Therapeutic alliance in early schizophrenia spectrum disorders: a cross-sectional study

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• 作者：Ragnhild Johansen (1) (2)
  Valentina C Iversen (4) (5)
  Ingrid Melle (6) (7)
  Knut A Hestad (2) (3)
  
• 关键词：Schizophrenia ; Alliance ; Symptom ; Psychosocial treatment ; Agreement
• 刊名：Annals of General Psychiatry
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：12
• 期：1
• 全文大小：223KB
• 参考文献：1. Melau M, Jeppesen P, Thorup A, Bertelsen M, Petersen L, Gluud C, Krarup G, Nordentoft M: The effect of five years versus two years of specialised assertive intervention for first episode psychosis - OPUS II: study protocol for a randomized controlled trial. / Trials 2011, 12:72. CrossRef
  2. Klosterkotter J: Indicated prevention of schizophrenia. / Deutsches Arzteblatt International 2008, 105:532-39.
  3. Birchwood M, Todd P, Jackson C: Early intervention in psychosis. The critical period hypothesis. / Br J Psychiatry Suppl 1998, 172:53-9. CrossRef
  4. Villeneuve K, Potvin S, Lesage A, Nicole L: Meta-analysis of rates of drop-out from psychosocial treatment among persons with schizophrenia spectrum disorder. / Schizophr Res 2010, 121:266-70. CrossRef
  5. Tait L, Birchwood M, Trower P: A new scale (SES) to measure engagement with community mental health services. / J Ment Health 2002, 11:191-98. CrossRef
  6. Lecomte T, Spidel A, Leclerc C, MacEwan GW, Greaves C, Bentall RP: Predictors and profiles of treatment non-adherence and engagement in services problems in early psychosis. / Schizophr Res 2008, 102:295-02. CrossRef
  7. Johansen R, Hestad K, Iversen VC, Agartz I, Sundet K, Andreassen OA, Melle I: Cognitive and clinical factors are associated with service engagement in early-phase schizophrenia spectrum disorders. / J Nerv Ment Dis 2011, 199:176-82. CrossRef
  8. Martin DJ, Garske JP, Davis MK: Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. / J Consult Clin Psychol 2000, 68:438-50. CrossRef
  9. Bordin ES: Theory and research on the therapeutic working alliance: new directions. In / The Working Alliance, Theory, Research, and Practice. Edited by: Horvath AO, Greenberg LS. New York: Wiley; 1994:13-7.
  10. Frank AF, Gunderson JG: The role of the therapeutic alliance in the treatment of schizophrenia. Relationship to course and outcome. / Arch Gen Psychiatry 1990, 47:228-36. CrossRef
  11. McCabe R, Bullenkamp J, Hansson L, Lauber C, Martinez-Leal R, Rossler W, Salize HJ, Svensson B, Torres-Gonzalez F, van den Brink R, Wiersma D, Priebe S: The therapeutic relationship and adherence to antipsychotic medication in schizophrenia. / PLoS One 2012, 7:e36080. CrossRef
  12. Priebe S, Richardson M, Cooney M, Adedeji O, McCabe R: Does the therapeutic relationship predict outcomes of psychiatric treatment in patients with psychosis? A systematic review. / Psychother Psychosom 2011, 80:70-7. CrossRef
  13. Svensson B, Hansson L: Therapeutic alliance in cognitive therapy for schizophrenic and other long-term mentally ill patients: development and relationship to outcome in an in-patient treatment programme. / Acta Psychiatr Scand 1999, 99:281-87. CrossRef
  14. Couture SM, Roberts DL, Penn DL, Cather C, Otto MW, Goff D: Do baseline client characteristics predict the therapeutic alliance in the treatment of schizophrenia? / J Nerv Ment Dis 2006, 194:10-4. CrossRef
  15. Lysaker PH, Davis LW, Buck KD, Outcalt S, Ringer JM: Negative symptoms and poor insight as predictors of the similarity between client and therapist ratings of therapeutic alliance in cognitive behavior therapy for patients with schizophrenia. / J Nerv Ment Dis 2011, 199:191-95. CrossRef
  16. McCabe R, Priebe S: Are therapeutic relationships in psychiatry explained by patients-symptoms? Factors influencing patient ratings. / Eur Psychiat: The Journal of the Association of European Psychiatrists 2003, 18:220-25. CrossRef
  17. Wittorf A, Jakobi U, Bechdolf A, Muller B, Sartory G, Wagner M, Wiedemann G, Wolwer W, Herrlich J, Buchkremer G, Klingberg S: The influence of baseline symptoms and insight on the therapeutic alliance early in the treatment of schizophrenia. / Eur Psychiat: The Journal of the Association of European Psychiatrists 2009, 24:259-67. CrossRef
  18. Svensson B, Hansson L: Relationships among patient and therapist ratings of therapeutic alliance and patient assessments of therapeutic process: a study of cognitive therapy with long-term mentally ill patients. / J Nerv Ment Dis 1999, 187:579-85. CrossRef
  19. Safran JD, Muran JC, Eubanks-Carter C: Repairing alliance ruptures. / Psychotherapy (Chic) 2011, 48:80-7. CrossRef
  20. Wittorf A, Jakobi UE, Bannert KK, Bechdolf A, Muller BW, Sartory G, Wagner M, Wiedemann G, Wolwer W, Herrlich J, Buchkremer G, Klingberg S: Does the cognitive dispute of psychotic symptoms do harm to the therapeutic alliance? / J Nerv Ment Dis 2010, 198:478-85. CrossRef
  21. Barrowclough C, Meier P, Beardmore R, Emsley R: Predicting therapeutic alliance in clients with psychosis and substance misuse. / J Nerv Ment Dis 2010, 198:373-77. CrossRef
  22. Catty J, White S, Koletsi M, Becker T, Fioritti A, Kalkan R, Lauber C, Lissouba P, Rossler W, Tomov T, van Busschbach JT, Wiersma D, Burns T, EQOLISE Group: Therapeutic relationships in vocational rehabilitation: predicting good relationships for people with psychosis. / Psychiatry Res 2011, 187:68-3. CrossRef
  23. Huddy V, Reeder C, Kontis D, Wykes T, Stahl D: The effect of working alliance on adherence and outcome in cognitive remediation therapy. / J Nerv Ment Dis 2012, 200:614-19. CrossRef
  24. Davis LW, Lysaker PH: Neurocognitive correlates of therapeutic alliance in schizophrenia. / J Nerv Ment Dis 2004, 192:508-10. CrossRef
  25. Lecomte T, Laferriere-Simard M-C, Leclerc C: What does the alliance predict in group interventions for early psychosis? / J Contemp Psychother 2012, 42:55-1. CrossRef
  26. Evans-Jones C, Peters E, Barker C: The therapeutic relationship in CBT for psychosis: client, therapist and therapy factors. / Behav Cogn Psychother 2009, 37:527-40. CrossRef
  27. Lysaker PH, Dimaggio G, Buck KD, Callaway SS, Salvatore G, Carcione A, Nicolo G, Stanghellini G: Poor insight in schizophrenia: links between different forms of metacognition with awareness of symptoms, treatment need, and consequences of illness. / Compr Psychiatry 2011, 52:253-60. CrossRef
  28. Haddock G, Lewis S, Bentall R, Dunn G, Drake R, Tarrier N: Influence of age on outcome of psychological treatments in first-episode psychosis. / Brit J Psychiat: The Journal of Mental Science 2006, 188:250-54. CrossRef
  29. Bourdeau G, Theroux L, Lecomte T: Predictors of therapeutic alliance in early psychosis. / Early Interv Psychiatry 2009, 3:300-03. CrossRef
  30. Ringen PA, Melle I, Birkenaes AB, Engh JA, Faerden A, Jonsdottir H, Nesvag R, Vaskinn A, Friis S, Larsen F, Opjordsmoen S, Sundet K, Andreassen OA: Illicit drug use in patients with psychotic disorders compared with that in the general population: a cross-sectional study. / Acta Psychiatr Scand 2008, 117:133-38. CrossRef
  31. Faerden A, Finset A, Friis S, Agartz I, Barrett EA, Nesvag R, Andreassen OA, Marder SR, Melle I: Apathy in first episode psychosis patients: one year follow up. / Schizophr Res 2010, 116:20-6. CrossRef
  32. APA: / Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Washington: American Psychiatric Association; 1994.
  33. Kay SR, Fiszbein A, Opler LA: The positive and negative syndrome scale (PANSS) for schizophrenia. / Schizophr Bull 1987, 13:261-76. CrossRef
  34. Kay SR, Opler LA, Spitzer RL, Williams JB, Fiszbein A, Gorelick A: SCID-PANSS: two-tier diagnostic system for psychotic disorders. / Compr Psychiatry 1991, 32:355-61. CrossRef
  35. Emsley R, Rabinowitz J, Torreman M: The factor structure for the Positive and Negative Syndrome Scale (PANSS) in recent-onset psychosis. / Schizophr Res 2003, 61:47-7. CrossRef
  36. Wechsler D: / Wechsler Adult Intelligence Scale -Third Edition (WAIS-III). Norwegian Manual. Pearson Assessment: Stockholm; 2003.
  37. Delis D, Kramer JK, Kaplan E: / CVLT-II. California Verbal Learning Test. Manual. Second Edition. Adult Version. San Antonio: The Psychological Corporation; 2000.
  38. Heaton RK: / Wisconsin Card Sorting Test Computer Version 2-Research Edition. Lutz: PAR Inc.; 2003.
  39. Conners CK: / Conners Continuous Performance Test II. Technical Guide and Software Manual. North Tonawanda: Multi-Health Systems Inc.; 2002.
  40. Tracey TJ, Kokotovic AM: Factor structure of the working alliance inventory. / Psychol Assessment: A Journal of Consulting and Clinical Psychology 1989, 1:207-10.
  41. Horvath AO, Greenberg L: Development and validation of the working alliance inventory. / J Couns Psychol 1989, 36:223-33. CrossRef
  42. Bordin ES: The generalizability of the psychoanalytic concept of the working alliance. / Psychotherapy: Theory, Research and Practice 1979, 16:252-60. CrossRef
  43. SPSS Inc: / Statistical Package for the Social Sciences 19.0 edn. Chicago; 2010.
  
• 作者单位：Ragnhild Johansen (1) (2)
  Valentina C Iversen (4) (5)
  Ingrid Melle (6) (7)
  Knut A Hestad (2) (3)
  
  1. Forensic Department Br?set, Centre for Research and Education in Forensic Psychiatry, St. Olav’s Hospital, Trondheim University Hospital, P. Box 3008, Lade, Trondheim, 7441, Norway
  2. Department of Psychology, The Norwegian University of Science and Technology, Trondheim, 7491, Norway
  4. St. Olav’s Hospital, Trondheim University Hospital, Trondheim, 7006, Norway
  5. Department of Neuroscience, Faculty of Medicine, The Norwegian University of Science and Technology, Trondheim, 7491, Norway
  6. Department of Psychiatry, Institute of Clinical Medicine, University of Oslo, Oslo, 0318, Norway
  7. K.G. Jebsen Centre for Psychosis Research, Oslo University Hospital, Oslo, 0407, Norway
  3. Division of Mental Health Care, Innlandet Hospital Trust, Brumunddal, 2380, Norway
  

文摘

Background The therapeutic alliance is related to better course and outcome of treatment in schizophrenia. This study explores predictors and characteristics of the therapeutic alliance in recent-onset schizophrenia spectrum disorders including the agreement between patient and therapist alliance ratings. Methods Forty-two patients were assessed with demographic, neurocognitive, and clinical measures including the Positive and Negative Syndrome Scale (PANSS). The therapeutic alliance was measured with the Working Alliance Inventory - Short Form (WAI-S). Results Patient WAI-S total scores were predicted by age and PANSS excitative symptoms. Therapist WAI-S total scores were predicted by PANSS insight. Patient and therapist WAI-S total scores were moderately associated. Neurocognition was not associated with working alliance. Conclusion Working alliance is associated with specific demographic and symptom characteristics in patients with recent-onset schizophrenia spectrum disorders. There is moderate agreement between patients and therapists on the total quality of their working alliance. Findings highlight aspects that may increase therapists-specificity in the use of alliance-enhancing strategies.