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Ethnic Match, Therapeutic Alliance, and Treatment Outcomes among Women with Trauma and Addictions.

Poster presented at the American Psychological Association (APA) convention, Toronto, August 6-9, 2009.

Lesia M. Ruglass, PhD (City College of New York, LI Node), Denise Hien, PhD (Columbia School of Social Work, LI Node), Mei-Chen Hu, PhD (Columbia University, LI Node), Nathilee Caldeira, PhD (Columbia University, LI Node), Aimee N.C. Campbell, PhD (Columbia University, LI Node), Huiping Jiang, PhD (New York State Psychiatric Institute, LI Node), Gloria Miele, PhD (Columbia University, LI Node), Edward V. Nunes, MD (Columbia University, LI Node), Doris Chang, PhD (New School for Social Research, LI Node)

In this study, the authors examined the relationship between racial/ethnic match, therapeutic alliance, and treatment outcomes among 353 women with PTSD and substance use disorders who participated in the National Drug Abuse Treatment Clinical Trials Network protocol CTN-0015, "Women's Treatment for Trauma and Substance Use Disorders." Results revealed there were no significant differences in alliance ratings or session attendance between clients who were treated by racially/ethnically similar therapists and clients treated by dissimilar therapists. However, depending on clients' pre-treatment presentation, racial/ethnic match predicted positive treatment outcomes. White clients with severe PTSD symptoms at baseline were more likely to have reduced PTSD symptoms at follow-up when matched with white therapists. Black and Latina clients who were light substance users at baseline were less likely to use substances heavily at follow-up when matched with therapists from the same racial/ethnic background. The results suggest the common racial/ethnic mismatch between clients and therapists does not have to impede treatment engagement or alliance development. Moreover, under certain conditions, racial/ethnic matching may provide additional benefits. The authors conclude with a discussion of the implications of these findings for treatment women with trauma and addictions. (Poster, PPT, English, 2009)

Keywords: African Americans | CTN platform/ancillary study | Co-occurring disorders | Gender-specific interventions | Hispanics and Latinos | Minority groups | Post-traumatic stress disorder (PTSD) | Therapeutic alliance | Trauma | Women | American Psychological Assocation (APA) convention, 2009

Document No: 389

Submitted by Lesia Ruglass, PhD, CUNY - City College, LI Node, 8/11/2009.

Caldeira, Nathilee search  
Campbell, Aimee N. C. search mail
Chang, Doris search
Hien, Denise search mail
Hu, Mei-Chen search
Jiang, Huiping search mail
Miele, Gloria M. search mail
Nunes, Edward V. search mail
Ruglass, Lesia M. search mail
NIDA-CTN-0015 search www

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
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Updated 8/2009 --