Treatment outcomes of a combined cognitive behavior therapy and pharmacotherapy for a sample of women with and without substance abuse histories on an acute psychiatric unit: Do therapeutic alliance and motivation matter?
Article first published online: 5 APR 2013
Copyright © American Academy of Addiction Psychiatry
The American Journal on Addictions
Volume 22, Issue 6, pages 566–573, NovemberߝDecember 2013
How to Cite
Clarke, N., Mun, E.-Y., Kelly, S., White, H. R. and Lynch, K. (2013), Treatment outcomes of a combined cognitive behavior therapy and pharmacotherapy for a sample of women with and without substance abuse histories on an acute psychiatric unit: Do therapeutic alliance and motivation matter?. The American Journal on Addictions, 22: 566–573. doi: 10.1111/j.1521-0391.2013.12013.x
- Issue published online: 16 OCT 2013
- Article first published online: 5 APR 2013
- Manuscript Accepted: 23 OCT 2012
- Manuscript Revised: 7 MAR 2012
- Manuscript Received: 17 FEB 2012
Background and Objectives
Women with comorbid psychiatric and substance abuse problems (PwSA) experience more consequences from their use and typically have the poorest prognosis and outcome, compared to those with psychiatric problems but without substance abuse problems (PwoSA). The present study examined outcomes of a combined intensive inpatient cognitive behavior therapy (CBT) and pharmacotherapy program for women with PwSA and PwoSA.
Sample consisted of 117 women on a women-only acute inpatient unit (PwSA = 50, PwoSA = 67).
Women in both groups made significant improvements in psychological functioning. High motivation at admission and therapeutic alliance at discharge were associated with improved psychological functioning at discharge for both groups.
Findings provide preliminary support for the efficacy of a combined CBT and pharmacotherapy program for women with psychiatric diagnoses on a women-only acute inpatient unit, and for pre-treatment motivation and therapeutic alliance as important correlates of better treatment outcomes. (Am J Addict 2013;22:556–573)