Hôpital de jour, alliance thérapeutique et évolution clinique : évaluation longitudinale de 33 familles pendant deux ans

Abstract : This dissertation first part is an especially North-American comprehensive review about therapeutic alliance empirical studies that relate alliance to patient psychotherapy outcome. The second literature review emphasizes the ways and tools using for Pervasive Developmental and conduct disorders intermediate and long outcomes. The two-year prospective own study in a French Child Psychatry Day-Hospital assesses relationship between therapeutic alliance and clinical progress. Thirty-three 3-10 year-old children (18 with pervasive developmental disorders and 15 with mixed behaviour disorders) were assessed regarding their symptom status and development progress, while receiving multi modal intervention package. Independantly, the treatment staff assessed the therapeutic alliance with the parents by standardized ratings on the French modified Helping Alliance questionnaire from Luborsky. The statistical study shows that a parent's good therapeutic alliance correlate significantly with the social functionning improvement but not regarding the symptom status. As North-American therapeutic alliance adult's studies, this first child psychatry unit study seems to show that the parent therapeutic alliance is a predictor factor of child outcome independently of gender, age and pathological child status.
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Bernard Kabuth. Hôpital de jour, alliance thérapeutique et évolution clinique : évaluation longitudinale de 33 familles pendant deux ans. Psychologie. Université Nancy 2, 2003. Français. ⟨NNT : 2003NAN21012⟩. ⟨tel-01776295⟩

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