Therapist empathy, combined behavioral intervention, and alcohol outcomes in the COMBINE research project

Journal of Consulting and Clinical Psychology
Theresa B MoyersWilliam R Miller

Abstract

Common factors such as therapist empathy play an important role in treatment for addictive behaviors. The present study was a secondary analysis designed to evaluate the relation between therapist empathy and alcohol treatment outcomes in data from a large, multisite, randomized controlled trial. Audio-recorded psychotherapy sessions for 38 therapists and 700 clients had been randomly selected for fidelity coding from the combined behavioral intervention condition of Project COMBINE. Sessions were evaluated by objective raters for both specific content (coping with craving, building social skills, and managing negative mood) and relational components (empathy level of the therapist). Multilevel modeling with clients nested within therapists evaluated drinks per week at the end of treatment. Approximately 11% of the variance in drinking was accounted for by therapists. A within-therapist effect of empathy was detected (B = -0.381, SE = 0.103, p < .001); more empathy than usual was associated with subsequent decreased drinking. The Social and Recreational Counseling module (B = -0.412, SE = 0.124, p < .001), Coping with Cravings and Urges module (B = -0.362, SE = 0.134, p < .01), and the Mood Management module (B = -0.403, SE = 0...Continue Reading

Citations

Feb 15, 2016·Journal of Substance Abuse Treatment·Theresa B MoyersJon M Houck
Jul 21, 2017·The American Journal of Drug and Alcohol Abuse·Jon M Houck, Sarah W Feldstein Ewing
Jul 25, 2017·Contemporary Clinical Trials·Jennifer D EllisSteven J Ondersma
Dec 7, 2018·The Cochrane Database of Systematic Reviews·Jan KlimasWalter Cullen
Apr 16, 2021·International Journal of Offender Therapy and Comparative Criminology·Gemma ChawkeSimon C Duff

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