Helping alliance, retention, and treatment outcomes: A secondary analysis from the NIDA clinical trials network women and trauma study

Lesia M. Ruglass, Gloria M. Miele, Denise A. Hien, Aimee N.C. Campbell, Mei Chen Hu, Nathilee Caldeira, Huiping Jiang, Lisa Litt, Therese Killeen, Mary Hatch-Maillette, Lisa Najavits, Chanda Brown, James A. Robinson, Gregory S. Brigham, Edward V. Nunes

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

We examined the association between the therapeutic alliance and treatment outcomes among 223 women with posttraumatic stress disorder (PTSD) and substance use disorders who participated in a multisite clinical trial of group treatments for trauma and addictions in the United States throughout 2004 and 2005. General linear models indicated that women who received Seeking Safety, a cognitive-behavioral treatment, had significantly higher alliance ratings than those in Women's Health Education, a control group. Alliance was related to significant decreases in PTSD symptoms and higher attendance in both interventions. Alliance was not related to substance use outcomes. Implications and limitations of the findings are discussed.

Original languageEnglish (US)
Pages (from-to)695-707
Number of pages13
JournalSubstance Use and Misuse
Volume47
Issue number6
DOIs
StatePublished - May 2012
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Keywords

  • Helping alliance
  • Posttraumatic stress disorder
  • Retention
  • Substance use disorders
  • Treatment outcomes

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