ArticleBMC psychology2024
The working alliance inventory - short version: psychometric properties of the patient and therapist form in youth mental health and addiction care.
Article in BMC psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Working Alliance and Subjective Engagement with a Digital Avatar CBT Platform (RITchBehavioral sciences (Basel, Switzerland) · 2026Article
- A dyadic approach of assessing the therapeutic alliance in youth mental health and addiction treatment.European child & adolescent psychiatry · 2025Article
- Sustainability of Mentalization-Based Treatment Programs for Poorly Functioning Patients With Borderline Personality Disorder. Can We Really Keep It Up?Personality and mental health · 2025Article
- What explains trust in online mental health therapy provision platforms? An online descriptive survey.Digital healthArticle
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Authors and funding
7 authors.
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Abstract
The therapeutic alliance is considered to play an important role in youth treatment. The commonly used versions of the Working Alliance Inventory (WAI) are based on Bordin's three-dimensional alliance model. However, previous psychometric studies of the WAI did not find this three-dimensional structure in youth psychotherapy. These earlier findings may indicate different perceptions of the alliance by adolescent versus adult patients, but may also be due to methodological shortcomings. The current study aims to address previous study limitations by evaluating the factor structure of the short version of the WAI (WAI-S) in youth treatment in multilevel analysis to address the hierarchical structure of the alliance data. We examined the psychometric properties of the patient (n = 203) and therapist (n = 62) versions of the WAI-S in youth mental health and addiction care and tested four multilevel models of alliance at start of treatment and 2-month follow-up. Our results suggests a two-factor model for youth and a three-dimensional model for their therapist at both time points. Since this is the first study that finds a best fit for a two-dimensional construct of alliance in youth, more research is needed to clarify whether the differences in alliance dimensions are due to measurement differences between the WAI-S for youth and therapists or whether youth and their therapists truly differ in their perceptions of the concept of alliance.
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