TY - JOUR
T1 - Content and implementation of clinical decisions in the routine care of people with severe mental illness
AU - Konrad, Jana
AU - Loos, Sabine
AU - Neumann, Petra
AU - Zentner, Nadja
AU - Mayer, Benjamin
AU - Slade, Mike
AU - Jordan, Harriet
AU - De Rosa, Corrado
AU - Vecchio, Valeria Del
AU - Egerhazi, Aniko
AU - Nagy, Marietta
AU - Krogsgaard Bording, Malene
AU - Sørensen, Helle Østermark
AU - Kawohl, Wolfram
AU - Rössler, Wulf
AU - Puschner, Bernd
AU - The CEDAR study group
AU - Puschner, Bernd
AU - Arnold, Katrin
AU - Ay, Esra
AU - Becker, Thomas
AU - Loos, Sabine
AU - Slade, Mike
AU - Clarke, Elly
AU - Jordan, Harriet
AU - Maj, Mario
AU - Fiorillo, Andrea
AU - Giacco, Domenico
AU - Luciano, Mario
AU - De Rosa, Corrado
AU - Sampogna, Gaia
AU - Del Vecchio, Valeria
AU - Cozzolino, Pasquale
AU - Del Vecchio, Heide Gret
AU - Salzano, Antonio
AU - Egerhazi, Aniko
AU - Ivanka, Tibor
AU - Nagy, Marietta
AU - Berecz, Roland
AU - Glaub, Teodora
AU - Süveges, Agnes
AU - Kovacs, Attila
AU - Magyar, Erzsebet
AU - Munk-Jørgensen, Povl
AU - Krogsgaard Bording, Malene
AU - Sørensen, Helle Østermark
AU - Larsen, Jens Ivar
AU - Kawohl, Wolfram
AU - Bär, Arlette
AU - Rössler, Wulf
AU - Krömer, Susanne
PY - 2015
Y1 - 2015
N2 - PURPOSE: The helping alliance (HA) between patient and therapist has been studied in detail in psychotherapy research, but less is known about the HA in long-term community mental health care. The aim of this study was to identify typical courses of the HA and their predictors in a sample of people with severe mental illness across Europe over a measurement period of one year.METHODS: Self-ratings of the HA by 588 people with severe mental illness who participated in a multicentre European study (CEDAR; ISRCTN75841675) were examined using latent class analysis.RESULTS: Four main patterns of alliance were identified: (1) high and stable (HS, 45.6 %), (2) high and increasing (HI, 36.9 %), (3) high and decreasing (HD, 11.3 %) and (4) low and increasing (LI, 6.1 %). Predictors of class membership were duration of illness, ethnicity, and education, receipt of state benefits, recovery, and quality of life.CONCLUSIONS: Results support findings from psychotherapy research about a predominantly stable course of the helping alliance in patients with severe mental illness over time. Implications for research and practice indicate to turn the attention to subgroups with noticeable courses.
AB - PURPOSE: The helping alliance (HA) between patient and therapist has been studied in detail in psychotherapy research, but less is known about the HA in long-term community mental health care. The aim of this study was to identify typical courses of the HA and their predictors in a sample of people with severe mental illness across Europe over a measurement period of one year.METHODS: Self-ratings of the HA by 588 people with severe mental illness who participated in a multicentre European study (CEDAR; ISRCTN75841675) were examined using latent class analysis.RESULTS: Four main patterns of alliance were identified: (1) high and stable (HS, 45.6 %), (2) high and increasing (HI, 36.9 %), (3) high and decreasing (HD, 11.3 %) and (4) low and increasing (LI, 6.1 %). Predictors of class membership were duration of illness, ethnicity, and education, receipt of state benefits, recovery, and quality of life.CONCLUSIONS: Results support findings from psychotherapy research about a predominantly stable course of the helping alliance in patients with severe mental illness over time. Implications for research and practice indicate to turn the attention to subgroups with noticeable courses.
U2 - 10.3109/09638237.2014.951478
DO - 10.3109/09638237.2014.951478
M3 - Journal article
SN - 0963-8237
VL - 24
SP - 15
EP - 19
JO - Journal of Mental Health
JF - Journal of Mental Health
IS - 1
ER -