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Helping alliance and early dropout from psychiatric out-patient care The influence of patient factors.

Johansson, Håkan LU and Eklund, Mona LU orcid (2006) In Social Psychiatry and Psychiatric Epidemiology 41(2). p.140-147
Abstract
Background The study examined client factors

of relevance in the establishment of helping alliance

and in the prediction of dropout from a routine

psychiatric setting admitting a variety of diagnoses and

staffed with a multiprofessional team. Method Newly

admitted patients (n=122) and staff completed questionnaires

regarding helping alliance, and the patients

also completed questionnaires regarding motivation,

symptoms and interpersonal problems. The patients

were also diagnosed according to ICD-10 and were

followed up concerning early dropout. Results Several

variables correlated with helping alliance, and multivariate

analyses... (More)
Background The study examined client factors

of relevance in the establishment of helping alliance

and in the prediction of dropout from a routine

psychiatric setting admitting a variety of diagnoses and

staffed with a multiprofessional team. Method Newly

admitted patients (n=122) and staff completed questionnaires

regarding helping alliance, and the patients

also completed questionnaires regarding motivation,

symptoms and interpersonal problems. The patients

were also diagnosed according to ICD-10 and were

followed up concerning early dropout. Results Several

variables correlated with helping alliance, and multivariate

analyses showed that cold/distant factor, motivation

and interpersonal sensitivity factor were the

most important factors in establishing helping alliance.

Moreover, it was the alliance as perceived by the patients

(and not by the staff) that proved to be the most

essential variable. A logistic regression analysis showed

that early dropout was predicted by low helping alliance,

low age and cold/distant factor. Conclusion The

most important client factors for establishing helping

alliance and for predicting early dropout seem to be

those relevant to interpersonal processes. Furthermore,

the therapists’/staff’s responsiveness to these

client factors seems to be of decisive importance. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
psychotherapy, psychiatry, therapeutic relationship, working alliance, therapeutic alliance, helping alliance, dropout, psychiatric care, patient factors
in
Social Psychiatry and Psychiatric Epidemiology
volume
41
issue
2
pages
140 - 147
publisher
Steinkopff
external identifiers
  • wos:000235905500008
  • scopus:33644594451
  • pmid:16372143
ISSN
0933-7954
DOI
10.1007/s00127-005-0009-z
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Department of Psychology (012010000), Division of Occupational Therapy (Closed 2012) (013025000)
id
fa40612a-c262-422d-bbe0-5b1e6a20201f (old id 148533)
date added to LUP
2016-04-01 11:56:42
date last changed
2021-09-01 02:08:07
@article{fa40612a-c262-422d-bbe0-5b1e6a20201f,
  abstract     = {Background The study examined client factors<br/><br>
of relevance in the establishment of helping alliance<br/><br>
and in the prediction of dropout from a routine<br/><br>
psychiatric setting admitting a variety of diagnoses and<br/><br>
staffed with a multiprofessional team. Method Newly<br/><br>
admitted patients (n=122) and staff completed questionnaires<br/><br>
regarding helping alliance, and the patients<br/><br>
also completed questionnaires regarding motivation,<br/><br>
symptoms and interpersonal problems. The patients<br/><br>
were also diagnosed according to ICD-10 and were<br/><br>
followed up concerning early dropout. Results Several<br/><br>
variables correlated with helping alliance, and multivariate<br/><br>
analyses showed that cold/distant factor, motivation<br/><br>
and interpersonal sensitivity factor were the<br/><br>
most important factors in establishing helping alliance.<br/><br>
Moreover, it was the alliance as perceived by the patients<br/><br>
(and not by the staff) that proved to be the most<br/><br>
essential variable. A logistic regression analysis showed<br/><br>
that early dropout was predicted by low helping alliance,<br/><br>
low age and cold/distant factor. Conclusion The<br/><br>
most important client factors for establishing helping<br/><br>
alliance and for predicting early dropout seem to be<br/><br>
those relevant to interpersonal processes. Furthermore,<br/><br>
the therapists’/staff’s responsiveness to these<br/><br>
client factors seems to be of decisive importance.},
  author       = {Johansson, Håkan and Eklund, Mona},
  issn         = {0933-7954},
  language     = {eng},
  number       = {2},
  pages        = {140--147},
  publisher    = {Steinkopff},
  series       = {Social Psychiatry and Psychiatric Epidemiology},
  title        = {Helping alliance and early dropout from psychiatric out-patient care The influence of patient factors.},
  url          = {https://lup.lub.lu.se/search/files/2713466/625183.pdf},
  doi          = {10.1007/s00127-005-0009-z},
  volume       = {41},
  year         = {2006},
}