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Helping alliance and ward atmosphere in psychiatric in-patient care.

Johansson, Håkan LU and Eklund, Mona LU (2004) In Psychology and Psychotherapy 77(Pt 4). p.511-523
Abstract
OBJECTIVE: The study investigated how patients in a psychiatric in-patient ward perceived the therapeutic relationship and the ward atmosphere, the interrelationships between these phenomena, and whether demographic and clinical factors had an influence on the helping alliance. DESIGN: This was an explorative study in a natural setting. A correlational and multiple regression design were adopted. METHOD: All discharged patients (N = 61) during a limited period completed questionnaires regarding the ward atmosphere and the helping alliance, were rated on psychosocial functioning, and diagnosed according to the ICD-10. RESULTS: Several ward-atmosphere factors correlated with the helping alliance. A multivariate analysis suggested that... (More)
OBJECTIVE: The study investigated how patients in a psychiatric in-patient ward perceived the therapeutic relationship and the ward atmosphere, the interrelationships between these phenomena, and whether demographic and clinical factors had an influence on the helping alliance. DESIGN: This was an explorative study in a natural setting. A correlational and multiple regression design were adopted. METHOD: All discharged patients (N = 61) during a limited period completed questionnaires regarding the ward atmosphere and the helping alliance, were rated on psychosocial functioning, and diagnosed according to the ICD-10. RESULTS: Several ward-atmosphere factors correlated with the helping alliance. A multivariate analysis suggested that support, programme clarity, and spontaneity were important ingredients and that support was the most important contributor. Patients with a high level of psychosocial functioning established a better helping alliance and patients with personality disorders tended to develop a weaker helping alliance. CONCLUSION: The findings emphasize that a holding environment is important in establishing a good helping alliance, which is consistent with results from the psychotherapy area. Since helping alliance is known to have a most important influence on therapy outcome, one conclusion must be that the staff, in their endeavour to strengthen the supportive element of the ward atmosphere, may improve the therapeutic outcome as well. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Psychology and Psychotherapy
volume
77
issue
Pt 4
pages
511 - 523
publisher
British Psychological Society
external identifiers
  • pmid:15588458
  • wos:000225979900007
  • scopus:11144335948
ISSN
1476-0835
DOI
10.1348/1476083042555415
language
English
LU publication?
yes
id
0e5805c2-76e4-461a-b944-af422cd4bfc3 (old id 132098)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15588458&dopt=Abstract
date added to LUP
2007-06-25 11:05:58
date last changed
2017-03-19 04:04:26
@article{0e5805c2-76e4-461a-b944-af422cd4bfc3,
  abstract     = {OBJECTIVE: The study investigated how patients in a psychiatric in-patient ward perceived the therapeutic relationship and the ward atmosphere, the interrelationships between these phenomena, and whether demographic and clinical factors had an influence on the helping alliance. DESIGN: This was an explorative study in a natural setting. A correlational and multiple regression design were adopted. METHOD: All discharged patients (N = 61) during a limited period completed questionnaires regarding the ward atmosphere and the helping alliance, were rated on psychosocial functioning, and diagnosed according to the ICD-10. RESULTS: Several ward-atmosphere factors correlated with the helping alliance. A multivariate analysis suggested that support, programme clarity, and spontaneity were important ingredients and that support was the most important contributor. Patients with a high level of psychosocial functioning established a better helping alliance and patients with personality disorders tended to develop a weaker helping alliance. CONCLUSION: The findings emphasize that a holding environment is important in establishing a good helping alliance, which is consistent with results from the psychotherapy area. Since helping alliance is known to have a most important influence on therapy outcome, one conclusion must be that the staff, in their endeavour to strengthen the supportive element of the ward atmosphere, may improve the therapeutic outcome as well.},
  author       = {Johansson, Håkan and Eklund, Mona},
  issn         = {1476-0835},
  language     = {eng},
  number       = {Pt 4},
  pages        = {511--523},
  publisher    = {British Psychological Society},
  series       = {Psychology and Psychotherapy},
  title        = {Helping alliance and ward atmosphere in psychiatric in-patient care.},
  url          = {http://dx.doi.org/10.1348/1476083042555415},
  volume       = {77},
  year         = {2004},
}