{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T04:39:53Z","timestamp":1764304793214,"version":"3.41.2"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"vor","delay-in-days":49,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R61MH119262"],"award-info":[{"award-number":["R61MH119262"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The therapeutic alliance is broadly linked with positive outcomes. However, nearly all research in this area involves in\u2010person therapy, whereas teletherapy has grown increasing common since the COVID\u201019 pandemic. There is now a pressing need to establish whether the nature and importance of the therapeutic alliance is impacted by teletherapy. This study examined therapeutic alliance in families of youth with anorexia nervosa who were participating in a randomized controlled trial that transitioned from in\u2010person to telehealth visits during the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We analysed data from 53 adolescents and their parents (20 began in\u2010person, 33 began with telehealth). Both parents, youth and therapist completed the Working Alliance Inventory\u2013Short Revised after 4\u2009weeks of treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found no significant differences across telehealth and in\u2010person treatment for paternal or therapist reported data. However, both adolescents and mothers reported higher bond and goal\u2010related alliance for in\u2010person sessions compared to telehealth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings regarding alliance across telehealth and in\u2010person sessions were mixed, with some preference among mothers and youth for in\u2010person treatment. Future studies should determine whether possible adaptations can improve working alliance during family\u2010based treatment for anorexia nervosa via telehealth.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.3017","type":"journal-article","created":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T04:24:50Z","timestamp":1718857490000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Therapeutic Alliance in Family\u2010Based Treatment of Anorexia Nervosa: In\u2010Person Versus Telehealth"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3822-5809","authenticated-orcid":false,"given":"Marita","family":"Cooper","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Behavioral Sciences Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chloe","family":"Connor","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Behavioral Sciences Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Orloff","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Behavioral Sciences Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John\u00a0D.","family":"Herrington","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Behavioral Sciences Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"},{"name":"Department of Psychiatry, Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.\u00a0Alix","family":"Timko","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Behavioral Sciences Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"},{"name":"Department of Psychiatry, Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2020.100008"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0085885"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010022\u201000631\u20109"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2019.04.018"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2196\/19264"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2242"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144\u2010021\u201001494\u20100"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22672"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503300500352500"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0022186"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010021\u201000383\u2010y"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23640"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/cap0000259"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2018.1528085"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23326"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.658"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20303"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23574"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0022181"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2021.106313"}],"container-title":["Clinical Psychology &amp; Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cpp.3017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T11:49:07Z","timestamp":1732794547000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cpp.3017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1002\/cpp.3017"],"URL":"https:\/\/doi.org\/10.1002\/cpp.3017","archive":["Portico"],"relation":{},"ISSN":["1063-3995","1099-0879"],"issn-type":[{"type":"print","value":"1063-3995"},{"type":"electronic","value":"1099-0879"}],"subject":[],"published":{"date-parts":[[2024,5]]},"assertion":[{"value":"2024-01-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e3017"}}