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Cited by 8Psychotherapy Techniques and ApplicationsPsychiatric care and mental health servicesMental Health Treatment and Access

Courses of helping alliance in the treatment of people with severe mental illness in Europe: a latent class analytic approach

The CEDAR study group, Loos, Sabine, Arnold, Katrin, Slade, Mike, Jordan, Harriet, Vecchio, Valeria Del, Sampogna, Gaia, Süveges, Ágnes +6 more·2015·Social Psychiatry and Psychiatric Epidemiology
DOI 10.1007/s00127-014-0963-4
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Abstract

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.

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  • Patients with severe mental disorders report a greater desire to be involved in clinical decision-making and a need to have a say in the process of care than individuals receiving assistance for other medical conditions.

    “This has been especially highlighted in the case of patients with severe mental disorders who report a greater desire of being involved in clinical decision-making and a need to have a say in the process of care, as compared to individuals receiving assistance for other medical conditions [8–11].”

    From The role of shared decision-making in improving adherence to pharmacological treatments in patients with schizophrenia: A clinical review (2020) · cites this paper as [9]

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Authors
The CEDAR study group, Loos, S., Arnold, K., Slade, M., Jordan, H., Vecchio, V. D., Sampogna, G., Süveges, Á., Nagy, M., Krogsgaard Bording, M., Østermark Sørensen, H., Rössler, W., Kawohl, W., & Puschner, B.
Affiliations
  • University Hospital Ulm (DE)
  • Universität Ulm (DE)
  • King's College London (GB)
  • University of Debrecen (HU)
Corresponding author
Loos, Sabine
ORCID
Venue
Social Psychiatry and Psychiatric Epidemiology
Publisher
Springer Science and Business Media LLC
Published
2014-09-23
Volume
50
Issue
3
Pages
363-370
ISSN
  • 0933-7954 (ISSN-L)
  • 1433-9285
DOI
10.1007/s00127-014-0963-4
OpenAlex
W2745776953
Cited by
8
References
38
Citations by year
2024: 2 · 2022: 1 · 2020: 2 · 2019: 1 · 2017: 2
FWCI
0.79
Type
journal article
Language
en
Update notices
correction (2015-02-11)
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (acceptedVersion)
  • Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
  • VBN Forskningsportal (Aalborg Universitet) (submittedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
helping alliance, therapeutic relationship, severe mental illness, community mental health services, disease duration, recovery, quality of life, ethnic minority patients, state benefits
MeSH terms
Adult, Mental Disorders, Cooperative Behavior, Europe, Female, Humans, Male, Middle Aged, Professional-Patient Relations, Psychotherapy, Quality of Life

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