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Johannes Mander, Julia Kalmar, Anna Werling

    Praxis Der Kinderpsychologie Und Kinderpsychiatrie
    |November 25, 2025
    PubMed
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    A new questionnaire, the Youth Alliance Scale (YAS), effectively measures the therapeutic relationship in child and adolescent psychotherapy. This time-economic instrument offers broad conceptual scope for research and clinical monitoring.

    Area of Science:

    • Psychology
    • Psychotherapy Research
    • Clinical Psychology

    Background:

    • Therapeutic alliance is crucial in child and adolescent psychotherapy.
    • Existing instruments lack time-efficiency and broad conceptual scope.
    • A need exists for a comprehensive yet brief measure of the therapeutic relationship.

    Purpose of the Study:

    • To develop and validate the Youth Alliance Scale (YAS).
    • To provide a time-economic instrument with high conceptual breadth for assessing therapeutic alliance.
    • To evaluate the YAS's psychometric properties in child and adolescent psychotherapy.

    Main Methods:

    • The Youth Alliance Scale (YAS), a 20-item questionnaire, was administered to 168 patients and their therapists.
    • The YAS completion time was approximately 10-15 minutes.
    Keywords:
    therapeutic alliance - child and adolescent psychotherapy - factor analysis - instrument development - therapeutic processtherapeutische Beziehung - Kinder- und Jugendlichenpsychotherapie - Faktorenanalyse - Fragebogenentwicklung - therapeutischer Prozess

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  • Concurrent measures included an established alliance questionnaire and parental assessment of symptom severity.

    • Main Results:

    • The YAS demonstrated factor structures consistent with hypotheses from both patient and therapist perspectives.
    • Significant associations were found between the YAS and an established therapeutic alliance measure.
    • No significant associations were observed between the YAS and symptom severity.

    Conclusions:

    • The Youth Alliance Scale (YAS) is a psychometrically sound, time-economic instrument for assessing therapeutic alliance in child and adolescent psychotherapy.
    • The YAS offers a broad conceptual scope, suitable for research and routine clinical monitoring.
    • While demonstrating limitations, the YAS addresses a critical gap in available assessment tools.