Building strong therapeutic relationships quickly: The effect of the perceived working alliance on veterans’ intensive PTSD treatment outcomes

Autor:	Philip Held, Enya A. Meade, Merdijana Kovacevic, Dale L. Smith, Sarah Pridgen, Jennifer A. Coleman, Brian J. Klassen
Rok vydání:	2022
Předmět:	Stress Disorders Post-Traumatic Psychiatry and Mental health Clinical Psychology Treatment Outcome Cognitive Behavioral Therapy Psychotherapy Group Humans Veterans
Zdroj:	Psychotherapy. 59:470-480
ISSN:	1939-1536 0033-3204
DOI:	10.1037/pst0000447
Popis:	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 (
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0206c7aef1b14e7d89c9031fc3a397d9 https://doi.org/10.1037/pst0000447 Zobrazit plný text záznamu