The authors examined initial levels and pattern of change of alliance in group treatment for posttraumatic stress disorder (PTSD) for veterans. One hundred and 78 male veterans with PTSD were recruited for this study. Participants were randomly assigned to either group cognitive–behavioral therapy (GCBT) or to group present-centered therapy (GPCT). Alliance with fellow group members was assessed every other session throughout the group (total of seven assessments). Hierarchical linear modeling was used to determine whether treatment condition or index trauma type (interpersonal or noninterpersonal) impacted initial levels of alliance or change in alliance over time. Alliance increased significantly throughout treatment in both conditions. The presence of an interpersonal index event, compared to a noninterpersonal index event, did not significantly impact either initial levels of alliance or change in alliance over time. Participants in the GCBT condition experienced significantly greater growth in alliance over time compared to those in the GPCT condition (p > .05) but did not have significantly different initial alliance ratings. The components and focus of the GCBT treatment may have facilitated more rapid bonding among members. Interpersonal traumatic experience did not negatively impact group alliance.

中文翻译：

---

创伤后应激障碍退伍军人跨团体治疗联盟：人际创伤和治疗类型的作用。

作者检查了退伍军人创伤后应激障碍 (PTSD) 团体治疗中联盟变化的初始水平和模式。本研究招募了 1078 名患有 PTSD 的男性退伍军人。参与者被随机分配到认知行为治疗组（GCBT）或以现在为中心的治疗组（GPCT）。与其他小组成员的联盟在整个小组中每隔一次会议进行一次评估（总共七次评估）。分层线性模型用于确定治疗条件或指数创伤类型（人际或非人际）是否影响联盟的初始水平或联盟随时间的变化。在两种情况下，联盟在整个治疗过程中显着增加。与非人际指标事件相比，人际指标事件的存在，没有显着影响联盟的初始水平或联盟随时间的变化。与 GPCT 条件下的参与者相比，GCBT 条件下的参与者随着时间的推移经历了显着更大的联盟增长（p > .05），但初始联盟评级没有显着差异。GCBT 治疗的组成部分和重点可能促进了成员之间更快速的结合。人际创伤经历并未对团体联盟产生负面影响。GCBT 治疗的组成部分和重点可能促进了成员之间更快速的结合。人际创伤经历并未对团体联盟产生负面影响。GCBT 治疗的组成部分和重点可能促进了成员之间更快速的结合。人际创伤经历并未对团体联盟产生负面影响。