Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study

Arnold, Katrin and Loos, Sabine and Mayer, Benjamin and Clarke, Eleanor and Slade, Mike and Fiorillo, Andrea and Del Vecchio, V. and Égerházi, Anikó and Ivánka, T. and Munk-Jørgensen, Povl and Bording, Malene Krogsgaard and Kawohl, Wolfram and Rössler, Wulf and Puschner, Bernd (2017) Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study. Journal of Nervous and Mental Disease, 205 (4). pp. 329-333. ISSN 1539-736X

[img] PDF - Repository staff only until 30 April 2018. - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Download (259kB)

Abstract

The helping alliance (HA) refers to the collaborative bond between patient and therapist including shared goals and tasks. People with severe mental illness have a complex mixture of clinical and social needs. Using mixed-effects regression, this study examined in 588 people with severe mental illness whether an increase in the HA is associated with fewer unmet needs over time, and whether change in the HA precedes change in unmet needs. It was found that a reduction of unmet needs was slower in patients with higher HA (B=0.04, p<.0001) only for patient-rated measures. Improvement in both patient-rated and staff-rated HA over time was associated with fewer subsequent patient- (B=-0.10, p<0.0001) and staff-rated (B=-0.08, p=0.0175) unmet needs. With positive changes in the HA preceding fewer unmet needs, findings provide further evidence for a causal relationship between alliance and outcome in the treatment of people with severe mental illness.

Item Type: Article
Additional Information: This is not the final published version.
Keywords: Helping alliance; Unmet needs; Severe mental illness; Prospective observational study
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Health Sciences
Identification Number: 10.1097/NMD.0000000000000650
Depositing User: Eprints, Support
Date Deposited: 21 Nov 2016 11:17
Last Modified: 11 May 2017 19:37
URI: http://eprints.nottingham.ac.uk/id/eprint/38847

Actions (Archive Staff Only)

Edit View Edit View