Evidence map›Paper›PMID 30057099›Full record

ArticleSchizophrenia research2019

Client predictors of the therapeutic alliance in individual resiliency training for first episode psychosis.

Julia Browne, Emily Bass, Kim T Mueser, Piper Meyer-Kalos, Jennifer D Gottlieb, Sue E Estroff, David L Penn

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Schizophrenia research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% of its field
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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

7 authors at 3 institutions in 2 countries.

Julia BrowneDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Electronic address: jbrowne@unc.edu.
Emily BassDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Kim T MueserCenter for Psychiatric Rehabilitation and Departments of Occupational Therapy, Psychology, & Psychiatry, Boston University, Boston, MA, USA.
Piper Meyer-KalosMinnesota Center for Chemical and Mental Health, University of Minnesota, School of Social Work, St. Paul, MN, USA.
Jennifer D GottliebCenter for Psychiatric Rehabilitation and Departments of Occupational Therapy, Psychology, & Psychiatry, Boston University, Boston, MA, USA.
Sue E EstroffDepartment of Social Medicine, University of North Carolina, Chapel Hill, NC, USA.
David L PennDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Australian Catholic University, School of Psychology, Melbourne, VIC, Australia.
University of North Carolina at Chapel Hill · USBoston University · USUniversity of Minnesota · US

Funding

Trials Operation Unit (OPERATIONS CORE)P30MH090590 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI CORRELL, CHRISTOPH U · 2010 to 2014
$7.9M
Longitudinal Mediation Analysis to Identify Effective Intervention Components in Clustered Trial of RAISE-ETP (Recovery after an Initial Schizophrenia Episode-Early Treatment Program)R03MH112053 · NIMH · YALE UNIVERSITY · PI LIN, HAIQUN · 2017 to 2018
$168k
NIMH NIH HHS HHSN271200900019CNIMH NIH HHS P30 MH090590NIMH NIH HHS R03 MH112053
6 · The paper itself

Abstract

Individuals experiencing their first episode of psychosis (FEP) are often reluctant to seek treatment, and are difficult to engage and retain in mental health services. The therapeutic alliance (TA), or the affective and collaborative bond between therapist and client, is predictive of better treatment outcomes for clients with FEP; thus, it is important to understand the predictors of the TA in order to determine how best to foster a positive alliance with these individuals. The primary aim of the present study was to examine whether baseline client characteristics, including severity of symptoms, social functioning, and insight, were associated with the TA. The exploratory aim was to examine associations between demographic variables (age, race, and gender) and the TA. The present study included a subsample of participants (n = 134) who received Individual Resiliency Training (IRT) as part of the NAVIGATE treatment in the Recovery After An Initial Schizophrenia Episode Early Treatment Program study. Four trained research assistants rated the TA from early audiotaped sessions of IRT. Multilevel modeling was utilized given the nested data structure. Results indicated that more severe positive and less severe negative symptoms were significantly and uniquely associated with a better therapeutic alliance, as was female gender. The findings suggest that client symptom profiles should be considered when developing a TA with FEP clients.

Indexed as

Early Medical InterventionOutcome and Process Assessment, Health CareResilience, PsychologicalTherapeutic AllianceAdultFemaleHumansMalePsychotic DisordersSchizophreniaSeverity of Illness IndexYoung AdultEarly interventionFirst episode psychosisObserver-rated therapeutic allianceSchizophrenia

Identifiers

PMID30057099
PMCPMC12828585
OpenAlexW2883193899

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.