The Role of the Working Alliance in Treatment for Alcohol Problems

Psychology of Addictive Behaviors

Volumn 29, Issue 2, 2015, Pages 371-381

  Cook, Sarah ^a   Heather, Nick ^b   McCambridge, Jim ^a,c  

^a LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^b NORTHUMBRIA UNIVERSITY   (United Kingdom)

^c UNIVERSITY OF YORK   (United Kingdom)

Author keywords

alcohol treatment; motivation; readiness to change; therapeutic alliance; treatment outcome; Working alliance

Indexed keywords

ADULT; ALCOHOLISM; ARTICLE; CLINICAL EFFECTIVENESS; CORRELATIONAL STUDY; DOCTOR PATIENT RELATION; DRINKING BEHAVIOR; FEMALE; FOLLOW UP; HUMAN; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MIDDLE AGED; OUTCOME ASSESSMENT; PSYCHOTHERAPY; RANDOMIZED CONTROLLED TRIAL (TOPIC); SOCIAL BEHAVIOR; TREATMENT RESPONSE; AGED; BEHAVIOR THERAPY; CONTROLLED STUDY; COUNSELING; HUMAN RELATION; MALE; MOTIVATION; MOTIVATIONAL INTERVIEWING; PROCEDURES; PSYCHOLOGY; RANDOMIZED CONTROLLED TRIAL; TREATMENT OUTCOME; VERY ELDERLY; YOUNG ADULT;

ADULT; AGED; AGED, 80 AND OVER; ALCOHOLISM; BEHAVIOR THERAPY; COUNSELING; FEMALE; HUMANS; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; MOTIVATION; MOTIVATIONAL INTERVIEWING; PROFESSIONAL-PATIENT RELATIONS; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84945970108     PISSN: 0893164X     EISSN: 19391501     Source Type: Journal    
DOI: 10.1037/adb0000058     Document Type: Article

References (40)

1. Barber, J. P., Luborsky, L., Crits-Christoph, P., Thase, M. E., Weiss, R., Frank, A., . . . Gallop, R. (1999). Therapeutic alliance as a predictor of outcome in treatment of cocaine dependence. Psychotherapy Research, 9, 54-73. http://dx.doi.org/10.1080/10503309912331332591
2. Barnicot, K., Katsakou, C., Bhatti, N., Savill, M., Fearns, N., Priebe, S. (2012). Factors predicting the outcome of psychotherapy for borderline personality disorder: A systematic review. Clinical Psychology Review, 32, 400-412. http://dx.doi.org/10.1016/j.cpr.2012.04.004
3. Busseri, M. A., Tyler, J. D. (2003). Interchangeability of the Working Alliance Inventory and Working Alliance Inventory, Short Form. Psychological Assessment, 15, 193-197. http://dx.doi.org/10.1037/1040-3590.15.2.193
4. Carbonari, J. P., DiClemente, C. C. (2000). Using transtheoretical model profiles to differentiate levels of alcohol abstinence success. Journal of Consulting and Clinical Psychology, 68, 810-817. http://dx.doi.org/10.1037/0022-006X.68.5.810
5. Connors, G. J., Carroll, K. M., DiClemente, C. C., Longabaugh, R., Donovan, D. M. (1997). The therapeutic alliance and its relationship to alcoholism treatment participation and outcome. Journal of Consulting and Clinical Psychology, 65, 588-598. http://dx.doi.org/10.1037/0022-006X.65.4.588
6. Connors, G. J., DiClemente, C. C., Dermen, K. H., Kadden, R., Carroll, K. M., Frone, M. R. (2000). Predicting the therapeutic alliance in alcoholism treatment. Journal of Studies on Alcohol, 61, 139-149.
7. Cook, S., Heather, N., McCambridge, J. on behalf of the UKATT Research Team. (2014). Posttreatment motivation and alcohol treatment outcome 9 months later: Findings from structural equation modeling. Journal of Consulting and Clinical Psychology. Advance online publication.
8. Crits-Christoph, P., Gallop, R., Temes, C. M., Woody, G., Ball, S. A., Martino, S., Carroll, K. M. (2009). The alliance in motivational enhancement therapy and counseling as usual for substance use problems. Journal of Consulting and Clinical Psychology, 77, 1125-1135. http://dx.doi.org/10.1037/a0017045
9. Dale, V., Coulton, S., Godfrey, C., Copello, A., Hodgson, R., Heather, N., . . . the UKATT Research Team. (2011). Exploring treatment attendance and its relationship to outcome in a randomized controlled trial of treatment for alcohol problems: Secondary analysis of the UK Alcohol Treatment Trial (UKATT). Alcohol and Alcoholism, 46, 592-599. http://dx.doi.org/10.1093/alcalc/agr079
10. Drummond, D. C. (1990). The relationship between alcohol dependence and alcohol-related problems in a clinical population. British Journal of Addiction, 85, 357-366. http://dx.doi.org/10.1111/j.1360-0443.1990 .tb00652.x
11. Dundon, W. D., Pettinati, H. M., Lynch, K. G., Xie, H., Varillo, K. M., Makadon, C., Oslin, D. W. (2008). The therapeutic alliance in medical-based interventions impacts outcome in treating alcohol dependence. Drug and Alcohol Dependence, 95, 230-236. http://dx.doi.org/10.1016/j.drugalcdep.2008.01.010
12. Emmerling, M. E., Whelton, W. J. (2009). Stages of change and the working alliance in psychotherapy. Psychotherapy Research, 19, 687-698. http://dx.doi.org/10.1080/10503300902933170
13. Fitzpatrick, M. R., Iwakabe, S., Stalikas, A. (2005). Perspective divergence in the working alliance. Psychotherapy Research, 15, 69-80. http://dx.doi.org/10.1080/10503300512331327056
14. Heather, N., Honekopp, J. (2008). A revised edition of the Readiness to Change Questionnaire. Addiction Research & Theory, 16, 421-433.
15. Heather, N., McCambridge, J. on behalf of the UKATT Research Team. (2013). Post-treatment stage of change predicts 12-month outcome of treatment for alcohol problems. Alcohol and Alcoholism (Oxford, Oxfordshire), 48, 329-336. http://dx.doi.org/10.1093/alcalc/agt006
16. Heather, N., Tebbutt, J. (1989). Definitions of non-abstinent and abstinent categories in alcoholism treatment outcome classifications: A review and proposal. Drug and Alcohol Dependence, 24, 83-93. http://dx .doi.org/10.1016/0376-8716(89)90070-7
17. Horvath, A. O., Del Re, A. C., Flückiger, C., Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48, 9-16. http://dx.doi.org/10.1037/a0022186
18. Horvath, A. O., Greenberg, L. S. (1989). Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36, 223-233. http://dx.doi.org/10.1037/0022-0167.36.2.223
19. Horvath, A. O., Symonds, B. (1991). Relation between working alliance and outcome in psychotherapy: A meta-analysis. Journal of Counseling Psychology, 38, 139-149. http://dx.doi.org/10.1037/0022-0167.38.2 .139
20. Hunter-Reel, D., McCrady, B. S., Hildebrandt, T., Epstein, E. E. (2010). Indirect effect of social support for drinking on drinking outcomes: The role of motivation. Journal of Studies on Alcohol and Drugs, 71, 930-937.
21. Ilgen, M. A., McKellar, J., Moos, R., Finney, J. W. (2006). Therapeutic alliance and the relationship between motivation and treatment outcomes in patients with alcohol use disorder. Journal of Substance Abuse Treatment, 31, 157-162. http://dx.doi.org/10.1016/j.jsat.2006.04.001
22. Korcha, R. A., Polcin, D. L., Bond, J. C., Lapp, W. M., Galloway, G. (2011). Substance use and motivation: A longitudinal perspective. The American Journal of Drug and Alcohol Abuse, 37, 48-53. http://dx.doi .org/10.3109/00952990.2010.535583
23. Long, C. G., Williams, M., Midgley, M., Hollin, C. R. (2000). Withinprogram factors as predictors of drinking outcome following cognitivebehavioral treatment. Addictive Behaviors, 25, 573-578. http://dx.doi .org/10.1016/S0306-4603(99)00018-0
24. Mallinckrodt, B., Tekie, Y. T. (2014, June). Using item response theory to increase sensitivity to change and group differences of the Working Alliance Inventory and its short form. Paper presented at the Annual international convention of the Society for Psychotherapy Research, Copenhagen, Denmark.
25. Martin, D. J., Garske, J. P., Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68, 438-450. http://dx.doi.org/10.1037/0022-006X.68.3.438
26. McKay, J. R., Van Horn, D. H., Lynch, K. G., Ivey, M., Cary, M. S., Drapkin, M. L., Plebani, J. G. (2013). An adaptive approach for identifying cocaine dependent patients who benefit from extended continuing care. Journal of Consulting and Clinical Psychology, 81, 1063-1073. http://dx.doi.org/10.1037/a0034265
27. Meier, P. S., Barrowclough, C., Donmall, M. C. (2005). The role of the therapeutic alliance in the treatment of substance misuse: A critical review of the literature. Addiction, 100, 304-316. http://dx.doi.org/10.1111/j.1360-0443.2004.00935.x
28. Miller, W. R. (1996). Form 90: A Structured Assessment Interview for Drinking and Related Behaviors. Bethesda, MD: National Institute of Alcohol Abuse and Alcoholism.
29. Muthén, B. (2011). Applications of Causally Defined Direct and Indirect Effects in Mediation Analysis using SEM in Mplus. Los Angeles, CA: Author.
30. Muthén, L. K., Muthén, B. O. (1998-2007). Mplus user's guide. Los Angeles, CA: Authors.
31. Raistrick, D., Bradshaw, J., Tober, G., Weiner, J., Allison, J., Healey, C. (1994). Development of the Leeds Dependence Questionnaire (LDQ): A questionnaire to measure alcohol and opiate dependence in the context of a treatment evaluation package. Addiction, 89, 563-572. http://dx.doi .org/10.1111/j.1360-0443.1994.tb03332.x
32. Rochlen, A. B., Rude, S. S., Baron, A. (2005). The relationship of client stages of change to working alliance and outcome in short-term counseling. Journal of College Counseling, 8, 52-64. http://dx.doi.org/10.1002/j.2161-1882.2005.tb00072.x
33. Roos, J., Werbart, A. (2013). Therapist and relationship factors influencing dropout from individual psychotherapy: A literature review. Psychotherapy Research, 23, 394-418. http://dx.doi.org/10.1080/10503307.2013.775528
34. StataCorp. (2011). Stata Statistical Software: Release 12. College Station TX: StataCorp.
35. Streiner, D. L. (2006). Building a better model: An introduction to structural equation modelling. The Canadian Journal of Psychiatry/La Revue canadienne de psychiatrie, 51, 317-324.
36. Tabachnik, B. G., Fidell, L. S. (1996). Using multivariate statistics (3rd ed.). New York, NY: Harper Collins.
37. Tracey, T. J., Kokotovic, A. M. (1989). Factor structure of the Working Alliance Inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 207-210. http://dx.doi.org/10.1037/1040-3590.1.3.207
38. UKATT Research Team. (2005). Effectiveness of treatment for alcohol problems: Findings of the randomised UK alcohol treatment trial (UKATT). BMJ, 331, 541. http://dx.doi.org/10.1136/bmj.331.7516.541
39. VanderWeele, T. J. (2012). Invited commentary: Structural equation models and epidemiologic analysis. American Journal of Epidemiology, 176, 608-612. http://dx.doi.org/10.1093/aje/kws213
40. Wolfe, S., Kay-Lambkin, F., Bowman, J., Childs, S. (2013). To enforce or engage: The relationship between coercion, treatment motivation and therapeutic alliance within community-based drug and alcohol clients. Addictive Behaviors, 38, 2187-2195. http://dx.doi.org/10.1016/j.addbeh .2013.01.017