Substance use disorders and racial/ethnic minorities matter: A meta-analytic examination of the relation between alliance and outcome

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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