Flückiger, Christoph; Del Re, Aaron C; Horvath, Adam O; Symonds, Dianne; Ackert, Michael; Wampold, Bruce E (2013). Substance use disorders and racial/ethnic minorities matter: A meta-analytic examination of the relation between alliance and outcome. Journal of counseling psychology, 60(4), pp. 610-616. American Psychological Association 10.1037/a0033161
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The purpose of this meta analysis was to examine the moderating impact of substance use disorder as inclusion/exclusion criterion as well as the percentage of racial/ethnic minorities on the strength of the alliance– outcome relationship in psychotherapy. It was hypothesized that the presence of a Diagnostic and Statistical Manual of Mental Disorders (DSM) Axis I substance use disorder as a criterion and the presence of racial/ethnic minorities as a sociocultural indicator are moderately correlated client factors reducing the relationship between alliance and outcome. A random effects restricted maximumlikelihood estimator was used for omnibus and moderator models (k � 94). The presence of (a) substance use disorder and (b) racial/ethnic minorities (overall and specific to African Americans) partially moderated the alliance– outcome correlation. The percentage of substance use disorders and racial/ethnic minority status was unexpectedly highly correlated in the present treatment research samples. Sociocultural contextual variables should be considered along with a DSM Axis I diagnosis of substance use disorders in analyzing and interpreting therapy process variables such as the alliance.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
01 Faculty of Theology > Institute of Empirical Religious Research 07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy |
UniBE Contributor: |
Flückiger, Christoph, Ackert, Michael |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0022-0167 |
Publisher: |
American Psychological Association |
Language: |
English |
Submitter: |
Adriana Biaggi |
Date Deposited: |
07 May 2014 15:52 |
Last Modified: |
05 Dec 2022 14:32 |
Publisher DOI: |
10.1037/a0033161 |
Uncontrolled Keywords: |
therapeutic alliance, alliance outcome correlation, ethnic minorities, substance use disorder, meta-analysis |
BORIS DOI: |
10.7892/boris.48142 |
URI: |
https://boris.unibe.ch/id/eprint/48142 |
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