Alliance and treatment outcome in family-involved treatment for youth problems: A three-level meta-analysis

Alliance and treatment outcome in family-involved treatment for youth problems: A three-level meta-analysis

Forfattere
Welmers-van de Poll, M. Roest, J. Stouwe, T. Akker, A. Stams, G. Escudero, V. Overbeek, G. Swart, J.
Årstall
2018
Tidsskrift
Clinical Child and Family Psychology Review
Volum
21
Sider
146-170
Alliance has been shown to predict treatment outcome in family-involved treatment for youth problems in several studies. However, meta-analytic research on alliance in family-involved treatment is scarce, and to date, no meta-analytic study on the alliance-outcome association in this field has paid attention to moderating variables. We included 28 studies reporting on the alliance-outcome association in 21 independent study samples of families receiving family-involved treatment for youth problems (N = 2126 families, M age youth ranging from 10.6 to 16.1). We performed three multilevel meta-analyses of the associations between three types of alliance processes and treatment outcome, and of several moderator variables. The quality of the alliance was significantly associated with treatment outcome (r = .183, p < .001). Correlations were significantly stronger when alliance scores of different measurement moments were averaged or added, when families were help-seeking rather than receiving mandated care and when studies included younger children. The correlation between alliance improvement and treatment outcome just failed to reached significance (r = .281, p = .067), and no significant correlation was found between split alliances and treatment outcome (r = .106, p = .343). However, the number of included studies reporting on alliance change scores or split alliances was small. Our findings demonstrate that alliance plays a small but significant role in the effectiveness of family-involved treatment. Future research should focus on investigating the more complex systemic aspects of alliance to gain fuller understanding of the dynamic role of alliance in working with families. (PsycINFO Database Record (c) 2018 APA, all rights reserved)

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Tiltaksnivå

Behandling og hjelpetiltak

Tema

Psykiske vansker og lidelser

Følelsesmessige problemer

Depresjon og nedstemthet (inkl. både vansker og lidelse)

Angstproblematikk

Angst og engstelighet (inkl. både vansker og lidelse)

Spiseforstyrrelser

Rus og spilling

Alkohol

Illegale rusmidler

Tiltak

Psykologiske behandlingsmetoder

Familieterapi

Kognitiv atferdsterapi, atferdsterapi og kognitiv terapi

Organisering av tiltak

Nettverkstiltak (inkl. MST)

Aldersgruppe

Barn i skolealder (6-12 år)

Ungdom (13-18 år)

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