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Social Psychiatry and Psychiatric Epidemiology

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01.03.2015 | Original Paper

Courses of helping alliance in the treatment of people with severe mental illness in Europe: a latent class analytic approach

verfasst von: Sabine Loos, Katrin Arnold, Mike Slade, Harriet Jordan, Valeria Del Vecchio, Gaia Sampogna, Ágnes Süveges, Marietta Nagy, Malene Krogsgaard Bording, Helle Østermark Sørensen, Wulf Rössler, Wolfram Kawohl, Bernd Puschner, The CEDAR study group

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 3/2015

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Abstract

Purpose

The 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.

Methods

Self-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.

Results

Four 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.

Conclusions

Results 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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Titel: Courses of helping alliance in the treatment of people with severe mental illness in Europe: a latent class analytic approach
verfasst von: Sabine Loos
Katrin Arnold
Mike Slade
Harriet Jordan
Valeria Del Vecchio
Gaia Sampogna
Ágnes Süveges
Marietta Nagy
Malene Krogsgaard Bording
Helle Østermark Sørensen
Wulf Rössler
Wolfram Kawohl
Bernd Puschner
The CEDAR study group
Publikationsdatum: 01.03.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 3/2015
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-014-0963-4

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Courses of helping alliance in the treatment of people with severe mental illness in Europe: a latent class analytic approach

Abstract

Purpose

Methods

Results

Conclusions

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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