The Relationship between Alliance, Attachment and Outcome in a Child Multi-Modal Treatment Population: Pilot study

The Relationship between Alliance, Attachment and Outcome in a Child Multi-Modal Treatment Population: Pilot study

The Relationship between Alliance, Attachment and Outcome in a Child Multi-Modal Treatment Population: Pilot study

The Relationship between Alliance, Attachment and Outcome in a Child Multi-Modal Treatment Population: Pilot studys

| Ajouter

Référence bibliographique [337]

Bond, Sharon, Guzder, Jaswant, Rabiau, Marjorie, Rohar, Shelley et Zelkowiz, Phyllis. 2011. «The Relationship between Alliance, Attachment and Outcome in a Child Multi-Modal Treatment Population: Pilot study ». Journal de l’Académie canadienne de psychiatrie de l’enfant et de l’adolescent / Journal of the Canadian Academy of Child and Adolescent Psychiatry, vol. 20, no 3, p. 196-202.

Accéder à la publication

Fiche synthèse

1. Objectifs


Intentions :
«The first objective was to compare changes in child and family functioning from the outset of the treatment period (after the initial six-week assessment) (T1) to the end of treatment for participants who completed treatment and questionnaires (T2). A secondary objective was to explore the association of parental therapeutic alliance and maternal attachment styles with child and family outcomes.» (p. 198)

2. Méthode


Échantillon/Matériau :
44 familles «[...] ayant un enfant âgé de 5 à 12 ans qui suivait un traitement de jour en psychiatrie pour comorbidités complexes.» (p. 196)

Instruments :
Questionnaires

Type de traitement des données :
Analyse statistique

3. Résumé


«In this pilot study of a high-risk day and evening hospital sample, child outcomes revealed improved CBCL [Child Behaviour Checklist] scores on both the internalizing and externalizing dimensions between T1 and T2. Significant changes were identified in family functioning of the completer cohort between T1 and T2 with improvement on specific scores of cohesion, expressiveness, enhanced intellectual-cultural orientation and improved family organization. Our results suggest that mothers with a secure attachment style, intact families and those with higher socioeconomic status, as well as those who develop a therapeutic alliance with the treating team, were more likely to complete the study measures. The complex interaction of attachment capacity, therapeutic alliance and child and family variables requires further study to distinguish the contribution of these factors to treatment outcome.» (p. 201)