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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Relationship between Alliance, Attachment and Outcome in a Child Multi-Modal Treatment Population: Pilot Study</title><author><name sortKey="Guzder, Jaswant" sort="Guzder, Jaswant" uniqKey="Guzder J" first="Jaswant" last="Guzder">Jaswant Guzder</name><affiliation><nlm:aff id="af1-ccap20_3p196">Center for Child Development and Mental Health, Institute of Community and Family Psychiatry, Jewish General Hospital, Department of Child Psychiatry, McGill University, Montreal, Quebec</nlm:aff></affiliation></author><author><name sortKey="Bond, Sharon" sort="Bond, Sharon" uniqKey="Bond S" first="Sharon" last="Bond">Sharon Bond</name><affiliation><nlm:aff id="af2-ccap20_3p196">School of Social Work and Department of Psychiatry, Couple and Family Therapy Program, Jewish General Hospital, McGill University, Montreal, Quebec</nlm:aff></affiliation></author><author><name sortKey="Rabiau, Marjorie" sort="Rabiau, Marjorie" uniqKey="Rabiau M" first="Marjorie" last="Rabiau">Marjorie Rabiau</name><affiliation><nlm:aff id="af3-ccap20_3p196">Department of Family Medicine, Jewish General Hospital, Montreal, Quebec</nlm:aff></affiliation></author><author><name sortKey="Zelkowitz, Phyllis" sort="Zelkowitz, Phyllis" uniqKey="Zelkowitz P" first="Phyllis" last="Zelkowitz">Phyllis Zelkowitz</name><affiliation><nlm:aff id="af4-ccap20_3p196">Department of Psychiatry, Jewish General Hospital, Department of Psychiatry, McGill University, Montreal, Quebec</nlm:aff></affiliation></author><author><name sortKey="Rohar, Shelley" sort="Rohar, Shelley" uniqKey="Rohar S" first="Shelley" last="Rohar">Shelley Rohar</name><affiliation><nlm:aff id="af5-ccap20_3p196">Department of Educational and Counselling Psychology, McGill University, Montreal, Quebec</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21804848</idno><idno type="pmc">3143695</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3143695</idno><idno type="RBID">PMC:3143695</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">000245</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000245</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Relationship between Alliance, Attachment and Outcome in a Child Multi-Modal Treatment Population: Pilot Study</title><author><name sortKey="Guzder, Jaswant" sort="Guzder, Jaswant" uniqKey="Guzder J" first="Jaswant" last="Guzder">Jaswant Guzder</name><affiliation><nlm:aff id="af1-ccap20_3p196">Center for Child Development and Mental Health, Institute of Community and Family Psychiatry, Jewish General Hospital, Department of Child Psychiatry, McGill University, Montreal, Quebec</nlm:aff></affiliation></author><author><name sortKey="Bond, Sharon" sort="Bond, Sharon" uniqKey="Bond S" first="Sharon" last="Bond">Sharon Bond</name><affiliation><nlm:aff id="af2-ccap20_3p196">School of Social Work and Department of Psychiatry, Couple and Family Therapy Program, Jewish General Hospital, McGill University, Montreal, Quebec</nlm:aff></affiliation></author><author><name sortKey="Rabiau, Marjorie" sort="Rabiau, Marjorie" uniqKey="Rabiau M" first="Marjorie" last="Rabiau">Marjorie Rabiau</name><affiliation><nlm:aff id="af3-ccap20_3p196">Department of Family Medicine, Jewish General Hospital, Montreal, Quebec</nlm:aff></affiliation></author><author><name sortKey="Zelkowitz, Phyllis" sort="Zelkowitz, Phyllis" uniqKey="Zelkowitz P" first="Phyllis" last="Zelkowitz">Phyllis Zelkowitz</name><affiliation><nlm:aff id="af4-ccap20_3p196">Department of Psychiatry, Jewish General Hospital, Department of Psychiatry, McGill University, Montreal, Quebec</nlm:aff></affiliation></author><author><name sortKey="Rohar, Shelley" sort="Rohar, Shelley" uniqKey="Rohar S" first="Shelley" last="Rohar">Shelley Rohar</name><affiliation><nlm:aff id="af5-ccap20_3p196">Department of Educational and Counselling Psychology, McGill University, Montreal, Quebec</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of the Canadian Academy of Child and Adolescent Psychiatry</title><idno type="ISSN">1719-8429</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives:</title><p>This pilot study explored the relationship between parental therapeutic alliance, maternal attachment style and child and family functioning in a sample of families with a child aged five to twelve years receiving child psychiatry day hospital treatment for complex co-morbid disorders.</p></sec><sec><title>Method:</title><p>Self-report measures of therapeutic alliance, maternal attachment style, child behaviour and family functioning were administered to parents at the end of the assessment period (T1) and at discharge (T2). The original study cohort included 90 families, and 44 families completed all the study measures at T2. Correlational analysis was conducted on these 44 families measuring parental alliance, maternal attachment style with child and family functioning scores. Comparisons were made between participants that completed T1 and T2 of the study with participants that only completed T1.</p></sec><sec><title>Results:</title><p>For the 44 families who completed both T1 and T2 measures, the combination of secure maternal attachment style and positive therapeutic alliance at T1 was associated with positive child outcomes, that is, improved scores on both the internalizing and externalizing dimensions as measured by the CBCL between T1 and T2. Significant changes were identified in family functioning with improvement on cohesion and expressiveness, enhanced intellectual-cultural orientation and improved family organization as measured by the FES.</p></sec><sec><title>Conclusions:</title><p>Capacity for secure attachment and positive alliance are associated with improved child and family systems outcomes in a high risk cohort of children with co-morbid disorders from a day and evening multimodal family treatment program.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Can Acad Child Adolesc Psychiatry</journal-id><journal-id journal-id-type="publisher-id">101280868</journal-id><journal-title-group><journal-title>Journal of the Canadian Academy of Child and Adolescent Psychiatry</journal-title></journal-title-group><issn pub-type="ppub">1719-8429</issn><publisher><publisher-name>Canadian Academy of Child and Adolescent Psychiatry</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21804848</article-id><article-id pub-id-type="pmc">3143695</article-id><article-id pub-id-type="publisher-id">ccap20_3p196</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>The Relationship between Alliance, Attachment and Outcome in a Child Multi-Modal Treatment Population: Pilot Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Guzder</surname><given-names>Jaswant</given-names></name><degrees>MD</degrees><xref ref-type="corresp" rid="c1-ccap20_3p196"></xref><xref ref-type="aff" rid="af1-ccap20_3p196"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Bond</surname><given-names>Sharon</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="af2-ccap20_3p196"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Rabiau</surname><given-names>Marjorie</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="af3-ccap20_3p196"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Zelkowitz</surname><given-names>Phyllis</given-names></name><degrees>EdD</degrees><xref ref-type="aff" rid="af4-ccap20_3p196"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Rohar</surname><given-names>Shelley</given-names></name><degrees>PhD (cand.)</degrees><xref ref-type="aff" rid="af5-ccap20_3p196"><sup>5</sup></xref></contrib></contrib-group><aff id="af1-ccap20_3p196"><label>1</label>Center for Child Development and Mental Health, Institute of Community and Family Psychiatry, Jewish General Hospital, Department of Child Psychiatry, McGill University, Montreal, Quebec</aff><aff id="af2-ccap20_3p196"><label>2</label>School of Social Work and Department of Psychiatry, Couple and Family Therapy Program, Jewish General Hospital, McGill University, Montreal, Quebec</aff><aff id="af3-ccap20_3p196"><label>3</label>Department of Family Medicine, Jewish General Hospital, Montreal, Quebec</aff><aff id="af4-ccap20_3p196"><label>4</label>Department of Psychiatry, Jewish General Hospital, Department of Psychiatry, McGill University, Montreal, Quebec</aff><aff id="af5-ccap20_3p196"><label>5</label>Department of Educational and Counselling Psychology, McGill University, Montreal, Quebec</aff><author-notes><corresp id="c1-ccap20_3p196">Corresponding email: <email>jaswant@videotron.ca</email></corresp></author-notes><pub-date pub-type="ppub"><month>8</month><year>2011</year></pub-date><volume>20</volume><issue>3</issue><fpage>196</fpage><lpage>202</lpage><history><date date-type="received"><day>7</day><month>12</month><year>2010</year></date><date date-type="accepted"><day>24</day><month>4</month><year>2011</year></date></history><permissions><copyright-statement>Copyright © 2011 Canadian Academy of Child and Adolescent Psychiatry</copyright-statement><copyright-year>2011</copyright-year></permissions><abstract><sec><title>Objectives:</title><p>This pilot study explored the relationship between parental therapeutic alliance, maternal attachment style and child and family functioning in a sample of families with a child aged five to twelve years receiving child psychiatry day hospital treatment for complex co-morbid disorders.</p></sec><sec><title>Method:</title><p>Self-report measures of therapeutic alliance, maternal attachment style, child behaviour and family functioning were administered to parents at the end of the assessment period (T1) and at discharge (T2). The original study cohort included 90 families, and 44 families completed all the study measures at T2. Correlational analysis was conducted on these 44 families measuring parental alliance, maternal attachment style with child and family functioning scores. Comparisons were made between participants that completed T1 and T2 of the study with participants that only completed T1.</p></sec><sec><title>Results:</title><p>For the 44 families who completed both T1 and T2 measures, the combination of secure maternal attachment style and positive therapeutic alliance at T1 was associated with positive child outcomes, that is, improved scores on both the internalizing and externalizing dimensions as measured by the CBCL between T1 and T2. Significant changes were identified in family functioning with improvement on cohesion and expressiveness, enhanced intellectual-cultural orientation and improved family organization as measured by the FES.</p></sec><sec><title>Conclusions:</title><p>Capacity for secure attachment and positive alliance are associated with improved child and family systems outcomes in a high risk cohort of children with co-morbid disorders from a day and evening multimodal family treatment program.</p></sec></abstract><trans-abstract xml:lang="fr"><title>Résumé</title><sec><title>Objectifs:</title><p>Étudier la relation qui existe entre l’alliance thérapeutique parentale, le style d’attachement maternel et le fonctionnement de l’enfant et de la famille. L’échantillon était composé de familles ayant un enfant âgé de 5 à 12 ans qui suivait un traitement de jour en psychiatrie pour comorbidités complexes.</p></sec><sec><title>Méthodologie:</title><p>Les parents ont rempli un formulaire d’auto-évaluation portant sur l’alliance thérapeutique, sur le style d’attachement maternel et sur le fonctionnement familial, à la fin de l’évaluation (T1) et au moment du congé (T2). La cohorte initiale comptait 90 familles, mais seulement 44 d’entre elles ont terminé l’étude. Les scores relatifs à l’alliance parentale, au style d’attachement maternel et au fonctionnement de la famille et de l’enfant ont été mis en corrélation. Les auteurs ont comparé les mesures obtenues à la fin de l’évaluation et au moment du congé (T1 et T2) à celles obtenues à la fin de l’évaluation seulement (T1).</p></sec><sec><title>Résultats:</title><p>Les mesures recueillies en T1 et T2 auprès des 44 familles montrent qu’un attachement maternel sécurisant associé à une alliance thérapeutique positive en T1 donne des résultats positifs, c’est-à-dire que l’enfant a un score plus élevé aux échelles d’intériorisation et d’extériorisation lorsque le CBCL est administré entre T1 et T2. On constate une amélioration significative du fonctionnement de la famille au niveau de la cohésion, de l’expression, de l’orientation intellectuelle et culturelle, et de l’organisation familiale lorsque ces variables sont mesurées par le FES (Family Environmental Scale).</p></sec><sec><title>Conclusion:</title><p>Un attachement sécurisant et une alliance parents-enfant positive améliorent les résultats de l’enfant et de la famille lorsque l’enfant est suivi pour comorbidités complexes dans un programme de traitement familial mutimodal de jour et de soir.</p></sec></trans-abstract><kwd-group><kwd>high risk children</kwd><kwd>family factors</kwd><kwd>attachment style</kwd><kwd>child multimodal treatment</kwd></kwd-group><kwd-group xml:lang="fr"><kwd>enfants à risque élevé</kwd><kwd>facteurs familiaux</kwd><kwd>style d’attachement</kwd><kwd>traitement multimodal</kwd><kwd>enfant</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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