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• W3011308437 abstract "Abstract We investigated the potential role of first-session therapeutic alliance ratings to serve as an early marker of treatment outcome in youth mental health and addiction treatment. The present study is among the first to incorporate both a youths’ and a therapists’ perspective of the therapeutic alliance in order to maximize predictive value of the alliance for treatment outcome. One hundred and twenty-seven adolescents participated in a multi-site prospective naturalistic clinical cohort study, with assessments at baseline and at 4 months post-baseline. Main outcome measure was favorable or unfavorable treatment outcome status at 4-month follow-up. Early therapeutic alliance had a medium and robust association with treatment outcome for youth’ ( b = 1.29) and therapist’ ( b = 1.12) perspectives and treatment setting. Based on the two alliance perspectives four subgroups were distinguished. Incorporating the alliance-ratings from both perspectives provided a stronger predictor of treatment outcome than using one perspective. Youth with a strong alliance according to both perspectives had an eightfold odds of favorable treatment outcome compared with youth with a weak alliance according to both perspectives. The association between therapeutic alliance and treatment outcome in youth mental health and addiction treatment may be substantially stronger than earlier assumed when both a youths’ and therapists’ perspective on alliance is considered." @default.
• W3011308437 created "2020-03-23" @default.
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• W3011308437 date "2020-03-10" @default.
• W3011308437 modified "2023-10-18" @default.
• W3011308437 title "A dual perspective on first-session therapeutic alliance: strong predictor of youth mental health and addiction treatment outcome" @default.
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• W3011308437 doi "https://doi.org/10.1007/s00787-020-01503-w" @default.
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