The role of theory-specific techniques and therapeutic alliance in promoting positive outcomes: integrative psychotherapy for World Trade Center responders

Details

• Personal Author:
  Foster AL ; Haugen PT ; Owen J ; Werth AS
• Description:
  Abstract: World Trade Center responders demonstrate high symptom burden, underscoring the importance of refining treatment approaches for this cohort. One method is examining the impact of therapy techniques on outcomes, and the interactions between technique and alliance on outcomes. This study a) examined the interaction of early treatment techniques on integrative psychotherapy outcomes and b) explored whether associations differed at varying levels of alliance. Twenty-nine adult responders diagnosed with partial or full posttraumatic stress disorder received outpatient psychotherapy and completed weekly measures of alliance, technique, and symptom distress. Analyses indicated significant interactions between 1) alliance and psychodynamic interventions on outcomes and 2) alliance and cognitive behavioral (CB) interventions on outcomes. Clients with high alliance had better outcomes when their therapist used fewer CB techniques. No meaningful differences were found between technique and outcomes for clients with lower alliance. These findings reiterate the critical roles technique and responsiveness to the alliance play in engendering successful outcomes. [Description provided by NIOSH]
• Subjects:
  Emergencies Emergency Responders Men Mental Health Occupational Health Safety September 11 Terrorist Attacks Stress, Psychological Women
• Keywords:
  Alliance Author Keywords: First Responders Emergency-responders Emergency-response Humans Mental Stress Monitoring-systems Post-traumatic Stress Disorder Psychological-effects Psychological Stress Psychology Psychotherapy PTSD Rescue-workers Stress Technique Therapeutic Agents Treatment World Trade Center WTC

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• ISSN:
  0022-3018
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Contract
• Genre:
  Journal Article
• Place as Subject:
  Colorado ; New York ; OSHA Region 2 ; OSHA Region 8
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  204
• Issue:
  12
• NIOSHTIC Number:
  nn:20048993
• Citation:
  J Nerv Ment Dis 2016 Dec; 204(12):955-959
• Contact Point Address:
  Peter Tejas Haugen, PhD, World Trade Center Health Program, New York University School ofMedicine Clinical Center of Excellence, Bellevue Hospital Center, Room A720, 462 First Ave, New York, NY 10016
• Email:
  peter.haugen@nyumc.org
• Federal Fiscal Year:
  2017
• Performing Organization:
  New York University School of Medicine
• Peer Reviewed:
  True
• Start Date:
  20040831
• Source Full Name:
  Journal of Nervous and Mental Disease
• End Date:
  20110630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6f2bf2e67ece9b64f6fb8dce574ba90532e6d82378ae904dc6e5c15372a1a8726ecc881a53070af6424f5a17425077c83081e71d9094e59fba4b918f1f9ce907
• Download URL:
  https://stacks.cdc.gov/view/cdc/203596/cdc_203596_DS1.pdf
• File Type:
  [PDF - 491.69 KB ]