSH], Alliance, Male [MeSH], PTSD, Young Adult [MeSH], Treatment outcome, Stress Disorders, Post-Traumatic/therapy [MeSH], Stress Disorders, Post-Traumatic, Young Adult, Treatment Outcome, Psychologie, Humans, Female
Beschreibung: Background Greater therapeutic alliance has been associated with an improved treatment outcome in various clinical populations. However, there is a lack of evidence for this association in posttraumatic stress disorder (PTSD) in young patients. We therefore investigated the development of the therapeutic alliance during Developmentally adapted cognitive processing therapy (D-CPT) in adolescents and young adults with PTSD following abuse to answer the question whether there was a connection between the therapeutic alliance and symptom reduction. Methods Weekly assessments of therapeutic alliance, rated by patients and their therapists, as well as PTSD symptom severity from a randomized controlled trial (RCT) of D-CPT were analyzed with multilevel modelling. The sample consisted of n = 39 patients aged 14–21 with a history of sexual and/or physical abuse. Results Therapeutic alliance increased during D-CPT. The ratings of the therapeutic alliance by patients and therapists were strongly correlated (r = .512, p Discussion The therapeutic alliance plays a crucial role in D-CPT with young patients, contributing to a reduction in symptom severity over the course of treatment. It is essential that therapists prioritize the development of a strong alliance and seek feedback from their patients. The results suggest that patients’ perceptions, which often differ from therapists’ assessments, were more important in determining treatment success in the sample. Studies with larger samples sizes and additional independent ratings of alliance are needed to further examine the alliance-outcome link. Trial registration The trial was registered at the German Clinical Trial Registry, DRKS00004787, 18 March 2013, https://www.drks.de/DRKS00004787.
Publikationsart: Article
Other literature type
Dateibeschreibung: text
Sprache: English
ISSN: 1471-244X
DOI: 10.1186/s12888-024-06410-x
DOI: 10.17169/refubium-46086
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/39806367
https://doaj.org/article/0f1a975c96074654873598cc9172a6da
https://repository.publisso.de/resource/frl:6494158
Rights: CC BY
Dokumentencode: edsair.doi.dedup.....19f341ab1d1ce47cab3fcf4b6e66579c
Datenbank: OpenAIRE
Beschreibung
Abstract:Background Greater therapeutic alliance has been associated with an improved treatment outcome in various clinical populations. However, there is a lack of evidence for this association in posttraumatic stress disorder (PTSD) in young patients. We therefore investigated the development of the therapeutic alliance during Developmentally adapted cognitive processing therapy (D-CPT) in adolescents and young adults with PTSD following abuse to answer the question whether there was a connection between the therapeutic alliance and symptom reduction. Methods Weekly assessments of therapeutic alliance, rated by patients and their therapists, as well as PTSD symptom severity from a randomized controlled trial (RCT) of D-CPT were analyzed with multilevel modelling. The sample consisted of n = 39 patients aged 14–21 with a history of sexual and/or physical abuse. Results Therapeutic alliance increased during D-CPT. The ratings of the therapeutic alliance by patients and therapists were strongly correlated (r = .512, p Discussion The therapeutic alliance plays a crucial role in D-CPT with young patients, contributing to a reduction in symptom severity over the course of treatment. It is essential that therapists prioritize the development of a strong alliance and seek feedback from their patients. The results suggest that patients’ perceptions, which often differ from therapists’ assessments, were more important in determining treatment success in the sample. Studies with larger samples sizes and additional independent ratings of alliance are needed to further examine the alliance-outcome link. Trial registration The trial was registered at the German Clinical Trial Registry, DRKS00004787, 18 March 2013, https://www.drks.de/DRKS00004787.
ISSN:1471244X
DOI:10.1186/s12888-024-06410-x