Evidence map›Paper›PMID 32157389›Full record

ArticleEuropean child & adolescent psychiatry2020

A dual perspective on first-session therapeutic alliance: strong predictor of youth mental health and addiction treatment outcome.

Patty van Benthem, Renske Spijkerman, Peter Blanken, Marloes Kleinjan, Robert R J M Vermeiren, Vincent M Hendriks

Abstract read
In one paragraph

Article in European child & adolescent psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Factors That Foster Therapeutic Alliance in Pediatric Sports and Orthopedics: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
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  12. Role of social context in addiction etiology and recovery.Pharmacology, biochemistry, and behavior · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Patty van BenthemParnassia Addiction Research Center (PARC), Brijder Addiction Care, Zoutkeetsingel 40, 2512 HN, The Hague, The Netherlands. p.vanbenthem@brijder.nl.
Renske SpijkermanParnassia Addiction Research Center (PARC), Brijder Addiction Care, Zoutkeetsingel 40, 2512 HN, The Hague, The Netherlands.
Peter BlankenParnassia Addiction Research Center (PARC), Brijder Addiction Care, Zoutkeetsingel 40, 2512 HN, The Hague, The Netherlands.
Marloes KleinjanEpidemiology and Research Support, Trimbos Institute: Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.
Robert R J M VermeirenDepartment of Child and Adolescent Psychiatry, Curium-LUMC, Leiden University Medical Center, Leiden, The Netherlands.
Vincent M HendriksParnassia Addiction Research Center (PARC), Brijder Addiction Care, Zoutkeetsingel 40, 2512 HN, The Hague, The Netherlands.

Funding

ZonMw 729101014
6 · The paper itself

Abstract

We investigated the potential role of first-session therapeutic alliance ratings to serve as an early marker of treatment outcome in youth mental health and addiction treatment. The present study is among the first to incorporate both a youths' and a therapists' perspective of the therapeutic alliance in order to maximize predictive value of the alliance for treatment outcome. One hundred and twenty-seven adolescents participated in a multi-site prospective naturalistic clinical cohort study, with assessments at baseline and at 4 months post-baseline. Main outcome measure was favorable or unfavorable treatment outcome status at 4-month follow-up. Early therapeutic alliance had a medium and robust association with treatment outcome for youth' (b = 1.29) and therapist' (b = 1.12) perspectives and treatment setting. Based on the two alliance perspectives four subgroups were distinguished. Incorporating the alliance-ratings from both perspectives provided a stronger predictor of treatment outcome than using one perspective. Youth with a strong alliance according to both perspectives had an eightfold odds of favorable treatment outcome compared with youth with a weak alliance according to both perspectives. The association between therapeutic alliance and treatment outcome in youth mental health and addiction treatment may be substantially stronger than earlier assumed when both a youths' and therapists' perspective on alliance is considered.

Indexed as

Therapeutic AllianceAdolescentAdultBehavior, AddictiveCohort StudiesFemaleHumansMaleMental HealthProspective StudiesPsychotherapyTreatment OutcomeYoung AdultMental healthSubstance use disorderTherapeutic allianceTreatment outcomeYouth

Identifiers

PMID32157389
PMCPMC7595997

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.