{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:47:37Z","timestamp":1790405257871,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,12,9]],"date-time":"2015-12-09T00:00:00Z","timestamp":1449619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004257","name":"Helse Vest","doi-asserted-by":"publisher","award":["911366"],"award-info":[{"award-number":["911366"]}],"id":[{"id":"10.13039\/501100004257","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004257","name":"Helse Vest","doi-asserted-by":"publisher","award":["911253"],"award-info":[{"award-number":["911253"]}],"id":[{"id":"10.13039\/501100004257","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      In individual cognitive behavioral therapy (\n                      <jats:styled-content style=\"fixed-case\">ICBT<\/jats:styled-content>\n                      ) for youth anxiety disorders, it is unclear whether, and from whose perspective, the alliance predicts outcome. We examined whether youth\u2010 and therapist\u2010rated alliance, including level of youth\u2010therapist alliance agreement, predicted outcome in a randomized controlled trial.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Youth (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a091,\n                      <jats:italic>M<\/jats:italic>\n                      age\u00a0=\u00a011.4\u00a0years (\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                        \u00a0\n                      <\/jats:italic>\n                      =\u00a02.1), 49.5% boys, 86.8% Caucasian) diagnosed with separation anxiety disorder, social phobia, or generalized anxiety disorder drawn from the\n                      <jats:styled-content style=\"fixed-case\">ICBT<\/jats:styled-content>\n                      condition of an effectiveness trial were treated with an\n                      <jats:styled-content style=\"fixed-case\">ICBT<\/jats:styled-content>\n                      program. Youth\u2010 and therapist\u2010rated alliance ratings, assessed with the Therapeutic Alliance Scale for Children (\n                      <jats:styled-content style=\"fixed-case\">TASC<\/jats:styled-content>\n                      \u2010C\/T), were collected following session 3 (early) and 7 (late). Early alliance, change in alliance from early to late, and level of youth\u2010therapist agreement on early alliance and alliance change were examined, in relation to outcomes collected at posttreatment and 1\u2010year follow\u2010up. Outcome was defined as primary diagnosis loss and reduction in clinicians' severity ratings (\n                      <jats:styled-content style=\"fixed-case\">CSR<\/jats:styled-content>\n                      ; Anxiety Disorders Interview Schedule;\n                      <jats:styled-content style=\"fixed-case\">ADIS<\/jats:styled-content>\n                      \u2010C\/P) based on youth\u2010 and parent\u2010report at posttreatment and follow\u2010up, and youth treatment satisfaction collected at posttreatment (Client Satisfaction Scale;\n                      <jats:styled-content style=\"fixed-case\">CSS<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Early\n                      <jats:styled-content style=\"fixed-case\">TASC<\/jats:styled-content>\n                      \u2010C scores positively predicted treatment satisfaction at posttreatment. Higher levels of agreement on change in\n                      <jats:styled-content style=\"fixed-case\">TASC<\/jats:styled-content>\n                      \u2010C and\n                      <jats:styled-content style=\"fixed-case\">TASC<\/jats:styled-content>\n                      \u2010T scores early to late in treatment predicted diagnosis loss and\n                      <jats:styled-content style=\"fixed-case\">CSR<\/jats:styled-content>\n                      reduction at follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Only the level of agreement in alliance change predicted follow\u2010up outcomes in\n                      <jats:styled-content style=\"fixed-case\">ICBT<\/jats:styled-content>\n                      for youth anxiety disorders. The findings support further examination of the role that youth\u2010therapist alliance discrepancies may play in promoting positive outcomes in\n                      <jats:styled-content style=\"fixed-case\">ICBT<\/jats:styled-content>\n                      for youth anxiety disorders. Clinical trial number\n                      <jats:styled-content style=\"fixed-case\">NCT<\/jats:styled-content>\n                      00586586,\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">clinicaltrials.gov<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.12485","type":"journal-article","created":{"date-parts":[[2015,12,10]],"date-time":"2015-12-10T02:40:03Z","timestamp":1449715203000},"page":"625-632","source":"Crossref","is-referenced-by-count":41,"title":["Therapist\u2010youth agreement on alliance change predicts long\u2010term outcome in\n                    <scp>CBT<\/scp>\n                    for anxiety disorders"],"prefix":"10.1111","volume":"57","author":[{"given":"Krister W.","family":"Fjermestad","sequence":"first","affiliation":[{"name":"Department of Psychology University of Oslo Oslo 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