YorkSpace has migrated to a new version of its software. Access our Help Resources to learn how to use the refreshed site. Contact diginit@yorku.ca if you have any questions about the migration.
 

The relationships between therapeutic alliance and internalizing and externalizing symptoms in Trauma-Focused Cognitive Behavioral Therapy

Simple item page
dc.contributor.authorZorzella, Karina
dc.contributor.authorMuller, R. T.
dc.contributor.authorCribbie, Robert
dc.date.accessioned2018-05-30T19:21:13Z
dc.date.available2018-05-30T19:21:13Z
dc.date.issued2015
dc.description.abstractTherapeutic alliance has been considered an important factor in child psychotherapy and is consistently associated with positive outcomes. Nevertheless, research on alliance in the context of child trauma therapy is very scarce. This study examined the relationships between child therapeutic alliance and psychopathology in an empirically supported child trauma therapy model designed to address issues related to trauma with children and their caregivers. Specifically, we examined the extent to which the child’s psychopathology would predict the establishment of a positive alliance early in treatment, as well as the association between alliance and outcome. Participants were 95 children between the ages of 7 and 12 and their caregivers, who went through a community-based Trauma-Focused Cognitive Behavioral Therapy program in Canada. Caregivers filled out the CBCL prior to assessment and following treatment. Children and therapists completed an alliance measure (TASC) at three time points throughout treatment. Symptomatology and child gender emerged as important factors predicting alliance at the beginning of treatment. Girls and internalizing children developed stronger alliances early in treatment. In addition, a strong early alliance emerged as a significant predictor of improvementin internalizing symptoms at the end of treatment. Our findings indicate that symptomatology and gender influence the development of a strong alliance in trauma therapy. We suggest that clinicians should adjust therapeutic style to better engage boys and highly externalizing children in the early stages of therapy.en_US
dc.description.sponsorshipThis research was funded by the Social Sciences and Humanities Research Council (SSHRC) and grants to the second author from the Provincial Center of Excellence for Child and Youth Mental Health at the Children’s Hospital of Eastern Ontario, and the Hedge Funds Care Canada Foundation.
dc.identifier.citationZorzella, K. P. M., Muller, R. T., & Cribbie, R. A., (2015). The relationships between therapeutic alliance and internalizing and externalizing symptoms in Trauma-Focused Cognitive Behavioral Therapy. Child Abuse & Neglect, 50, 171–181. doi: 10.1016/j.chiabu.2015.08.002
dc.identifier.urihttp://dx.doi.org/10.1016/j.chiabu.2015.08.002en_US
dc.identifier.urihttp://hdl.handle.net/10315/34577
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.rights.articlehttps://www.sciencedirect.com/science/article/abs/pii/S0145213415002707
dc.rights.journalhttps://www.journals.elsevier.com/child-abuse-and-neglect/en_US
dc.rights.publisherhttps://www.elsevier.com/en_US
dc.subjectAllianceen_US
dc.subjectTF-CBTen_US
dc.subjectPsychopathologyen_US
dc.subjectInternalizingen_US
dc.subjectExternalizingen_US
dc.subjectOutcomeen_US
dc.titleThe relationships between therapeutic alliance and internalizing and externalizing symptoms in Trauma-Focused Cognitive Behavioral Therapy
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ther_alliance_zorzella_mulller_cribbie_child_abuse_neglect.pdf
Size:
764.53 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.83 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Department of Psychology

All items in the YorkSpace institutional repository are protected by copyright, with all rights reserved except where explicitly noted.