Early therapeutic alliance and treatment outcome in individual and family therapy for adolescent behavior problems

Aaron Hogue, Sarah Dauber, Leyla Faw Stambaugh, Howard A Liddle, John J. Cecero

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

The impact of early therapeutic alliance was examined in 100 clients receiving either individual cognitive-behavioral therapy (CBT) or family therapy for adolescent substance abuse. Observational ratings of adolescent alliance in CBT and adolescent and parent alliance in family therapy were used to predict treatment retention (in CBT only) and outcome (drug use, externalizing, and internalizing symptoms in both conditions) at post and 6-month follow-up. There were no alliance effects in CBT. In family therapy, stronger parent alliance predicted declines in drug use and externalizing. Adolescents with weak early alliances that subsequently improved by midtreatment showed significantly greater reductions in externalizing than adolescents whose alliances declined. Results underscore the need for ongoing developmental calibration of intervention theory and practice for adolescent clinical populations.

Original languageEnglish
Pages (from-to)121-129
Number of pages9
JournalJournal of Consulting and Clinical Psychology
Volume74
Issue number1
DOIs
StatePublished - Feb 1 2006

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Adolescent Behavior
Family Therapy
Cognitive Therapy
Therapeutics
Pharmaceutical Preparations
Calibration
Substance-Related Disorders
Population

Keywords

  • Adolescents
  • Cognitive-behavioral therapy
  • Family therapy
  • Process-outcome research
  • Therapeutic alliance

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Early therapeutic alliance and treatment outcome in individual and family therapy for adolescent behavior problems. / Hogue, Aaron; Dauber, Sarah; Stambaugh, Leyla Faw; Liddle, Howard A; Cecero, John J.

In: Journal of Consulting and Clinical Psychology, Vol. 74, No. 1, 01.02.2006, p. 121-129.

Research output: Contribution to journalArticle

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