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

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

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)811-822
Number of pages12
JournalCommunity mental health journal
Volume50
Issue number7
DOIs
StatePublished - Sep 19 2014

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Keywords

  • PTSD
  • Racial/ethnic match
  • Substance use disorders
  • Treatment outcomes
  • Women

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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