ArticleSocial psychiatry and psychiatric epidemiology2015
Courses of helping alliance in the treatment of people with severe mental illness in Europe: a latent class analytic approach.
Article in Social psychiatry and psychiatric epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Development of the First Episode Digital Monitoring mHealth Intervention for People With Early Psychosis: Qualitative Interview Study With Clinicians.JMIR mental health · 2022Article
- Mental health service users' responses to anticipated discrimination and the Time to Change program in England.European psychiatry : the journal of the Association of European Psychiatrists · 2020Article
- The role of shared decision-making in improving adherence to pharmacological treatments in patients with schizophrenia: a clinical review.Annals of general psychiatry · 2020Review
- Common Factors in Community Mental Health Intervention: A Scoping Review.Community mental health journal · 2017Article
Corrections and comments
- Erratum issued
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe 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.
methodsSelf-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.
resultsFour 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.
conclusionsResults 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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