Helping Alliance, Retention, and Outcomes for Women with Trauma Histories


In this secondary analysis of data from the protocol CTN-0015 (Women’s Treatment for Trauma and Substance Use Disorders),  researchers examined the association between the therapeutic alliance and treatment outcome among 223 women with PTSD and substance use disorders.  The research team included Mary Hatch-Maillette, PhD, from the PNW Node.

Conclusions: Women who received the study intervention, Seeking Safety, had significantly higher alliance ratings than those in the control group.  Alliance was related to significant decreases in PTSD symptoms and higher retention for both interventions. Alliance was not related to substance use outcomes.

In all, this study demonstrates that this typically challenging group of women can develop a strong therapeutic alliance within a relatively brief treatment episode in a group format, facilitating reductions in PTSD symptoms and leading to treatment retention.

Citation:  Ruglass LM, Miele GM, Hien DA, Campbell ANC, Hu M, Caldeira N, Jian H, Litt L, Killeen T, Hatch-Maillette MA, Najavits LM, Brown C, Robinson JA, Brigham GS, Nunes EV.  Helping Alliance, Retention, and Treatment Outcomes: A Secondary Analysis from the NIDA Clinical Trials Network Women and Trauma Study.  Substance Use & Misuse 2012 (in press).

Find it in the CTN Dissemination Library!


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