Trial reportJournal of consulting and clinical psychology2013
The therapeutic relationship in cognitive-behavioral therapy and pharmacotherapy for anxious youth.
Trial report in Journal of consulting and clinical psychology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 52 citations in OpenAlex.
- Caregiver Satisfaction with Anxiety Treatment for Autistic Youth: A Mixed Methods Examination.Journal of autism and developmental disorders · 2026Trial
- Therapist-Reported Features of Exposure Tasks That Predict Differential Treatment Outcomes for Youth With Anxiety.Journal of the American Academy of Child and Adolescent Psychiatry · 2017Trial
- The Role of Interpersonal Characteristics in Early and Developing Therapeutic Alliance Among Periadolescents with Anxiety.Child psychiatry and human development · 2025Article
- The Pediatric Accommodation Scale: Psychometric Evaluation of a Therapist-Report Format.Child psychiatry and human development · 2024Article
- Adapting CBT for youth anxiety: Flexibility, within fidelity, in different settings.Frontiers in psychiatry · 2023Review
- Anger Responses in Adolescents: Relationship with Punishment and Reward Sensitivity.Child psychiatry and human development · 2022Article
- Combining selective serotonin reuptake inhibitors and cognitive behavioral therapy in youth with depression and anxiety.Journal of affective disorders · 2022Article
- Case Report: A Functional Approach to Deal With Sexual Harassment Within Families.Frontiers in psychology · 2022Article
- Remote delivery of cognitive behavioral therapy to patients with functional neurological disorders: Promise and challenges.Epilepsy & behavior reports · 2021Review
- 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
- The role of setting versus treatment type in alliance within youth therapy.Journal of consulting and clinical psychology · 2016Article
- Quality measures for the care of patients with insomnia.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2015Article
- Mediators of Treatment Outcomes for Anxious Children and Adolescents: The Role of Somatic Symptoms.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Article
- A Conceptual Framework of Digital Therapeutic Alliance in Internet-Based Cognitive-Behavioral Therapy: A Qualitative Study.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors at 9 institutions in 1 country.
Funding
Abstract
objectiveWe examined the therapeutic relationship with cognitive-behavioral therapists and with pharmacotherapists for youth from the Child/Adolescent Anxiety Multimodal Study (Walkup et al., 2008). The therapeutic relationship was examined in relation to treatment outcomes.
methodParticipants were 488 youth (ages 7-17 years; 50% male) randomized to cognitive-behavioral therapy (CBT; Coping Cat), pharmacotherapy (sertraline), their combination, or placebo pill. Participants met criteria for generalized anxiety disorder, social phobia, and/or separation anxiety disorder according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994). The therapeutic relationship was assessed by youth report at Weeks 6 and 12 of treatment using the Child's Perception of Therapeutic Relationship scale (Kendall et al., 1997). Outcome measures (Pediatric Anxiety Rating Scale; Research Units on Pediatric Psychopharmacology Anxiety Study Group, 2002; and Clinical Global Impressions Scales; Guy, 1976) were completed by independent evaluators blind to condition.
resultsFor youth who received CBT only, a stronger therapeutic relationship predicted positive treatment outcome. In contrast, the therapeutic relationship did not predict outcome for youth receiving sertraline, combined treatment, or placebo.
conclusionA therapeutic relationship may be important for anxious youth who receive CBT alone.
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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.