Predicting Alliance for Depressed and Suicidal Adolescents: The Role of Perceived Attachment to Mothers

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dc.contributor.authorIbrahim, Malihaen
dc.contributor.authorJin, Boraen
dc.contributor.authorRusson, Jody M.en
dc.contributor.authorDiamond, Guy S.en
dc.contributor.authorKobak, Rogeren
dc.date.accessioned2021-06-24T23:41:41Zen
dc.date.available2021-06-24T23:41:41Zen
dc.date.issued2018-01-02en
dc.date.updated2021-06-24T23:41:40Zen
dc.description.abstractBackground. Although therapeutic alliance is a robust predictor of treatment outcomes in child and adolescent psychotherapy, less is known about relational factors, such as youth’s attachment, to mothers and fathers. The current study investigated anxious or avoidant attachment to mothers or fathers as predictors of early formation of the therapeutic alliance in a high-risk sample of depressed and suicidal adolescents. Methods. Changes in adolescents’ alliance ratings between the first and fourth treatment sessions was examined in a comparative efficacy trial (N = 115) of Attachment Based Family Therapy and Family Enhanced Non-Directive Supportive Therapy for suicidal and depressed adolescents. Multilevel regression analysis accounted for nested data by therapist and treatment condition. Results. After accounting for significant random effects in our multilevel model associated with therapist to treatment condition, results revealed a significant effect of perceived insecurity to mothers leading to lower levels of therapeutic alliance at session four (β = -0.49, p < .05). Discussion. The quality of adolescents’ attachments to parents may play an important role in adolescents’ ability to form strong working relationships with a therapist. Findings suggested that adolescents with avoidant attachment styles may be more difficult to engage in treatment and could benefit from specific interventions focused on alliance-building.en
dc.description.versionAccepted versionen
dc.format.extentPages 42-56en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1080/23794925.2018.1423893en
dc.identifier.eissn2379-4933en
dc.identifier.issn2379-4925en
dc.identifier.issue1en
dc.identifier.orcidRusson, Jody [0000-0002-5629-2626]en
dc.identifier.urihttp://hdl.handle.net/10919/104005en
dc.identifier.volume3en
dc.language.isoenen
dc.publisherInformaen
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.titlePredicting Alliance for Depressed and Suicidal Adolescents: The Role of Perceived Attachment to Mothersen
dc.title.serialEvidence-Based Practice in Child and Adolescent Mental Healthen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/All T&R Facultyen
pubs.organisational-group/Virginia Tech/Liberal Arts and Human Sciencesen
pubs.organisational-group/Virginia Tech/Liberal Arts and Human Sciences/Human Development and Family Scienceen
pubs.organisational-group/Virginia Tech/Liberal Arts and Human Sciences/CLAHS T&R Facultyen

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