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01.10.2014 | Original Paper

Racial/Ethnic Match and Treatment Outcomes for Women with PTSD and Substance Use Disorders Receiving Community-Based Treatment

verfasst von: Lesia M. Ruglass, Denise A. Hien, Mei-Chen Hu, Aimee N. C. Campbell, Nathilee A. Caldeira, Gloria M. Miele, Doris F. Chang

Erschienen in: Community Mental Health Journal | Ausgabe 7/2014

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Abstract

This study examined the relationship between racial/ethnic match and treatment outcomes for 224 women who participated in a clinical trial of group treatments for posttraumatic stress disorder (PTSD) and substance use disorders. Generalized estimating equations were used to examine the effect of client–therapist racial/ethnic match on outcomes. Results revealed racial/ethnic match was not significantly associated with session attendance. There was a significant three-way interaction between client race/ethnicity, baseline level of PTSD symptoms, and racial/ethnic match on PTSD outcomes. White clients, with severe PTSD symptoms at baseline, who attended treatment groups where they were matched with their therapist, had greater reductions in PTSD symptoms at follow-up than their counterparts who were racially/ethnically mismatched with their group therapist. Racial/ethnic match did not confer additional benefits for Black clients in terms of PTSD outcomes. Racial/ethnic match interacted with baseline substance use to differentially influence substance use outcomes at follow-up for all women. Clinical implications are discussed.

For ease of presentation, all future references to these categories will be as follows: Non-Hispanic Black/African American = Black; Non-Hispanic White = White; Latina/Hispanic -American = Latina; Multiracial = Multiracial.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, fourth edition, text revisions (DSM-IV-TR). Washington, DC: Author.CrossRef

Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., et al. (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8, 75–90.PubMedCrossRef

Cabral, R. R., & Smith, T. B. (2011). Racial/ethnic matching of clients and therapists in mental health services: A meta-analytic review of preferences, perceptions, and outcomes. Journal of Counseling Psychology, 58, 537–554.PubMedCrossRef

Campbell, C. I., & Alexander, J. A. (2002). Cultural competent treatment priorities and the ancillary services used in outpatient substance abuse treatment. Journal of Substance Abuse Treatment, 22, 109–119.PubMedCrossRef

Center for Substance Abuse Treatment. (2005). Substance abuse treatment: Group therapy. Treatment Improvement Protocol (TIP) Series 41. DHHS Publication No. (SMA) 05-3991. Rockville, MD: Substance Abuse and Mental Health Services Administration.

Chang, D. F., & Berk, A. (2009). Making cross-racial therapy work: A phenomenological study of clients’ experiences of cross-racial therapy. Journal of Counseling Psychology, 56, 521–536.PubMedCrossRefPubMedCentral

Chang, D. F., & Yoon, P. (2011). Clients’ perceptions of the significance and impact of race in cross-racial therapy. Psychotherapy Research, 21(5), 567–582.PubMedCrossRef

Coleman, H. L. K., Wampold, B. E., & Casali, S. L. (1995). Ethnic minorities’ ratings of ethnically similar and European American counselors: A meta-analysis. Journal of Counseling Psychology, 42, 55–64.CrossRef

Diggle, P. J., Liang, K. Y., & Zeger, S. L. (1994). Analysis of longitudinal data. Oxford: Clarendon Press.

Erdur, O., Rude, S. S., & Baron, A. (2003). Symptom improvement and length of treatment in ethnically similar and dissimilar client–therapist pairings. Journal of Counseling Psychology, 50, 52–58.CrossRef

Fiorentine, R., & Hillhouse, M. P. (1999). Drug treatment effectiveness and client–counselor empathy: Exploring the effects of gender and ethnic congruency. Journal of Drug Issues, 29, 59–74.

Flaskerud, J., & Liu, P. Y. (1991). Effects of an Asian client–therapist language, ethnicity and gender match on utilization and outcome of therapy. Community Mental Health Journal, 27, 31–42.PubMedCrossRef

Folstein, M., Folstein, S., & McHugh, P. (1975). ‘Mini-Mental State’: A practical method for grading cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 196–198.

Ford, J. (2008). Trauma, posttraumatic stress disorder, and ethnoracial minorities: Toward diversity and cultural competence in principles and practices. Clinical Psychology: Science and Practice, 15, 62–67.

Foy, D. W., Eriksson, C. B., & Trice, G. A. (2001). Introduction to group interventions for trauma survivors. Group Dynamics: Theory, Research, and Practice, 5, 246–251. CrossRef

Hasin, D., Trautman, K., & Endicott, J. (1998). Psychiatric research interview for substance and mental disorders: Phenomenologically-based diagnosis in patients who abuse alcohol or drugs. Psychopharmacology Bulletin, 34, 3–8.

Helms, J. E., & Carter, R. T. (1991). Relationship of White and Black racial identity attitudes and demographic similarity to counselor preferences. Journal of Counseling Psychology, 38, 71–75.CrossRef

Hien, D. A., Cohen, L. R., Miele, G. M., Litt, L. C., & Capstick, C. (2004). Promising treatments for women with comorbid PTSD and substance use disorders. The American Journal of Psychiatry, 161, 1426–1432.PubMedCrossRef

Hien, D. A., Jiang, H., Suarez-Morales, L., Campbell, A., Cohen, L., & Miele, G. (2009). Multi-site randomized trial of behavioral interventions for women with co-occurring PTSD and substance use disorders. Journal of Consulting and Clinical Psychology, 77, 607–619.PubMedCrossRefPubMedCentral

Inkeles, A., & Levenson, S. J. (1969). National character: The study of modal personality and sociocultural systems. In G. Lindzey & E. Aronson (Eds.), The handbook of social psychology. Reading, MA: Addison-Wesley.

Jerrell, J. M. (1998). Effect of ethnic matching of young clients and mental health staff. Cultural Diversity and Mental Health, 4, 297–302.PubMedCrossRef

Jones, E. E. (1982). Psychotherapist’s impressions of treatment outcome as a function of race. Journal of Clinical Psychology, 38, 722–731.PubMedCrossRef

Karlsson, R. (2005). Ethnic matching between therapist and patient in psychotherapy: An overview of findings, together with methodological and conceptual issues. Cultural Diversity and Ethnic Minority Psychology, 11, 113–129.PubMedCrossRef

Knox, S., Burkard, A. W., Johnson, A. J., Suzuki, L. A., & Ponterotto, J. G. (2003). African American and European American therapists’ experiences of addressing race in cross-racial psychotherapy dyads. Journal of Counseling Psychology, 50, 466–481.CrossRef

Maramba, G. G., & Hall, G. C. N. (2002). Meta-analyses of ethnic match as a predictor of dropout, utilization, and level of functioning. Cultural Diversity and Ethnic Minority Psychology, 8, 290–297.PubMedCrossRef

McLellan, A. T., Kushner, H., Metzger, D., Peters, R., Smith, I., Grisom, G., et al. (1992). The fifth edition of the Addiction Severity Index. Journal of Substance Abuse Treatment, 9, 199–213.PubMedCrossRef

Miller, S., Pagan, D., & Tross, S. (1998). Women’s Health Education. In Peer activism for female partners of injection drug users. Unpublished treatment manual, Columbia University.

Najavits, L. M. (2002). Seeking safety: A treatment manual for PTSD and substance abuse. New York: Guilford.

Pacek, L. R., Malcolm, R. J., & Martins, S. S. (2012). Race/ethnicity differences between alcohol, marijuana, and co-occurring alcohol and marijuana use disorders and their association with public health and social problems using a national sample. American Journal on Addictions, 21, 435–444.PubMedCrossRefPubMedCentral

Phinney, J. S. (1996). When we talk about American ethnic group, what do we mean? American Psychologist, 51, 918–927.CrossRef

Pole, N., Gone, J. P., & Kulkarni, M. (2008). Posttraumatic stress disorder among ethnoracial minorities in the United States. Clinical Psychology: Science and Practice, 15, 35–61.

Ricker, M., Nystul, M., & Waldo, M. (1999). Counselors’ and clients’ ethnic similarity and therapeutic alliance in time-limited outcomes of counseling. Psychological Reports, 84, 674–676.PubMedCrossRef

Roberts, A. L., Gilman, S. E., Breslau, J., Breslau, N., & Koenen, K. C. (2010). Race/ethnic differences in exposure to traumatic events, development of post-traumatic stress disorder, and treatment-seeking for post-traumatic stress disorder in the United States. Psychological Medicine, 40, 1–13.CrossRef

Shin, S., Chow, C., Camacho-Gonsalves, T., Levy, R. J., Allen, I. E., & Leff, H. S. (2005). A meta-analytic review or racial–ethnic matching for African American and Caucasian American clients and clinicians. Journal of Counseling Psychology, 52, 45–56.CrossRef

Sterling, R. C., Gottheil, E., Weinstein, S. P., & Serota, R. (1998). Therapist/patient race and sex matching: Treatment retention and 9-month follow-up outcome. Addiction, 93, 1043–1050.PubMedCrossRef

Sue, S., Fujino, D. C., Hu, L., Takeuchi, D. T., & Zane, N. W. S. (1991). Community mental health services for ethnic minority subgroups: A test of the cultural responsiveness hypothesis. Journal of Consulting and Clinical Psychology, 59, 533–540.PubMedCrossRef

Sue, S., & Zane, N. (1987). The role of culture and cultural technique in psychotherapy. American Psychologist, 42, 37–45.PubMedCrossRef

Sue, S., Zane, N., Hall, G. C. N., & Berger, L. K. (2009). The case for cultural competency in psychotherapeutic interventions. Annual Review of Psychology, 60, 525–548.PubMedCrossRefPubMedCentral

Thompson, Sanders, & Alexandar, H. (2006). Therapists’ race and African American clients’ reactions to therapy. Psychotherapy: Theory, Research, Practice, Training, 43, 99–110.CrossRef

Weathers, F. W., Keane, T. M., & Davidson, J. R. (2001). Clinician Administered PTSD Scale: A review of the first ten years of research. Depression and Anxiety, 13, 132–156.PubMedCrossRef

Wells, K., Klap, R., Koike, A., & Sherbourne, C. (2001). Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. The American Journal of Psychiatry, 158, 2027–2032.PubMedCrossRef

Wintersteen, M. B., Mensinger, J. L., & Diamond, G. S. (2005). Do gender and racial differences between patient and therapist affect therapeutic alliance and treatment retention in adolescents? Professional Psychology: Research and Practice, 36, 400–408.CrossRef

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York: Basic Books.

Zane, N., Hall, G., Sue, S., Young, K., & Nunez, J. (2003). Research on psychotherapy with culturally diverse populations. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change (5th ed., pp. 767–804). New York: Wiley.

Zane, N., Sue, S., Chang, J., Huang, L., Huang, J., Lowe, S., et al. (2005). Beyond ethnic match: Effects of client–therapist cognitive match on problem perception, coping orientation, and therapy goals on treatment outcomes. Journal of Community Psychology, 33(5), 569–585.CrossRef

Titel: Racial/Ethnic Match and Treatment Outcomes for Women with PTSD and Substance Use Disorders Receiving Community-Based Treatment
verfasst von: Lesia M. Ruglass
Denise A. Hien
Mei-Chen Hu
Aimee N. C. Campbell
Nathilee A. Caldeira
Gloria M. Miele
Doris F. Chang
Publikationsdatum: 01.10.2014
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 7/2014
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-014-9732-9

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