| Autor: |
Andrews M; School of Psychology, University of Newcastle, Callaghan; †NHMRC Centre of Research Excellence in Mental Health and Substance Use, School of Medicine and Public Health, University of Newcastle, Callaghan; ‡Centre for Brain and Mental Health Research, University of Newcastle and Hunter New England Mental Health, Newcastle; §School of Public Health and Community Medicine and ‖National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW; ¶Monash Alfred Psychiatry Research Centre (MAPrc), Central Clinical School, Monash University, The Alfred Hospital, Melbourne; #University of Melbourne and Department of Psychiatry, St Vincent's Hospital, Fitzroy, Victoria, Australia; **Division of Addiction Psychiatry, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ; and ††Centre for Nutrition and Physical Activity, University of Newcastle, Callaghan, NSW, Australia., Baker AL, Halpin SA, Lewin TJ, Richmond R, Kay-Lambkin FJ, Filia SL, Castle D, Williams JM, Clark V, Callister R |
| Abstrakt: |
Engaging and retaining individuals with psychotic disorders in psychosocial treatments is difficult. Early therapeutic alliance, treatment retention, and 12-month outcomes were examined in a subsample of smokers with a psychotic disorder (N = 178) participating in a healthy lifestyles study comparing a telephone versus face-to-face delivered intervention. Therapeutic alliance was assessed using the Agnew Relationship Measure; primary outcomes were treatment retention and changes in symptoms and health behaviors. Contrary to expectations, early alliance did not predict treatment retention. However, elements of both client- and therapist-rated alliance predicted some clinical outcomes (e.g., higher confidence in the therapeutic alliance at session 1 predicted improvements in 12-month depression). Some modest interactions between early alliance and intervention condition were also identified (e.g., clients initially with lower self-perceived initiative, or higher therapist-perceived bonding benefited preferentially from the telephone-delivered intervention), highlighting the need to further examine the interplay between therapeutic alliance and treatment modality. |
