Within-program factors as predictors of drinking outcome following cognitive-behavioral treatment

Long, Clive G.; Williams, M. S.; Midgley, Marie; Hollin, Clive R.

doi:10.1016/s0306-4603(99)00018-0

Cited by 58 publications

(53 citation statements)

References 23 publications

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“…Consequently, the overall association for our sample achieved only marginal significance (p< .10). Thus our findings are more similar to Ojehagen et al (1997) and Long et al (2000) than to Conners et al (1997) and Dearing et al (2005). A meaningful comparison of the results of these studies, however, is made quite difficult by the variations in the studies as mentioned in the Introduction.…”

Section: Discussionsupporting

confidence: 79%

“…The patient ratings in the Aftercare sample did not predict treatment attendance or outcome. Similarly, Long et al (2000) found no relationship in the patients WAI during an inpatient/day hospital stay and 12-month drinking outcome. Furthermore, Ojehagen et al (1997) found a substantial negative correlation (r = −.52) between the patients early alliance and drinking outcome at 36 month post randomization.…”

Section: Discussionmentioning

confidence: 85%

“…In a brief report by Long et al (2000), 188 consecutive admissions to a cognitive behavioral inpatient and day hospital treatment program (average length of stay = 16.1 days) were followed up 12 months after discharge. At 12 months, 170 patients were assessed and classified as being abstinent, non-problem drinkers, drinking but improved, or unimproved; outcome status was confirmed by collaterals.…”

Section: Introductionmentioning

confidence: 99%

“…Ojehagen et al (1997) found no relationship between early patient or therapist alliance and length of treatment, but their sample focused on treatment completers. The Long et al (2000) study did not report on treatment retention, because their focus was on 12-month dinking outcomes following a short-term inpatient and/or day hospital program. In terms of drinking outcomes, Conners et al (1977) and Dearing et al (2005) found some support for a positive relationship between early alliance and drinking outcomes, Ojehagen et al (1997) and Long et al (2000) did not.…”

Section: Introductionmentioning

confidence: 99%

“…The Long et al (2000) study did not report on treatment retention, because their focus was on 12-month dinking outcomes following a short-term inpatient and/or day hospital program. In terms of drinking outcomes, Conners et al (1977) and Dearing et al (2005) found some support for a positive relationship between early alliance and drinking outcomes, Ojehagen et al (1997) and Long et al (2000) did not. A more comprehensive review is beyond the scope of this paper, but this brief overview does suggest that it is difficult to draw definitive conclusions, because the studies varied in size, purpose, alliance measures, treatment setting, outcome measures, timing of outcome assessments, and findings, among other variables.…”

Section: Introductionmentioning

confidence: 99%

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The therapeutic alliance in medical-based interventions impacts outcome in treating alcohol dependence

Dundon

Pettinati

Lynch

et al. 2008

Drug and Alcohol Dependence

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This study examined the relationship of the therapeutic alliance and treatment outcomes for alcohol dependent patients receiving naltrexone or placebo and one of three different types of clinical interventions, including two medical-based (non-specialty) treatments. This is a secondary analysis of a 24-week randomized, placebo-controlled, clinical trial of 100 mg/day of naltrexone or placebo for patients with DSM-IV alcohol dependence. Patients were also randomized to one of three interventions: 1) medication clinic only, 2) medication clinic plus BRENDA (an intervention promoting pharmacotherapy), or 3) medication clinic plus Cognitive Behavioral Therapy (CBT). Early in treatment, patients and clinicians completed the Working Alliance Inventory (WAI). Regression analyses were conducted to determine the predictive validity of the WAI on percent days abstinent and percent of sessions attended over the clinical trial. In the medication clinic only condition, the clinicians' WAI total score was marginally correlated to percent of visits attended (p = .057) but not percent days abstinent. In the medication clinic plus BRENDA condition, clinicians' WAI total score was positively correlated with percent days abstinent (p = .013) but not percent visits attended. No significant relationships were found between the WAI scores and either outcome measure in the CBT condition or for any of the patient rated assessments. To our knowledge, this is the first published report providing some support for the importance of the therapeutic alliance in medical interventions for alcohol dependence but only in the context of the clinicians' ratings. The absence of other effects underscores the need for further research.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%