The working alliance inventory - short version: psychometric properties of the patient and therapist form in youth mental health and addiction care.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101627676 Publication Model: Electronic Cited Medium: Internet ISSN: 2050-7283 (Electronic) Linking ISSN: 20507283 NLM ISO Abbreviation: BMC Psychol Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2013]-
    • Subject Terms:
      Psychometrics*/instrumentation ; Therapeutic Alliance* ; Mental Disorders*/therapy ; Mental Disorders*/psychology; Humans ; Adolescent ; Male ; Female ; Psychotherapy/methods ; Substance-Related Disorders/therapy ; Substance-Related Disorders/psychology ; Adult ; Young Adult ; Surveys and Questionnaires/standards ; Child
    • Abstract:
      The therapeutic alliance is considered to play an important role in youth treatment. The commonly used versions of the Working Alliance Inventory (WAI) are based on Bordin's three-dimensional alliance model. However, previous psychometric studies of the WAI did not find this three-dimensional structure in youth psychotherapy. These earlier findings may indicate different perceptions of the alliance by adolescent versus adult patients, but may also be due to methodological shortcomings. The current study aims to address previous study limitations by evaluating the factor structure of the short version of the WAI (WAI-S) in youth treatment in multilevel analysis to address the hierarchical structure of the alliance data. We examined the psychometric properties of the patient (n = 203) and therapist (n = 62) versions of the WAI-S in youth mental health and addiction care and tested four multilevel models of alliance at start of treatment and 2-month follow-up. Our results suggests a two-factor model for youth and a three-dimensional model for their therapist at both time points. Since this is the first study that finds a best fit for a two-dimensional construct of alliance in youth, more research is needed to clarify whether the differences in alliance dimensions are due to measurement differences between the WAI-S for youth and therapists or whether youth and their therapists truly differ in their perceptions of the concept of alliance.
      (© 2024. The Author(s).)
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    • Contributed Indexing:
      Keywords: Hierarchical alliance data; Multilevel confirmatory factor analyses; Patient form; Psychometric properties; The working alliance inventory-short version; Therapeutic alliance; Therapist form; Youth addiction care; Youth mental health care; Youth treatment
    • Publication Date:
      Date Created: 20240601 Date Completed: 20240601 Latest Revision: 20240603
    • Publication Date:
      20240603
    • Accession Number:
      PMC11143678
    • Accession Number:
      10.1186/s40359-024-01754-1
    • Accession Number:
      38822423