Group Alliance and Cohesion as Predictors of Drug and Alcohol Abuse Treatment Outcomes

Gillaspy, J. Arthur; Wright, Anna R.; Campbell, Catherine; Stokes, Sandra J.; Adinoff, Bryon

doi:10.1093/ptr/12.2.213

Cited by 83 publications

(84 citation statements)

References 14 publications

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“…Indeed, of the four, cohesion and alliance are the most frequently paired (Gillaspy, Wright, Campbell, Stokes, & Adinoff, 2002;Joyce, Piper, & Ogrodniczuk., 2007;Lorentzen, Sexton, & Hoglend., 2004;Marziali et al, 1997) and most found alliance as a stronger predictor of outcome than cohesion.…”

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confidence: 99%

The Group Questionnaire: A clinical and empirically derived measure of group relationship

Krogel

Burlingame

Chapman

et al. 2013

Psychotherapy Research

143

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The Group Questionnaire (GQ) is a recently developed self-report measure of the therapeutic relationship based on Johnson and colleagues (2005) three-factor model; Positive Bonding, Positive Working, and Negative Relationship. This study validated Johnson's model with a new and extended sample and created a shorter 40-item trial version. SEM analysis of the GQ tested whether it produced the same three-factor structure found in three earlier studies with 486 participants from three populations-outpatient university counseling center, non-patient AGPA process groups, and inpatient state hospital. Results of further SEM refinements demonstrated that a final 30-item version had good fit to the three-factor model although distinct differences in response pattern were found between the three populations. Implications for future utility and clinical relevance of the GQ are discussed.

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Section: Please Scroll Down For Articlementioning

confidence: 99%

The Group Questionnaire: A clinical and empirically derived measure of group relationship

Krogel

Burlingame

Chapman

et al. 2013

Psychotherapy Research

143

View full text Add to dashboard Cite

show abstract

“…Marziali et al (1997) found that both their group therapeutic alliance and group cohesion measures made independent contributions to the prediction of group member outcome. However, Gillaspy et al (2002) found that only their group therapeutic alliance measure independently predicted group member outcome. Because both the group therapeutic alliance and group cohesion may be important predictors of group member outcome, in this research, we examined both of these aspects of the group therapeutic relationship; the group member's alliance to the group as a whole and the group member's cohesion to the group.…”

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confidence: 94%

A time-lagged, actor–partner interdependence analysis of alliance to the group as a whole and group member outcome in overweight and obesity treatment groups.

Gullo

Coco

Pazzagli

et al. 2014

Journal of Counseling Psychology

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A time-lagged design was used to examine how the perceptions of alliance to the group as a whole by the other group members at an earlier point in the group were related to an individual group member's perceptions of alliance to the group as a whole at a later point in the group. We also examined how treatment outcome moderated this relationship. Seventy-three patients diagnosed as overweight or obese participating in 10 short-term therapy groups provided data for analyses. Group members completed measures of cohesion to the group and alliance to the group as a whole at the third, sixth, and last session of 12-session groups as well as pre- and posttest ratings on Obesity-Related Well-Being and the Outcome Questionnaire-45. As hypothesized, earlier ratings of alliance to the group as a whole by the other group members were related to later ratings of alliance to the group as a whole by the group member. Also as hypothesized, when group members had a better outcome, there was a significant positive relationship between perceptions of alliance to the group as a whole by the other group members at an earlier point in the group and an individual group member's perceptions of alliance to the group as a whole at a later point in time. When members had a worse outcome, there was no relationship between perceptions of alliance to the group as a whole by the other group members at an earlier point in the group and an individual group member's perceptions of alliance to the group as a whole at a later point in the group.

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“…As a potential means to reduce drug and alcohol use, improvements in therapeutic alliance and treatment satisfaction were targeted. Therapeutic alliance was chosen because it consistently predicts the outcome of psychotherapy and counseling (Martin, Garske, & Davis, 2000) and has also been found to predict outcome in substance abuse settings (Gillaspy, Wright, Campbell, Stokes, & Adinoff, 2002). Treatment satisfaction was included because it is commonly an element of quality monitoring systems in addiction treatment programs (National Treatment Center Study, 2005).…”

Section: Introductionmentioning

confidence: 99%

A feasibility study of a web-based performance improvement system for substance abuse treatment providers

Forman

Crits‐Christoph

Kaynak

et al. 2007

Journal of Substance Abuse Treatment

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We report here on the feasibility of implementing a semiautomated performance improvement system-Patient Feedback (PF)-that enables real-time monitoring of patient ratings of therapeutic alliance, treatment satisfaction, and drug/alcohol use in outpatient substance abuse treatment clinics. The study was conducted in six clinics within the National Institute on Drug Abuse Clinical Trials Network. It involved a total of 39 clinicians and 6 clinic supervisors. Throughout the course of the study (consisting of five phases: training period [4 weeks], baseline [4 weeks], intervention [12 weeks], postintervention assessment [4 weeks], sustainability [1 year]), there was an overall collection rate of 75.5% of the clinic patient census. In general, the clinicians in these clinics had very positive treatment satisfaction and alliance ratings throughout the study. However, one clinic had worse drug use scores at baseline than other participating clinics and showed a decrease in self-reported drug use at postintervention. Although the implementation of the PF system proved to be feasible in actual clinical settings, further modifications of the PF system are needed to enhance any potential clinical usefulness.

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Group Alliance and Cohesion as Predictors of Drug and Alcohol Abuse Treatment Outcomes

Cited by 83 publications

References 14 publications

The Group Questionnaire: A clinical and empirically derived measure of group relationship

The Group Questionnaire: A clinical and empirically derived measure of group relationship

A time-lagged, actor–partner interdependence analysis of alliance to the group as a whole and group member outcome in overweight and obesity treatment groups.

A feasibility study of a web-based performance improvement system for substance abuse treatment providers

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