The therapeutic alliance in cognitive-behavioral treatment of children referred for oppositional, aggressive, and antisocial behavior
Abstract
The authors examined the therapeutic alliance in evidence-based treatment for children (N = 185, 47 girls, 138 boys; ages 3-14 years) referred clinically for oppositional, aggressive, and antisocial behavior. Different alliances (child-therapist, parent-therapist) were assessed from each participant's perspective at 2 points over the course of treatment. As predicted, both child-therapist and parent-therapist alliances related to therapeutic change, family experience of barriers to participation in treatment, and treatment acceptability. Greater alliance was associated with greater therapeutic change, fewer perceived barriers, and greater treatment acceptability. The findings could not be attributed to the influence of socioeconomic disadvantage, parent psychopathology and stress, and child dysfunction or to rater effects (common rater variance in the predictors and criteria).
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The WAI has demonstrated acceptable psychometric properties in the context of child therapy.
“More recently, the WAI has demonstrated acceptable psychometric properties in the context of child therapy (Kazdin et al., 2005; Kazdin et al., 2006).”
From Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study (2018) · cites this paper as Kazdin et al., 2005
Recent work shows that the therapeutic relationship affects adherence reports and behavior, and suggests that a stronger parent-therapist bond predicts greater treatment acceptability and persistence.
“Recent literature has similarly demonstrated the impact of the therapeutic relation on adherence reports and behaviors, suggesting that a more positive parentYtherapist relationship predicts greater treatment acceptability and persistence.38”
From Medication Adherence in the MTA: Saliva Methylphenidate Samples Versus Parent Report and Mediating Effect of Concomitant Behavioral Treatment (2009) · cites this paper as [38]
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Needs-led child and youth care: Main characteristics and evidence on outcomes
Metselaar, J., van Yperen, T. A., den Bergh, P. M. V., & Knorth, E. J. (2015) · Children and Youth Services Review · doi:10.1016/j.childyouth.2015.09.005 · Cited by 17 · see citing works
Ekmekçi, H., Yavuz, H. M., Emmen, R. A. G., Mesman, J., van IJzendoorn, M. H., Yağmurlu, B., & Malda, M. (2014) · Journal of Child and Family Studies · doi:10.1007/s10826-014-9937-0 · Cited by 17 · see citing works
Jansen, M., van Doorn, M. M., Lichtwarck‐Aschoff, A., Kuijpers, R., Theunissen, H., Korte, M., van Rossum, J., Wauben, A., & Granic, I. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-16 · Cited by 16 · see citing works
Hauber, K., Boon, A. E., & Vermeiren, R. R. J. M. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.533903 · Cited by 16 · see citing works
Lenkens, M., Nagelhout, G. E., Schenk, L., Sentse, M., Severiens, S. E., Engbersen, G., Dijkhoff, L., & van Lenthe, F. J. (2020) · Journal of Crime and Justice · doi:10.1080/0735648x.2020.1848608 · Cited by 16 · see citing works
Claverol, M. D. R., Manuel-Canals, M., Lobato-Rincón, L. L., Rodriguez-Criado, N., Roman-Casenave, M., Musull-Dulcet, E., Rodrigo-Claverol, E., Pifarré, J., & Miró-Bernaus, Y. (2023) · Animals · doi:10.3390/ani13030358 · Cited by 15 · see citing works
Swart, J., & Apsche, J. A. (2014) · International Journal of Behavioral Consultation and Therapy · doi:10.1037/h0101010 · Cited by 15 · see citing works
Abrishami, G. F. (2013) · Journal of Child and Adolescent Behaviour · doi:10.4172/2375-4494.1000110 · Cited by 16 · see citing works
Multiple Family Groups for Child Behavior Difficulties
Gopalan, G., Fuss, A. A., & Wisdom, J. P. (2014) · Research on Social Work Practice · doi:10.1177/1049731514543526 · Cited by 15 · see citing works
Contributions of Therapist Characteristics and Stability to Intensive In-home Therapy Youth Outcomes
Greeson, J. K. P., Guo, S., Barth, R. P., Hurley, S., & Sisson, J. (2008) · Research on Social Work Practice · doi:10.1177/1049731508329422 · Cited by 15 · see citing works
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Predicting Treatment Attrition for Child Sexual Abuse Victims
DeLorenzi, L., Daire, A. P., & Bloom, Z. D. (2016) · Counseling Outcome Research and Evaluation · doi:10.1177/2150137816632850 · Cited by 12 · see citing works
Grau, L., Carretier, É., Moro, M. R., Révah‐Levy, A., Sibéoni, J., & Lachal, J. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02970-w · Cited by 13 · see citing works
Hukkelberg, S. S., & Ogden, T. (2017) · Psychotherapy Research · doi:10.1080/10503307.2017.1330574 · Cited by 12 · see citing works
A Review of Therapeutic Alliance and Child CBT
Feindler, E. L., & Smerling, C. (2022) · Child & Family Behavior Therapy · doi:10.1080/07317107.2022.2027191 · Cited by 12 · see citing works
Kazdin, A. E. (2015) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032814-112720 · Cited by 11 · see citing works
Goodman, G., Chung, H., Fischel, L., & Athey-Lloyd, L. (2017) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104517691082 · Cited by 11 · see citing works
Fernandes, H. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.610874 · Cited by 11 · see citing works
- Authors
- Kazdin, A. E., Marciano, P. L., & Whitley, M. K.
- Affiliations
- Yale University (US)
- ORCID
- Kazdin, Alan E.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2005
- Volume
- 73
- Issue
- 4
- Pages
- 726-730
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2048183107
- Cited by
- 188
- References
- 30
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 10 · 2019: 6 · 2018: 8 · 2017: 9 · 2016: 14 · 2015: 9 · 2014: 13 · 2013: 16 · 2012: 16
- FWCI
- 11.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH59029, R01MH059029)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- therapeutic relationship, cognitive behavioral therapy, children, oppositional behavior, aggression, antisocial behavior, treatment acceptability, therapeutic change
- MeSH terms
- Adolescent, Aggression, Antisocial Personality Disorder, Child, Child, Preschool, Female, Humans, Male, Patient Care Team, Professional-Family Relations, Referral and Consultation, Cognitive Behavioral Therapy, Attention Deficit and Disruptive Behavior Disorders
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