Building strong therapeutic relationships quickly: The effect of the perceived working alliance on veterans' intensive PTSD treatment outcomes.
Journal
Psychotherapy (Chicago, Ill.)
ISSN: 1939-1536
Titre abrégé: Psychotherapy (Chic)
Pays: United States
ID NLM: 2984829R
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
pubmed:
22
6
2022
medline:
1
9
2022
entrez:
21
6
2022
Statut:
ppublish
Résumé
Intensive treatment programs (ITPs) are successful at reducing posttraumatic stress disorder (PTSD) and depression symptoms in veterans. However, the role of the working alliance in the context of ITPs is largely unexplored. The purpose of this study was to examine veteran-rated working alliance with their individual cognitive processing therapy (CPT) provider as a predictor of changes in PTSD and depression symptoms as well as negative posttrauma cognitions in two unique ITP formats. Data were collected from 128 veterans who completed a 2-week ITP, involving 2 × individual CPT/day, as well as 73 veterans who completed a 3-week ITP, involving 1 × group CPT/day and 1 × individual CPT/day. Both ITPs included adjunctive wellness, skills, and psychoeducation services in addition to CPT. Linear mixed-effects models were used to determine whether changes in working alliance predicted changes in PTSD and depression symptoms. Stronger veteran-reported working alliance with their individual CPT therapist, most notably agreement on tasks, predicted significant reductions in both the 2-week and 3-week programs in PTSD (
Identifiants
pubmed: 35727308
pii: 2022-74130-001
doi: 10.1037/pst0000447
pmc: PMC9427710
mid: NIHMS1812337
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
470-480Subventions
Organisme : NCATS NIH HHS
ID : KL2 TR002387
Pays : United States
Références
J Anxiety Disord. 2017 Aug;50:23-32
pubmed: 28545005
Psychol Trauma. 2022 May;14(4):615-623
pubmed: 34435816
Am J Psychiatry. 2014 Mar;171(3):294-304
pubmed: 24480899
J Couns Psychol. 2020 Nov;67(6):706-711
pubmed: 32212755
Can J Psychiatry. 2020 Feb;65(2):71-86
pubmed: 31535576
Pain Med. 2009 Oct;10(7):1300-11
pubmed: 19818040
Psychosom Med. 2002 Mar-Apr;64(2):258-66
pubmed: 11914441
J Consult Clin Psychol. 2004 Jun;72(3):411-6
pubmed: 15279525
Behav Res Ther. 2000 Apr;38(4):319-45
pubmed: 10761279
Psychol Trauma. 2020 May;12(4):422-430
pubmed: 31318250
Psychol Serv. 2014 May;11(2):179-84
pubmed: 24364592
Psychol Serv. 2020 Nov;17(4):414-421
pubmed: 30475041
Eur J Psychotraumatol. 2020 Aug 12;11(1):1789324
pubmed: 33029327
J Couns Psychol. 2013 Oct;60(4):610-6
pubmed: 23815630
J Consult Clin Psychol. 2006 Oct;74(5):898-907
pubmed: 17032094
Psychotherapy (Chic). 2018 Dec;55(4):316-340
pubmed: 29792475
J Affect Disord. 2020 May 15;269:134-140
pubmed: 32250866
BMC Psychiatry. 2018 Jul 27;18(1):242
pubmed: 30053860
J Trauma Stress. 2021 Aug;34(4):819-828
pubmed: 33772892
Psychol Trauma. 2016 Jan;8(1):115-21
pubmed: 26098737
J Consult Clin Psychol. 2010 Dec;78(6):974-9
pubmed: 20873895
Clin Psychol Psychother. 2022 Mar;29(2):373-399
pubmed: 34237173
Ment Health Serv Res. 2005 Mar;7(1):21-33
pubmed: 15832691
Psychol Trauma. 2016 Jan;8(1):107-114
pubmed: 26121175
J Trauma Stress. 2013 Aug;26(4):419-25
pubmed: 23934939
Stat Med. 2008 Dec 20;27(29):6137-57
pubmed: 18816511
J Consult Clin Psychol. 2000 Jun;68(3):438-50
pubmed: 10883561
Front Psychiatry. 2021 Apr 16;12:602648
pubmed: 33935823
Psychiatry Res. 2014 Dec 15;220(1-2):716-8
pubmed: 25086763
Clin Psychol Rev. 2020 Dec;82:101921
pubmed: 33069096
JAMA. 2018 Jan 23;319(4):354-364
pubmed: 29362795
J Couns Psychol. 2022 Jan;69(1):51-62
pubmed: 34197151
Psychotherapy (Chic). 2019 Mar;56(1):11-15
pubmed: 30688483
J Med Internet Res. 2006 Dec 19;8(4):e31
pubmed: 17213049
Psychol Assess. 2018 Mar;30(3):383-395
pubmed: 28493729
Am Psychol. 2017 May-Jun;72(4):311-325
pubmed: 28481579
Front Behav Neurosci. 2018 Nov 02;12:258
pubmed: 30450043
Psychol Serv. 2020 Nov;17(4):452-460
pubmed: 30742471
J Trauma Stress. 2010 Feb;23(1):25-32
pubmed: 20146255
J Consult Clin Psychol. 2014 Feb;82(1):112-21
pubmed: 24188510
J Anxiety Disord. 2012 Apr;26(3):442-52
pubmed: 22366446
Clin Psychol Psychother. 2013 Mar-Apr;20(2):118-35
pubmed: 22081490