Alliance Between Therapist and Multi-stressed Families During the COVID-19 Pandemic: The Effect of Family-Based Videoconferencing
| Autor: | Marieke van Geffen, Marc J. M. H. Delsing, Aurelie M. C. Lange, Ron H. J. Scholte |
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| Přispěvatelé: | Psychiatry |
| Rok vydání: | 2021 |
| Předmět: |
Child abuse
SDG 16 - Peace media_common.quotation_subject Therapeutic alliance computer.software_genre Systemic therapy Neglect Videoconferencing Multi-stressed families SDG 3 - Good Health and Well-being Pandemic Intellectual disability medicine Life-span and Life-course Studies Multisystemic therapy media_common Original Paper SDG 16 - Peace Justice and Strong Institutions medicine.disease Justice and Strong Institutions Alliance Psychology Covid-19 computer Developmental Psychopathology Social Sciences (miscellaneous) Clinical psychology |
| Zdroj: | Child & Youth Care Forum Child and Youth Care Forum, 51(3), 593-611. Springer New York Child & Youth Care Forum, 51, 593-611 Child & Youth Care Forum, 51, 3, pp. 593-611 |
| ISSN: | 1053-1890 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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