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Early Therapeutic Alliance Levels in Relation to Symptom Change in Seeking Safety.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Early Therapeutic Alliance Levels in Relation to Symptom Change in Seeking Safety./
作者:	Urmanche, Adelya A.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2022,
面頁冊數:	85 p.
附註:	Source: Dissertations Abstracts International, Volume: 83-05, Section: B.
Contained By:	Dissertations Abstracts International83-05B.
標題:	Psychology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28768393
ISBN:	9798492734947

Early Therapeutic Alliance Levels in Relation to Symptom Change in Seeking Safety.
Urmanche, Adelya A.

Early Therapeutic Alliance Levels in Relation to Symptom Change in Seeking Safety. - Ann Arbor : ProQuest Dissertations & Theses, 2022 - 85 p.

Source: Dissertations Abstracts International, Volume: 83-05, Section: B.

Thesis (Ph.D.)--Adelphi University, 2022.

This item must not be sold to any third party vendors.

Objective: This dissertation includes two studies involving secondary analyses of a large randomized controlled trial (RCT) evaluating the benefits of combining Seeking Safety (SS) with sertraline for clients with cooccurring posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD). The first study aims to examine the relationship between early therapeutic alliance (controlling for early gains) and therapeutic outcome, defined by patterns (i.e., trajectories) of change across treatment on multiple dimensions. The second study aims to take those analyses a step further by exploring within-session alliance trajectories and using alternative strategies to examine the relationship between alliance and outcome.Method: 41 adult participants with comorbid PTSD and AUD were included from the original RCT. Session-level outcome measures included the PTSD Symptom Scale-Self Report (PSS-SR; Foa et al., 1997), the Substance Use Inventory (SUI; Weiss et al., 1995), and the Clinical Global Impressions scale (CGI; Guy, 1976). Therapeutic alliance was assessed by the Segmented Working Alliance Inventory-Observer Form (S-WAI-O; Berk et al., 2013). Mixed effects general linear models, as well as linear regressions, were used in both studies to analyze relationships between alliance and outcome and examine patterns of change over time.Results: Results of these secondary analyses indicated that early alliance did not predict outcome, even when utilizing different measures (i.e., mean scores, variance, subscale correlations) as proxies for alliance. Participants demonstrated significant and linear improvement in PTSD symptoms and global functioning levels, and a decrease in drinking days. Within-session alliance was stable over time. Despite the lack of statistical significance in these results, findings suggest the importance of continued investigations of the mechanisms of change in treatments such as Seeking Safety, encouraging also a broader discussion about the role and future of therapeutic alliance development and maintenance in substance use disorder treatment settings.

ISBN: 9798492734947Subjects--Topical Terms:

519075
Psychology.
Subjects--Index Terms:

Alcohol use

Early Therapeutic Alliance Levels in Relation to Symptom Change in Seeking Safety.
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