title: Helping alliance, retention, and treatment outcomes: a secondary analysis from the NIDA Clinical Trials Network Women and Trauma Study.
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.
authors.affiliation: Department of Psychology, The City College of New York, The City University of New York, New York, New York 10031, USA. lmr2146@columbia.edu
authors.forename: Lesia M
authors.initials: LM
authors.lastname: Ruglass
authors.forename: Gloria M
authors.initials: GM
authors.lastname: Miele
authors.forename: Denise A
authors.initials: DA
authors.lastname: Hien
authors.forename: Aimee N C
authors.initials: AN
authors.lastname: Campbell
authors.forename: Mei-Chen
authors.initials: MC
authors.lastname: Hu
authors.forename: Nathilee
authors.initials: N
authors.lastname: Caldeira
authors.forename: Huiping
authors.initials: H
authors.lastname: Jiang
authors.forename: Lisa
authors.initials: L
authors.lastname: Litt
authors.forename: Therese
authors.initials: T
authors.lastname: Killeen
authors.forename: Mary
authors.initials: M
authors.lastname: Hatch-Maillette
authors.forename: Lisa
authors.initials: L
authors.lastname: Najavits
authors.forename: Chanda
authors.initials: C
authors.lastname: Brown
authors.forename: James A
authors.initials: JA
authors.lastname: Robinson
authors.forename: Gregory S
authors.initials: GS
authors.lastname: Brigham
authors.forename: Edward V
authors.initials: EV
authors.lastname: Nunes
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D005260:Female; D006801:Humans; D008875:Middle Aged; D054577:National Institute on Drug Abuse (U.S.); D017063:Outcome Assessment, Health Care / Q000379:methods*; D010349:Patient Compliance; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000628:therapy; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult