Evidence map›Paper›PMID 25701077›Full record

ArticleCommunity mental health journal2016

Working Alliance in Patients with Severe Mental Illness Who Need a Crisis Intervention Plan.

Asia Ruchlewska, Astrid M Kamperman, Mark van der Gaag, André I Wierdsma, Niels C L Mulder

Abstract read
In one paragraph

Article in Community mental health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Asia RuchlewskaDepartment of Psychiatry, ESPRi Epidemiological and Social Psychiatric Research Institute, Erasmus University Medical Centre, 's Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands. j.ruchlewska@erasmusmc.nl.
Astrid M KampermanDepartment of Psychiatry, ESPRi Epidemiological and Social Psychiatric Research Institute, Erasmus University Medical Centre, 's Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.
Mark van der GaagParnassia Psychiatric Institute, The Hague, The Netherlands.
André I WierdsmaDepartment of Psychiatry, ESPRi Epidemiological and Social Psychiatric Research Institute, Erasmus University Medical Centre, 's Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.
Niels C L MulderDepartment of Psychiatry, ESPRi Epidemiological and Social Psychiatric Research Institute, Erasmus University Medical Centre, 's Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Working alliance has been characterized as an important predictor of positive treatment outcomes. We examined whether illness insight, psychosocial functioning, social support and locus of control were associated with working alliance as perceived by both patient and clinician. We assessed 195 outpatients with psychotic or bipolar disorders. Our findings indicated that patients rated the alliance more positively when they experienced a greater need for treatment, fewer behavioral and social problems, and more psychiatric symptoms. Clinicians rated the alliance more positively in patients who reported fewer social problems and better illness insight. Patients' demographic characteristics, including being female and married, were also positively related to the clinician-rated alliance. Our results suggest that patients and clinicians have divergent perceptions of the alliance. Clinicians may need help developing awareness of the goals and tasks of patients with certain characteristics, i.e., singles, men, those with poor illness insight and those who report poor social functioning.

Indexed as

Cooperative BehaviorCrisis InterventionPatient Care PlanningAdultBipolar DisorderFemaleHumansInternal-External ControlInterviews as TopicMaleMiddle AgedProfessional-Patient RelationsPsychotic DisordersQualitative ResearchSeverity of Illness IndexSocial SupportPredictionPsychosisSevere mental illnessTherapist patient relationshipWorking alliance

Identifiers

PMID25701077
PMCPMC4710646

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.