Psychotherapy Outcome Research with Children and Adolescents

Weisz, John R.; Huey, Stanley J.; Weersing, V. Robin

doi:10.1007/978-1-4757-9038-2_2

Cited by 74 publications

(75 citation statements)

References 105 publications

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“…In contrast, there are relatively few investigations of alliance in youth psychotherapy (Shirk and Karver 2003;Weisz et al 1998). Of course, alliance in youth therapy may be more complex than in adult therapy.…”

mentioning

confidence: 86%

Working Alliance in Adolescent Outpatient Therapy: Youth, Parent and Therapist Reports and Associations with Therapy Outcomes

Hawley

Garland

2008

Child Youth Care Forum

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The perceived quality of the working alliance in psychotherapy has been a consistent predictor of engagement and outcome in adult psychotherapy, yet there is limited research on working alliance in youth psychotherapy, particularly in the context of ''usual'' community-based services. In this study, we examined working alliance among 78 adolescents referred for community-based psychotherapy, their parents and therapists. We investigated (1) temporal stability of alliance from 1 to 6 months into treatment, (2) consistency among adolescent, parent, and therapist reports of alliances, and (3) associations between alliance and four outcome domains: symptoms, functioning, satisfaction, and environmental impact. We found individual reports of alliance relatively stable from 1 to 6 months into treatment, but consistency among reporters on quality of their alliance was low. We also found adolescent and parent reported alliances with therapists to be positively associated with several outcome indicators.

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confidence: 86%

Working Alliance in Adolescent Outpatient Therapy: Youth, Parent and Therapist Reports and Associations with Therapy Outcomes

Hawley

Garland

2008

Child Youth Care Forum

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“…To constrain the search to child and adolescent treatment, child and adolescent were used in conjunction with the words alliance, therapeutic relationship, and outcome. Second, we examined the list of studies included in two previous reviews of child treatment processes Weisz et al, 1998 Child and Adolescent Psychiatry) were searched by hand to ensure that articles published after the previous reviews were not missed. These steps produced a pool of 38 studies, 23 of which met criteria.…”

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confidence: 99%

Prediction of treatment outcome from relationship variables in child and adolescent therapy: A meta-analytic review.

Shirk¹,

Karver²

2003

Journal of Consulting and Clinical Psychology

568

521

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Results from 23 studies examining associations between therapeutic relationship variables and treatment outcomes in child and adolescent therapy were reviewed with meta-analytic procedures. Results indicated that the overall strength of the relationship-outcome associations was modest and quite similar to results obtained with adults. This modest association was moderated by 1 substantive factor, type of patient problem, and 5 methodological factors, timing and source of relationship measurement, type and source of outcome, and shared versus cross-source measurement of relationship and outcome variables. Type, mode, structure, and context of treatment did not moderate associations between relationship variables and outcomes. Findings indicated that the association between the therapeutic relationship and treatment outcome was consistent across developmental levels and across diverse types and contexts of child and adolescent therapy. Recommendations for future process research on the therapeutic relationship in child psychotherapy are offered.

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“…As our third source of predictors, we included any additional variables that differentiated our CMHC sample and treatments from the RCTs. For instance, we expected that our Los Angeles-based CMHC sample would be more ethnically diverse than the samples of most RCTs (Weisz, Huey, & Weersing, 1998). Given accumulating evidence that minority status affects help seeking, therapy engagement, and treatment outcome for youth (see, e.g., Yeh, Eastman, & Cheung, 1994), we planned to include ethnicity as a predictor variable.…”

mentioning

confidence: 99%

Community clinic treatment of depressed youth: Benchmarking usual care against CBT clinical trials.

Weersing¹,

Weisz²

2002

Journal of Consulting and Clinical Psychology

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257

213

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This study used a benchmarking strategy to evaluate the effectiveness of community psychotherapy for depressed youth relative to evidence-based treatment in clinical trials. Symptom trajectories of depressed youth treated in community mental health centers (CMHCs) were compared with trajectories of youth treated with cognitive-behavioral therapy (CBT) in clinical trials. Overall, outcomes of CMHC youth more closely resembled those of control condition youth than youth treated with CBT. Within the CMHC sample, ethnic minority status and low therapy dose were related to worse outcomes. However, when outcomes for Caucasian youth and youth receiving longer term services were examined, the CMHC sample still performed more poorly than youth treated with CBT. The findings support the value of developing, testing, and exporting effective therapies for depressed youth to community clinic settings.To date, there have been more than 1,500 controlled investigations of the effects of psychotherapy for children and adolescents (Kazdin, 2000). Results of these studies, summarized in metaanalyses, have told a consistent tale: Psychotherapy for youth can produce beneficial effects, on the same order of magnitude as both adult psychotherapy and many medical interventions (Casey &

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Psychotherapy Outcome Research with Children and Adolescents

Cited by 74 publications

References 105 publications

Working Alliance in Adolescent Outpatient Therapy: Youth, Parent and Therapist Reports and Associations with Therapy Outcomes

Working Alliance in Adolescent Outpatient Therapy: Youth, Parent and Therapist Reports and Associations with Therapy Outcomes

Prediction of treatment outcome from relationship variables in child and adolescent therapy: A meta-analytic review.

Community clinic treatment of depressed youth: Benchmarking usual care against CBT clinical trials.

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