{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T23:29:30Z","timestamp":1783726170649,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,4,22]],"date-time":"2016-04-22T00:00:00Z","timestamp":1461283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"crossref","award":["R01-MH-074505-04"],"award-info":[{"award-number":["R01-MH-074505-04"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To examine the relationship between improvements in adolescent ratings of therapeutic alliance and reductions in posttraumatic stress disorder (PTSD) severity over time among adolescent girls during prolonged exposure therapy for adolescents (PE\u2010A) versus client\u2010centered therapy (CCT), as well as to examine differences in changes in alliance between treatment groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A total of 61 adolescent girls (aged 13\u201318 years) with sexual assault\u2010related PTSD received PE\u2010A or CCT in a randomized controlled trial. Participants rated alliance at session 3, midtreatment, and posttreatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The rate of improvement in adolescent\u2010rated alliance was greater in PE\u2010A than CCT over the course of treatment. In addition, improvement in adolescent\u2010rated alliance significantly contributed to improvements in PTSD (regardless of treatment condition), but not vice versa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Contrary to beliefs that trauma\u2010focused treatments fail to establish strong therapeutic alliance in sexually abused adolescents, improvement in adolescent ratings of alliance were greater in PE\u2010A compared to CCT, and improvements in adolescent\u2010rated alliance were significantly associated with better treatment outcome across both types of treatments.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.22303","type":"journal-article","created":{"date-parts":[[2016,4,22]],"date-time":"2016-04-22T23:11:41Z","timestamp":1461366701000},"page":"1026-1036","source":"Crossref","is-referenced-by-count":39,"title":["Therapeutic Alliance during Prolonged Exposure Versus Client\u2010Centered Therapy for Adolescent Posttraumatic Stress Disorder"],"prefix":"10.1002","volume":"72","author":[{"given":"Sandra","family":"Capaldi","sequence":"first","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"Asnaani","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie J.","family":"Zandberg","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph K.","family":"Carpenter","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edna B.","family":"Foa","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,4,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0036891"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.68.6.1027"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0085885"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2013.785358"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.72.3.411"},{"key":"e_1_2_6_8_1","volume-title":"Client\u2010centered therapy treatment manual","author":"Cohen J. 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