Alliance between Therapist and Multi-Stressed Families during the COVID-19 Pandemic: The Effect of Family-Based Videoconferencing

Autor/inn/en	Lange, Aurelie M. C.; Delsing, Marc J. M. H.; van Geffen, Marieke; Scholte, Ron. H. J.
Titel	Alliance between Therapist and Multi-Stressed Families during the COVID-19 Pandemic: The Effect of Family-Based Videoconferencing
Quelle	In: Child & Youth Care Forum, 51 (2022) 3, S.593-611 (19 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Lange, Aurelie M. C.) ORCID (van Geffen, Marieke)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1053-1890
DOI	10.1007/s10566-021-09644-y
Schlagwörter	Psychotherapy; Family Counseling; COVID-19; Pandemics; Stress Variables; Counselor Client Relationship; Longitudinal Studies; Predictor Variables; Gender Differences; Parent Child Relationship; Family Characteristics; Intellectual Disability; Child Neglect; Child Abuse; Case Studies; Comparative Analysis + Suchen Sie Ihr Suchwort? Psychotherapie; Family counselling; Familienberatung; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Prädiktor; Geschlechterkonflikt; Parents-child relationship; Parent-child-relation; Parent-child relationship; Eltern-Kind-Beziehung; Intellect; Disability; Disabilities; Verstand; Behinderung; Kindesvernachlässigung; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Case study; Fallstudie; Case Study
Abstract	Background: A strong therapeutic alliance or working relationship is essential for effective face-to-face family-based psychotherapy. However, little is known about the use of VC on alliance in family-based therapy. The recent COVID-19 pandemic led to a national lockdown during which most family-based therapy transferred to VC. Objective: The current study analyzed the development and strength of alliance prior and during lockdown for multi-stressed families participating in Multisystemic Therapy (MST). Method: Alliance with the therapist was reported monthly by 846 caregivers (81% female). Using latent growth curve models (longitudinal approach), the development of alliance was estimated for families participating in MST prior to the lockdown, transferring to VC early in treatment or late in treatment. Using regression analyses (cross-sectional approach), lockdown (yes/no) was included as predictor of alliance. In these analyses, type of family (regular; intellectual disability; concerns regarding child abuse or neglect) and gender of caregiver were included as moderators. Results: Both analytical approaches showed that alliance was not affected by VC, except for families with concerns of child abuse, who reported lower alliances during lockdown. However, these results where no longer significant when controlling for multiple testing. Conclusions: Strong alliances can be developed and maintained during family-based VC sessions with multi-stressed families. However, for some subgroups, such as families with concerns of child abuse, VC might not be suitable or sufficient. Future research needs to investigate the potential and limitations of using VC with families. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01