{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T19:30:58Z","timestamp":1785353458886,"version":"3.55.0"},"reference-count":39,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2007,11,19]],"date-time":"2007-11-19T00:00:00Z","timestamp":1195430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2007,11,30]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p><jats:bold>Aim\u2003<\/jats:bold>Treatment dropout is an important concern for professionals working in mental health. While this problem is common, the highest attrition rates have been observed in drug rehabilitation programmes. The present study focuses on the therapeutic alliance, a process variable that has been associated repeatedly with positive treatment outcome in the scientific literature. Respondent behaviour indicative of commitment or resistance to treatment was examined in combination with therapist prognoses.<\/jats:p><jats:p><jats:bold>Design\u2003<\/jats:bold>A total of 248 subjects, classified into three subpopulations (justice,<jats:italic>n<\/jats:italic>\u2003=\u200350; mental health,<jats:italic>n<\/jats:italic>\u2003=\u200353; comparison group,<jats:italic>n<\/jats:italic>\u2003=\u2003145), participated in the study. Analyses aimed at predicting dropout were conducted using Cox proportional\u2010hazards regressions. The moderating effect of sub\u2010population was tested.<\/jats:p><jats:p><jats:bold>Measurements\u2003<\/jats:bold>Respondents completed a multi\u2010dimensional measure of alliance [California Psychotherapeutic Alliance Scale (CALPAS\u2010P)]. Therapists rated the behaviour of respondents in treatment and made prognoses about perseverance and improvement.<\/jats:p><jats:p><jats:bold>Findings\u2003<\/jats:bold>An increased risk of dropout was predicted when patients viewed themselves as less committed and perceived the therapist as less understanding and less involved. Therapist prognosis of perseverance was also predictive of dropout. The relationship between patient\/therapist evaluations and dropout is affected differently across subpopulations by means of a moderation effect.<\/jats:p><jats:p><jats:bold>Conclusion\u2003<\/jats:bold>This paper demonstrates the capacity to predict dropout by measuring therapeutic alliance, therapist prognoses and therapist appraisal of patient behaviour. Moreover, the moderation effect of clinical subpopulation on treatment process variables and dropout is supported in the context of drug rehabilitation programmes.<\/jats:p>","DOI":"10.1111\/j.1360-0443.2007.02027.x","type":"journal-article","created":{"date-parts":[[2007,11,20]],"date-time":"2007-11-20T04:37:27Z","timestamp":1195533447000},"page":"1960-1970","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Therapeutic alliance, patient behaviour and dropout in a drug rehabilitation programme: the moderating effect of clinical subpopulations"],"prefix":"10.1111","volume":"102","author":[{"given":"Louis\u2010Georges","family":"Cournoyer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge","family":"Brochu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Landry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Bergeron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,11,19]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1037\/h0077132"},{"key":"e_1_2_8_3_2","first-page":"190","volume-title":"Handbook of Psychotherapy and Behavior Change","author":"Garfield S. L.","year":"1994"},{"key":"e_1_2_8_4_2","volume-title":"Motivational Interviewing: Preparing People for Change","author":"Miller W. R.","year":"2002"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/09652149835008"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1037\/0735-7028.16.1.114"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.11.4.294"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0740-5472(03)00130-2"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.55.7.767"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2003.00354.x"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1981.01780330033003"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/109821409801900303"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1996.01830080103015"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.51.9.1126"},{"key":"e_1_2_8_15_2","volume-title":"Treating Co\u2010Occurring Disorders: A Handbook for Mental Health and Substance Abuse Professionals","author":"Hendrickson E.","year":"2004"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2004.00935.x"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-3204.42.4.532"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00131746-200503000-00002"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2006.01592.x"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-9338(01)00578-8"},{"key":"e_1_2_8_21_2","first-page":"57","article-title":"Drugs, alcohol and crime: patterns among Canadian Federal Inmates","author":"Brochu S.","year":"1999","journal-title":"Bull Narc"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2004.10.014"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0306624X05281336"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.3.1.68"},{"key":"e_1_2_8_25_2","first-page":"1976","article-title":"The generalizability of the psychoanalytic concept of the working alliance","volume":"16","author":"Bordin E. S.","year":"1976","journal-title":"Psychother Theory Res Pract"},{"key":"e_1_2_8_26_2","first-page":"37","volume-title":"Psychotherapy Relationships That Work: Therapist Contributions and Responsiveness to Patients","author":"Horvath A. O.","year":"2002"},{"key":"e_1_2_8_27_2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-3204.43.3.258"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.52.9.1223"},{"key":"e_1_2_8_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1993.tb02022.x"},{"key":"e_1_2_8_30_2","doi-asserted-by":"publisher","DOI":"10.3109\/16066359709005264"},{"key":"e_1_2_8_31_2","unstructured":"CournoyerL. G.Les pr\u00e9curseurs cognitifs de l'abandon pr\u00e9matur\u00e9 de la psychoth\u00e9rapie [Cognitive precursors of premature termination of psychotherapy].Doctoral dissertation Universit\u00e9 de Montr\u00e9al 1994."},{"key":"e_1_2_8_32_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.51.3.354"},{"key":"e_1_2_8_33_2","unstructured":"BergeronJ. LandryM. BrochuS. CournoyerL. G.Les d\u00e9terminants de la pers\u00e9v\u00e9rance des clients dans les traitements de r\u00e9adaptation pour l'alcoolisme et la toxicomanie: une approche multidimensionnelle [Determinants of addiction treatment perseverance: a multidimensional approach]. Final report for the grant RS 2308\u20102\u2010093 of Qu\u00e9bec Council of Social research (CQRS) 1997. Available at:http:\/\/www.risq\u2010cirasst.umontreal.ca\/cah_rec.htmlitem #CR 19 (accessed April 2007)."},{"key":"e_1_2_8_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-198001000-00006"},{"key":"e_1_2_8_35_2","first-page":"153","volume-title":"L'\u00e9valuation des client\u00e8les alcooliques et toxicomanes: l'indice de gravit\u00e9 d'une toxicomanie (ASI\/IGT) [Alcohol and Drug Abuse Evaluation Using the ASI]","author":"Boislard J.","year":"1998"},{"key":"e_1_2_8_36_2","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1111\/j.2517-6161.1972.tb00899.x","article-title":"Regression models and life tables","volume":"34","author":"Cox D. R.","year":"1972","journal-title":"J R Stat Soc"},{"key":"e_1_2_8_37_2","unstructured":"BergeronJ. LandryM. IshakA. VaugeoisP. Tr\u00e9panierM.Validation d'un instrument d'\u00e9valuation de la gravit\u00e9 des probl\u00e8mes reli\u00e9s \u00e0 la consommation de drogues et d'alcool; l'indice de gravit\u00e9 d'une toxicomanie [Validation of the ASI French\u2010Canadian version]. Ministry of Health and Social Services Qu\u00e9bec gouvernment. RISQ Montr\u00e9al;1992. Available at:http:\/\/www.risq\u2010cirasst.umontreal.ca\/cah_rec.html(Accessed April 2007)."},{"key":"e_1_2_8_38_2","volume-title":"Applied Multiple Regression\/Correlation Analysis for the Behavioral Sciences.","author":"Cohen J.","year":"1983"},{"key":"e_1_2_8_39_2","volume-title":"Critical Thinking in Clinical Practice: Improving the Quality of Judgements and Decisions","author":"Gambrill E.","year":"2005"},{"key":"e_1_2_8_40_2","doi-asserted-by":"publisher","DOI":"10.1080\/10826080601025995"}],"container-title":["Addiction"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1360-0443.2007.02027.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1360-0443.2007.02027.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T18:04:33Z","timestamp":1737569073000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1360-0443.2007.02027.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,11,19]]},"references-count":39,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2007,11,30]]}},"alternative-id":["10.1111\/j.1360-0443.2007.02027.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1360-0443.2007.02027.x","archive":["Portico"],"relation":{},"ISSN":["0965-2140","1360-0443"],"issn-type":[{"value":"0965-2140","type":"print"},{"value":"1360-0443","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,11,19]]},"assertion":[{"value":"2007-11-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}