ArticleAdministration and policy in mental health2012
The relationship between change in therapeutic alliance ratings and improvement in youth symptom severity: whose ratings matter the most?
Article in Administration and policy in mental health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 67 citations in OpenAlex.
- The therapeutic relationship in cognitive-behavioral therapy and pharmacotherapy for anxious youth.Journal of consulting and clinical psychology · 2013Trial
- A dyadic approach of assessing the therapeutic alliance in youth mental health and addiction treatment.European child & adolescent psychiatry · 2025Article
- Measurement-Based Care as a Tool to Detect and Prevent Harm in Youth Psychotherapy.Research on child and adolescent psychopathology · 2025Review
- The therapeutic alliance in blended versus face-to-face cognitive behavioral therapy for adolescents and young adults with a depressive disorder.Internet interventions · 2024Article
- Article
- Caregiver Engagement in Outpatient Treatment for Adolescents in Community Settings: Construct and Predictive Validity of Family Therapy Techniques.Administration and policy in mental health · 2023Article
- Premature Dropout From Psychotherapy: Prevalence, Perceived Reasons and Consequences as Rated by Clinicians.Clinical psychology in Europe · 2022Article
- Recommendations for building telemental health relationships with youth: A systematic review and resource for clinicians.Evidence-based practice in child and adolescent mental health · 2022Article
- Therapeutic Alliance: A Comparison Study between Adolescent Patients and Their Therapists.International journal of environmental research and public health · 2021Article
- Observing the Working Alliance in Videoconferencing Psychotherapy for Alcohol Addiction: Reliability and Validity of the Working Alliance Inventory Short Revised Observer.Frontiers in psychology · 2021Article
- A dual perspective on first-session therapeutic alliance: strong predictor of youth mental health and addiction treatment outcome.European child & adolescent psychiatry · 2020Article
- Improving Mental Health Services: A 50-Year Journey from Randomized Experiments to Artificial Intelligence and Precision Mental Health.Administration and policy in mental health · 2020Article
- Measurement-based care as a practice improvement tool: Clinical and organizational applications in youth mental health.Evidence-based practice in child and adolescent mental health · 2020Article
- Do caregivers' perspectives matter? Working alliances and treatment outcomes in trauma-focused cognitive behavioural therapy with children and adolescents.European journal of psychotraumatology · 2020Article
- Therapeutic Alliance Between Dietitians and Patients With Head and Neck Cancer: The Effect of Training in a Health Behavior Change Intervention.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2019Article
- The Role of Youth Trainee-Trainer Alliance and Involvement in School-Based Prevention: A Moderated-Mediation Model of Student Gatekeeper Suicide Prevention Training.Administration and policy in mental health · 2019Article
- Association of Therapeutic Alliance with Outcomes Over Two Years in Youth and Family Service.Community mental health journal · 2018Article
- Goal formulation and tracking in child mental health settings: when is it more likely and is it associated with satisfaction with care?European child & adolescent psychiatry · 2017Article
- Common Factors in Pediatric Psychiatry: A Review of Essential and Adjunctive Mechanisms of Treatment Outcome.Journal of child and adolescent psychopharmacology · 2017Review
- Examining Change in Therapeutic Alliance to Predict Youth Mental Health Outcomes.Journal of emotional and behavioral disorders · 2015Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
This paper presents the psychometric evaluation of brief measures of therapeutic alliance (TA) for youths, clinicians and caregivers and a longitudinal analysis of relationships between changes in TA and changes in youth symptom and functioning severity. Psychometric analyses using methods from Classical Test Theory, Item Response Theory, and Factor Analysis indicate that the measures of TA used in this study offer something new for both practice and research. The measures have variability, sensitivity to change over time, brevity and can be used with multiple parties through parallel forms. The longitudinal analyses, employing hierarchical linear modeling with time-varying covariates, found that TA ratings of the clinician correlated with symptom improvement as rated by the clinician, caregiver and youth. Additional analyses showed that decreases in clinician-rated youth TA was most important in predicting a lower rate of youth improvement. Implications for future research and clinical practice are discussed.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.