Working Alliance Inventory for Children and Adolescents 					(WAI-CA)

Figueiredo, Bárbara; Dias, Pedro; Lima, Vânia Sousa; Lamela, Diogo

doi:10.1027/1015-5759/a000364

Cited by 14 publications

(10 citation statements)

References 35 publications

(51 reference statements)

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“…Our study extends that research by providing evidence that MBSR-T is a feasible and acceptable transdiagnostic intervention for ELS-exposed youth. The completion rate (76%) and homework compliance ratings (50%) were similar to that reported in other studies utilizing psychological intervention approaches for adolescents or young adults [ 86 , 87 ] and working alliance was similar to that reported in validation literature [ 64 ].…”

Section: Discussionsupporting

confidence: 84%

“…The Columbia Suicide Severity Rating Scale (C-SSRS [ 63 ];) was administered to subjects who endorsed any suicidal ideation at any timepoint. Symptoms of depression and suicidal thoughts and behaviors were used to assess participant safety, while the Working Alliance Inventory (WAI [ 64 ];) assessed the therapeutic bond between participants and therapists. A contingency safety plan was put in place to address any emergent safety concerns.…”

Section: Methodsmentioning

confidence: 99%

“…Twelve items were rated (0 = none, 4 = all) for score ranges of zero to 48. MBSR-T participants also completed the Working Alliance Inventory for Children and Adolescents (WAI-CA [ 64 ]) to assess therapeutic agreement on goals and tasks of therapy, as well as the development of affective bond. A total score is also derived.…”

Section: Methodsmentioning

confidence: 99%

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The effect of a mindfulness-based stress intervention on neurobiological and symptom measures in adolescents with early life stress: a randomized feasibility study

Cohen

Cosgrove

Akeman

et al. 2021

BMC Complement Med Ther

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Background Early life stress (ELS) has been linked to poor mental and physical health outcomes in adolescence and adulthood. Mindfulness reduces symptoms of depression and anxiety and improves cognitive and social outcomes in both youth and adults. However, little is known whether mindfulness can mitigate against the adverse neurobiological and psychological effects of ELS. This study aimed to examine the feasibility of conducting a group mindfulness intervention in adolescents with ELS and provide preliminary indication of potential effects on stress-related biomarkers and mental health symptoms. Methods Forty adolescents were randomized to receive either eight sessions of Mindfulness-Based Stress Reduction for Teens in group format (MBSR-T; n = 21) or Treatment as Usual Control group (CTRL; n = 17). Outcomes were assessed at baseline and follow-up and included measures associated with neurobiological functioning (immune and endocrine biomarkers) and self-reported mental health (depressive) symptoms. Linear mixed effects models were used to assess the effects of group and time on these outcome measures. Results Sixteen of the 21 adolescents completed the intervention, attending an average of 6.5 sessions. The model examining cortisol responses to stress induction revealed medium effects trending toward significance (Cohen’s d = .56) for anticipatory cortisol levels in the MBSR-T relative to CTRL groups. No significant effects were found in models examining C-reactive protein or interleukin 6 inflammatory markers. The model examining depressive symptoms revealed a medium effect for symptom reduction (Cohen’s d = .69) in the MBSR-T relative to CTRL groups. Conclusions This study demonstrated feasibility of conducting a group-based MBSR-T intervention for adolescents with ELS. There was some evidence for efficacy on a symptom level with potential subtle changes on a biological level. Future larger studies are needed to determine the efficacy of group-based mindfulness interventions in this population. Trial registration Identifier #NCT03633903, registered 16/08/2018.

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Section: Discussionsupporting

confidence: 84%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The effect of a mindfulness-based stress intervention on neurobiological and symptom measures in adolescents with early life stress: a randomized feasibility study

Cohen

Cosgrove

Akeman

et al. 2021

BMC Complement Med Ther

View full text Add to dashboard Cite

show abstract

“…Our study extends that research by providing evidence that MBSR is a feasible and acceptable transdiagnostic intervention for ELS-exposed youth. The completion rate (76%) and homework compliance ratings (50%) were similar to that reported in other studies utilizing psychological intervention approaches for adolescents or young adults (81,82) and working alliance was similar to that reported in validation literature (63).…”

Section: Exploratory Analysessupporting

confidence: 85%

“…Twelve items were rated (0 = none, 4 = all) for score ranges of zero to 48. MBSR-T participants also completed the Working Alliance Inventory for Children and Adolescents (WAI-CA; (63)) to assess therapeutic agreement on goals and tasks of therapy, as well as the development of affective bond. A total score is also derived.…”

Section: Methodsmentioning

confidence: 99%

The Effect of a Mindfulness-Based Stress Intervention On Neurobiological and Symptom Measures in Adolescents With Early Life Stress: A Randomized Feasibility Study

Cohen

Cosgrove

Akeman

et al. 2021

Preprint

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Background: Early life stress (ELS) has been linked to poor mental and physical health outcomes in adolescence and adulthood. Mindfulness reduces symptoms of depression and anxiety and improves cognitive and social outcomes in both youth and adults. However, little is known whether mindfulness can mitigate against the adverse neurobiological and psychological effects of ELS. This study aimed to examine the feasibility of conducting a group mindfulness intervention in adolescents with ELS and provide preliminary indication of potential effects on stress-related biomarkers and mental health symptoms.Methods: Forty adolescents were randomized to receive either eight sessions of Mindfulness- Based Stress Reduction for Teens in group format (MBSR-T; n = 21) or Treatment as Usual Control group (CTRL; n = 17). Outcomes were assessed at baseline and follow-up and included measures associated with neurobiological functioning (immune and endocrine biomarkers) and self-reported mental health (depressive) symptoms. Linear mixed effects models were used to assess the effects of group and time on these outcome measures.Results: Sixteen of the 21 adolescents completed the intervention, attending an average of 6.5 sessions. The model examining cortisol responses to stress induction revealed medium effects trending toward significance (Cohen’s d = .56) for anticipatory cortisol levels in the MBSR-T relative to CTRL groups. No significant effects were found in models examining C-reactive protein or interleukin 6 inflammatory markers. The model examining depressive symptoms revealed a medium effect for symptom reduction (Cohen’s d = .69) in the MBSR-T relative to CTRL groups. Conclusions: This study demonstrated feasibility of conducting a group-based MBSR intervention for adolescents with ELS. There was some evidence for efficacy on a symptom level 73 with potential subtle changes on a biological level. Future larger studies are needed to determine 74 the efficacy of group-based mindfulness interventions in this population.Trial Registration: www.ClinicalTrials.gov, identifier #NCT03633903, registered 16/08/2018.

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Therapist's effect on children's therapeutic alliance: A naturalistic study

Casari,

Areas,

Ison

et al. 2023

J Clin Psychol

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ObjectivesThe therapeutic alliance (TA) has been shown to be a predictor of psychotherapy treatment success. In the case of psychotherapy with children, there is a dearth of information on TA's role. The aims of the paper are: (1) To estimate the therapist effects on children TA; (2) to investigate if therapists' TA predicts children's TA; (3) to analyze if children's age and sex predict children's TA; (4) to evaluate if the therapist's characteristics predict children's TA.MethodsThe sample consisted of 77 children undergoing psychotherapy in Argentina, and the therapists (N = 29) providing services to those children. The assessment tools utilized for the study included the Therapy Alliance Scale for Children and the Personal Style of the Therapist Questionnaire (PST‐Q).ResultsFindings indicated that 2% of the children's TA was explained by the therapists (ICC = 0.02), while 17% of the therapists' TA was explained by the therapists (ICC = 0.17). Therapists' TA predicted children's TA. Children's age and sex did not have an effect on their own TA. Moreover, therapists with more experience achieved higher scores of children's TA. Finally, the Operative dimension of the PST had a negative effect on children's TA (i.e., therapists who prefer more spontaneous interventions over structured ones may experience higher levels of therapeutic alliance with child patients).ConclusionWe found a positive effect of the therapist's TA on children's TA, especially in the preference for using more spontaneous intervention techniques. We discuss the implications of the findings on the training of psychotherapists who provide services to children.

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Working Alliance Inventory for Children and Adolescents (WAI-CA)

Cited by 14 publications

References 35 publications

The effect of a mindfulness-based stress intervention on neurobiological and symptom measures in adolescents with early life stress: a randomized feasibility study

The effect of a mindfulness-based stress intervention on neurobiological and symptom measures in adolescents with early life stress: a randomized feasibility study

The Effect of a Mindfulness-Based Stress Intervention On Neurobiological and Symptom Measures in Adolescents With Early Life Stress: A Randomized Feasibility Study

Therapist's effect on children's therapeutic alliance: A naturalistic study

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