Understanding Factors Associated With Early Therapeutic Alliance in PTSD Treatment: Adherence, Childhood Sexual Abuse History, and Social Support
Objective: Therapeutic alliance has been associated with better treatment engagement, better adherence, and less dropout across various treatments and disorders. In treatment of posttraumatic stress disorder (PTSD), it may be particularly important to establish a strong early alliance to facilitate...
Gespeichert in:
| Veröffentlicht in: | Journal of consulting and clinical psychology 2010-12, Vol.78 (6), p.974-979 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 979 |
|---|---|
| container_issue | 6 |
| container_start_page | 974 |
| container_title | Journal of consulting and clinical psychology |
| container_volume | 78 |
| creator | Keller, Stephanie M. Zoellner, Lori A. Feeny, Norah C. |
| description | Objective: Therapeutic alliance has been associated with better treatment engagement, better adherence, and less dropout across various treatments and disorders. In treatment of posttraumatic stress disorder (PTSD), it may be particularly important to establish a strong early alliance to facilitate treatment adherence. However, factors such as childhood sexual abuse (CSA) history and poor social support may impede the development of early alliance in those receiving PTSD treatment. We sought to examine treatment adherence, CSA history, and social support as factors associated with early alliance in individuals with chronic PTSD who were receiving either prolonged exposure therapy (PE) or sertraline. Method: At pretreatment, participants (76.6% female; 64.9% Caucasian; mean age = 37.1 years, SD = 11.3) completed measures of trauma history, general support (Inventory of Socially Supportive Behaviors), and trauma-related social support (Social Reactions Questionnaire). Over the course of 10 weeks of PE or sertraline, they completed early therapeutic alliance (Working Alliance Inventory) and treatment adherence measures. Results: Early alliance was associated with PE adherence (r = .32, p < .05) and overall treatment completion (r = .19, p < .05). Only trauma-related social support predicted the strength of early alliance beyond the effects of treatment condition (β = .23, p < .05); CSA history was not predictive of a lower early alliance. Conclusions: Given the associations with adherence, clinicians may find it useful to routinely assess alliance early in treatment. Positive trauma support, not CSA history, may be particularly important in the development of a strong early therapeutic alliance. |
| doi_str_mv | 10.1037/a0020758 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3244206</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ932322</ericid><sourcerecordid>763254143</sourcerecordid><originalsourceid>FETCH-LOGICAL-a576t-687ee5513101560bab59ff6faa4e676470fc8e562e9947cb48ee986958e6e74e3</originalsourceid><addsrcrecordid>eNqFkl2LEzEYhQdR3O4q-ANEgiAKbjXfmXixUGrXVRYU2kXvQpp5Z5slnRmTGbE_w39sSrv140KvAjkP75tzcoriEcGvCGbqtcWYYiXKO8WIaKbHlBB1txjlWzrGWH45Ko5TusEYE4nF_eKI4lKxUotR8eOqqSCm3jaVb67RuXV9GxOapNQ6b3uo0Gffr9DMxrBBixVE28HQe4cmIXjbOEC-QZ8W87doEcH2a2j6N2hSZRCyeIqmKx-qVdtWaA7fBxvQZDkkQBc-5T2bU5T3ovl2VUDzoeva2D8o7tU2JHi4P0-Kq_PZYnoxvvz47v10cjm2Qsl-LEsFIARhBBMh8dIuha5rWVvLQSrJFa5dCUJS0Jort-QlgC6lFiVIUBzYSXG2m9sNyzVULr882mC66Nc2bkxrvflTafzKXLffDKOcUyzzgOf7AbH9OkDqzdonByHYBtohmZJpoahk-P8kEdkJFjSTT_8ib9ohNjkHU1LKtOSU_QtSklHBCd9CL3aQi21KEeqDM4LNtjTmtjQZffJ7EgfwtiUZeLYHbHI21DF_vE-_OCaySb5N5PGOg-jdQZ590IwyujX3cifbzpoubZyNuUkBkhtirktvnOuMKo00WnH2E3154eg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>763254143</pqid></control><display><type>article</type><title>Understanding Factors Associated With Early Therapeutic Alliance in PTSD Treatment: Adherence, Childhood Sexual Abuse History, and Social Support</title><source>MEDLINE</source><source>EBSCOhost APA PsycARTICLES</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Keller, Stephanie M. ; Zoellner, Lori A. ; Feeny, Norah C.</creator><contributor>La Greca, Annette M</contributor><creatorcontrib>Keller, Stephanie M. ; Zoellner, Lori A. ; Feeny, Norah C. ; La Greca, Annette M</creatorcontrib><description>Objective: Therapeutic alliance has been associated with better treatment engagement, better adherence, and less dropout across various treatments and disorders. In treatment of posttraumatic stress disorder (PTSD), it may be particularly important to establish a strong early alliance to facilitate treatment adherence. However, factors such as childhood sexual abuse (CSA) history and poor social support may impede the development of early alliance in those receiving PTSD treatment. We sought to examine treatment adherence, CSA history, and social support as factors associated with early alliance in individuals with chronic PTSD who were receiving either prolonged exposure therapy (PE) or sertraline. Method: At pretreatment, participants (76.6% female; 64.9% Caucasian; mean age = 37.1 years, SD = 11.3) completed measures of trauma history, general support (Inventory of Socially Supportive Behaviors), and trauma-related social support (Social Reactions Questionnaire). Over the course of 10 weeks of PE or sertraline, they completed early therapeutic alliance (Working Alliance Inventory) and treatment adherence measures. Results: Early alliance was associated with PE adherence (r = .32, p < .05) and overall treatment completion (r = .19, p < .05). Only trauma-related social support predicted the strength of early alliance beyond the effects of treatment condition (β = .23, p < .05); CSA history was not predictive of a lower early alliance. Conclusions: Given the associations with adherence, clinicians may find it useful to routinely assess alliance early in treatment. Positive trauma support, not CSA history, may be particularly important in the development of a strong early therapeutic alliance.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/a0020758</identifier><identifier>PMID: 20873895</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adherence ; Adolescent ; Adult ; Adult Survivors of Child Abuse - psychology ; Aged ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Child ; Child Abuse ; Child abuse & neglect ; Child Abuse, Sexual - psychology ; Child Sexual Abuse ; Childhood sexual abuse ; Children ; Clinical psychology ; Correlation ; Counselor Client Relationship ; Depressive Disorder - psychology ; Dropouts ; Drug Therapy ; Female ; Human ; Humans ; Implosive Therapy ; Life Change Events ; Male ; Measures (Individuals) ; Medical sciences ; Middle Aged ; Neuropharmacology ; Patient Compliance - psychology ; Pharmacology. Drug treatments ; Post traumatic stress disorder ; Posttraumatic Stress Disorder ; Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer ; Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease) ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychopharmacology ; Questionnaires ; Serotonin Uptake Inhibitors - therapeutic use ; Sertraline ; Sertraline - therapeutic use ; Sex crimes ; Sexual Abuse ; Social Support ; Social Support Groups ; Stress Disorders, Post-Traumatic - psychology ; Stress Disorders, Post-Traumatic - therapy ; Surveys and Questionnaires ; Therapeutic Alliance ; Therapeutic alliances ; Therapeutical relation and framework ; Therapy ; Trauma ; Treatment ; Treatment Outcome ; Treatments</subject><ispartof>Journal of consulting and clinical psychology, 2010-12, Vol.78 (6), p.974-979</ispartof><rights>2010 American Psychological Association</rights><rights>2015 INIST-CNRS</rights><rights>(c) 2010 APA, all rights reserved.</rights><rights>2010, American Psychological Association</rights><rights>Copyright American Psychological Association Dec 2010</rights><rights>2010 American Psychological Association 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a576t-687ee5513101560bab59ff6faa4e676470fc8e562e9947cb48ee986958e6e74e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27923,27924,30998,30999</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ932322$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23530346$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20873895$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>La Greca, Annette M</contributor><creatorcontrib>Keller, Stephanie M.</creatorcontrib><creatorcontrib>Zoellner, Lori A.</creatorcontrib><creatorcontrib>Feeny, Norah C.</creatorcontrib><title>Understanding Factors Associated With Early Therapeutic Alliance in PTSD Treatment: Adherence, Childhood Sexual Abuse History, and Social Support</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>Objective: Therapeutic alliance has been associated with better treatment engagement, better adherence, and less dropout across various treatments and disorders. In treatment of posttraumatic stress disorder (PTSD), it may be particularly important to establish a strong early alliance to facilitate treatment adherence. However, factors such as childhood sexual abuse (CSA) history and poor social support may impede the development of early alliance in those receiving PTSD treatment. We sought to examine treatment adherence, CSA history, and social support as factors associated with early alliance in individuals with chronic PTSD who were receiving either prolonged exposure therapy (PE) or sertraline. Method: At pretreatment, participants (76.6% female; 64.9% Caucasian; mean age = 37.1 years, SD = 11.3) completed measures of trauma history, general support (Inventory of Socially Supportive Behaviors), and trauma-related social support (Social Reactions Questionnaire). Over the course of 10 weeks of PE or sertraline, they completed early therapeutic alliance (Working Alliance Inventory) and treatment adherence measures. Results: Early alliance was associated with PE adherence (r = .32, p < .05) and overall treatment completion (r = .19, p < .05). Only trauma-related social support predicted the strength of early alliance beyond the effects of treatment condition (β = .23, p < .05); CSA history was not predictive of a lower early alliance. Conclusions: Given the associations with adherence, clinicians may find it useful to routinely assess alliance early in treatment. Positive trauma support, not CSA history, may be particularly important in the development of a strong early therapeutic alliance.</description><subject>Adherence</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adult Survivors of Child Abuse - psychology</subject><subject>Aged</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child Abuse</subject><subject>Child abuse & neglect</subject><subject>Child Abuse, Sexual - psychology</subject><subject>Child Sexual Abuse</subject><subject>Childhood sexual abuse</subject><subject>Children</subject><subject>Clinical psychology</subject><subject>Correlation</subject><subject>Counselor Client Relationship</subject><subject>Depressive Disorder - psychology</subject><subject>Dropouts</subject><subject>Drug Therapy</subject><subject>Female</subject><subject>Human</subject><subject>Humans</subject><subject>Implosive Therapy</subject><subject>Life Change Events</subject><subject>Male</subject><subject>Measures (Individuals)</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neuropharmacology</subject><subject>Patient Compliance - psychology</subject><subject>Pharmacology. Drug treatments</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic Stress Disorder</subject><subject>Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer</subject><subject>Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychopharmacology</subject><subject>Questionnaires</subject><subject>Serotonin Uptake Inhibitors - therapeutic use</subject><subject>Sertraline</subject><subject>Sertraline - therapeutic use</subject><subject>Sex crimes</subject><subject>Sexual Abuse</subject><subject>Social Support</subject><subject>Social Support Groups</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Stress Disorders, Post-Traumatic - therapy</subject><subject>Surveys and Questionnaires</subject><subject>Therapeutic Alliance</subject><subject>Therapeutic alliances</subject><subject>Therapeutical relation and framework</subject><subject>Therapy</subject><subject>Trauma</subject><subject>Treatment</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkl2LEzEYhQdR3O4q-ANEgiAKbjXfmXixUGrXVRYU2kXvQpp5Z5slnRmTGbE_w39sSrv140KvAjkP75tzcoriEcGvCGbqtcWYYiXKO8WIaKbHlBB1txjlWzrGWH45Ko5TusEYE4nF_eKI4lKxUotR8eOqqSCm3jaVb67RuXV9GxOapNQ6b3uo0Gffr9DMxrBBixVE28HQe4cmIXjbOEC-QZ8W87doEcH2a2j6N2hSZRCyeIqmKx-qVdtWaA7fBxvQZDkkQBc-5T2bU5T3ovl2VUDzoeva2D8o7tU2JHi4P0-Kq_PZYnoxvvz47v10cjm2Qsl-LEsFIARhBBMh8dIuha5rWVvLQSrJFa5dCUJS0Jort-QlgC6lFiVIUBzYSXG2m9sNyzVULr882mC66Nc2bkxrvflTafzKXLffDKOcUyzzgOf7AbH9OkDqzdonByHYBtohmZJpoahk-P8kEdkJFjSTT_8ib9ohNjkHU1LKtOSU_QtSklHBCd9CL3aQi21KEeqDM4LNtjTmtjQZffJ7EgfwtiUZeLYHbHI21DF_vE-_OCaySb5N5PGOg-jdQZ590IwyujX3cifbzpoubZyNuUkBkhtirktvnOuMKo00WnH2E3154eg</recordid><startdate>20101201</startdate><enddate>20101201</enddate><creator>Keller, Stephanie M.</creator><creator>Zoellner, Lori A.</creator><creator>Feeny, Norah C.</creator><general>American Psychological Association</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20101201</creationdate><title>Understanding Factors Associated With Early Therapeutic Alliance in PTSD Treatment: Adherence, Childhood Sexual Abuse History, and Social Support</title><author>Keller, Stephanie M. ; Zoellner, Lori A. ; Feeny, Norah C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a576t-687ee5513101560bab59ff6faa4e676470fc8e562e9947cb48ee986958e6e74e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adherence</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Adult Survivors of Child Abuse - psychology</topic><topic>Aged</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child Abuse</topic><topic>Child abuse & neglect</topic><topic>Child Abuse, Sexual - psychology</topic><topic>Child Sexual Abuse</topic><topic>Childhood sexual abuse</topic><topic>Children</topic><topic>Clinical psychology</topic><topic>Correlation</topic><topic>Counselor Client Relationship</topic><topic>Depressive Disorder - psychology</topic><topic>Dropouts</topic><topic>Drug Therapy</topic><topic>Female</topic><topic>Human</topic><topic>Humans</topic><topic>Implosive Therapy</topic><topic>Life Change Events</topic><topic>Male</topic><topic>Measures (Individuals)</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neuropharmacology</topic><topic>Patient Compliance - psychology</topic><topic>Pharmacology. Drug treatments</topic><topic>Post traumatic stress disorder</topic><topic>Posttraumatic Stress Disorder</topic><topic>Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer</topic><topic>Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychopharmacology</topic><topic>Questionnaires</topic><topic>Serotonin Uptake Inhibitors - therapeutic use</topic><topic>Sertraline</topic><topic>Sertraline - therapeutic use</topic><topic>Sex crimes</topic><topic>Sexual Abuse</topic><topic>Social Support</topic><topic>Social Support Groups</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Stress Disorders, Post-Traumatic - therapy</topic><topic>Surveys and Questionnaires</topic><topic>Therapeutic Alliance</topic><topic>Therapeutic alliances</topic><topic>Therapeutical relation and framework</topic><topic>Therapy</topic><topic>Trauma</topic><topic>Treatment</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keller, Stephanie M.</creatorcontrib><creatorcontrib>Zoellner, Lori A.</creatorcontrib><creatorcontrib>Feeny, Norah C.</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keller, Stephanie M.</au><au>Zoellner, Lori A.</au><au>Feeny, Norah C.</au><au>La Greca, Annette M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ932322</ericid><atitle>Understanding Factors Associated With Early Therapeutic Alliance in PTSD Treatment: Adherence, Childhood Sexual Abuse History, and Social Support</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>2010-12-01</date><risdate>2010</risdate><volume>78</volume><issue>6</issue><spage>974</spage><epage>979</epage><pages>974-979</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>Objective: Therapeutic alliance has been associated with better treatment engagement, better adherence, and less dropout across various treatments and disorders. In treatment of posttraumatic stress disorder (PTSD), it may be particularly important to establish a strong early alliance to facilitate treatment adherence. However, factors such as childhood sexual abuse (CSA) history and poor social support may impede the development of early alliance in those receiving PTSD treatment. We sought to examine treatment adherence, CSA history, and social support as factors associated with early alliance in individuals with chronic PTSD who were receiving either prolonged exposure therapy (PE) or sertraline. Method: At pretreatment, participants (76.6% female; 64.9% Caucasian; mean age = 37.1 years, SD = 11.3) completed measures of trauma history, general support (Inventory of Socially Supportive Behaviors), and trauma-related social support (Social Reactions Questionnaire). Over the course of 10 weeks of PE or sertraline, they completed early therapeutic alliance (Working Alliance Inventory) and treatment adherence measures. Results: Early alliance was associated with PE adherence (r = .32, p < .05) and overall treatment completion (r = .19, p < .05). Only trauma-related social support predicted the strength of early alliance beyond the effects of treatment condition (β = .23, p < .05); CSA history was not predictive of a lower early alliance. Conclusions: Given the associations with adherence, clinicians may find it useful to routinely assess alliance early in treatment. Positive trauma support, not CSA history, may be particularly important in the development of a strong early therapeutic alliance.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>20873895</pmid><doi>10.1037/a0020758</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-006X |
| ispartof | Journal of consulting and clinical psychology, 2010-12, Vol.78 (6), p.974-979 |
| issn | 0022-006X 1939-2117 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3244206 |
| source | MEDLINE; EBSCOhost APA PsycARTICLES; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adherence Adolescent Adult Adult Survivors of Child Abuse - psychology Aged Behavior therapy. Cognitive therapy Biological and medical sciences Child Child Abuse Child abuse & neglect Child Abuse, Sexual - psychology Child Sexual Abuse Childhood sexual abuse Children Clinical psychology Correlation Counselor Client Relationship Depressive Disorder - psychology Dropouts Drug Therapy Female Human Humans Implosive Therapy Life Change Events Male Measures (Individuals) Medical sciences Middle Aged Neuropharmacology Patient Compliance - psychology Pharmacology. Drug treatments Post traumatic stress disorder Posttraumatic Stress Disorder Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease) Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychopharmacology Questionnaires Serotonin Uptake Inhibitors - therapeutic use Sertraline Sertraline - therapeutic use Sex crimes Sexual Abuse Social Support Social Support Groups Stress Disorders, Post-Traumatic - psychology Stress Disorders, Post-Traumatic - therapy Surveys and Questionnaires Therapeutic Alliance Therapeutic alliances Therapeutical relation and framework Therapy Trauma Treatment Treatment Outcome Treatments |
| title | Understanding Factors Associated With Early Therapeutic Alliance in PTSD Treatment: Adherence, Childhood Sexual Abuse History, and Social Support |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-12T06%3A34%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Understanding%20Factors%20Associated%20With%20Early%20Therapeutic%20Alliance%20in%20PTSD%20Treatment:%20Adherence,%20Childhood%20Sexual%20Abuse%20History,%20and%20Social%20Support&rft.jtitle=Journal%20of%20consulting%20and%20clinical%20psychology&rft.au=Keller,%20Stephanie%20M.&rft.date=2010-12-01&rft.volume=78&rft.issue=6&rft.spage=974&rft.epage=979&rft.pages=974-979&rft.issn=0022-006X&rft.eissn=1939-2117&rft.coden=JCLPBC&rft_id=info:doi/10.1037/a0020758&rft_dat=%3Cproquest_pubme%3E763254143%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=763254143&rft_id=info:pmid/20873895&rft_ericid=EJ932322&rfr_iscdi=true |