Presenter Information

Emily DeckerFollow

Start Date

22-3-2019 10:00 AM

Description

Background: Adolescent patients with substance use disorders (SUD) struggle with seeking treatment, staying motivated during treatment, and are at a higher risk of relapse following treatment compared with other SUD patients. A positive therapeutic alliance between provider and patient has been shown to positively affect treatment outcomes. Therefore, describing interpersonal patient traits which influence this alliance is integral to keeping patients in treatment and preventing relapse post-treatment.

Objectives: The purpose of this integrative review was to identify interpersonal characteristics of adolescent patients with a substance use disorder which can significantly influence their therapeutic alliance with the provider, ultimately leading to better treatment engagement and outcomes.

Method: An integrative literature review was conducted according to Torraco (2016) within CINAHL, PsycInfo, ProQuest and PubMed databases. These databases were searched using the following key terms: substance use disorder, substance abuse, drug abuse, drug misuse, alcohol abuse, adolescents, adolescence, youth, teenagers, rehabilitation, therapy, treatment, readmission, relationship, therapeutic alliance, interpersonal characteristics, or personality.

Results: Interpersonal variables correlating with stronger therapeutic alliance were: older age, higher baseline levels of motivation, self-efficacy, coping skills, and commitment to recovery. In addition, general social support, problem orientation, and risky recovery environments were also significant predicts of highly rated alliance. While cautious personalities, submissive, and dominant personalities were also associated with higher rated alliance scores, even though over longer treatment stays submissive, or "warm", patients experienced less effective treatment outcomes.

Conclusion: This integrative literature review synthesized major interpersonal variables and personality traits influential in the development of early therapeutic alliance within the adolescent substance abuse patient population. Using the Tidal Model, these findings were integrated within the context of the nursing profession.

Keywords: adolescents, substance use disorder, therapeutic alliance, treatment, interpersonal characteristics, personality

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Mar 22nd, 10:00 AM

Adolescent Substance Abuse Patients Within the Therapeutic Alliance: An Integrative Literature Review

Background: Adolescent patients with substance use disorders (SUD) struggle with seeking treatment, staying motivated during treatment, and are at a higher risk of relapse following treatment compared with other SUD patients. A positive therapeutic alliance between provider and patient has been shown to positively affect treatment outcomes. Therefore, describing interpersonal patient traits which influence this alliance is integral to keeping patients in treatment and preventing relapse post-treatment.

Objectives: The purpose of this integrative review was to identify interpersonal characteristics of adolescent patients with a substance use disorder which can significantly influence their therapeutic alliance with the provider, ultimately leading to better treatment engagement and outcomes.

Method: An integrative literature review was conducted according to Torraco (2016) within CINAHL, PsycInfo, ProQuest and PubMed databases. These databases were searched using the following key terms: substance use disorder, substance abuse, drug abuse, drug misuse, alcohol abuse, adolescents, adolescence, youth, teenagers, rehabilitation, therapy, treatment, readmission, relationship, therapeutic alliance, interpersonal characteristics, or personality.

Results: Interpersonal variables correlating with stronger therapeutic alliance were: older age, higher baseline levels of motivation, self-efficacy, coping skills, and commitment to recovery. In addition, general social support, problem orientation, and risky recovery environments were also significant predicts of highly rated alliance. While cautious personalities, submissive, and dominant personalities were also associated with higher rated alliance scores, even though over longer treatment stays submissive, or "warm", patients experienced less effective treatment outcomes.

Conclusion: This integrative literature review synthesized major interpersonal variables and personality traits influential in the development of early therapeutic alliance within the adolescent substance abuse patient population. Using the Tidal Model, these findings were integrated within the context of the nursing profession.

Keywords: adolescents, substance use disorder, therapeutic alliance, treatment, interpersonal characteristics, personality

 

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