Attenuated psychosis symptoms are related to working alliance between therapist and service user

IF 2.1 4区医学 Q3 PSYCHIATRY Early Intervention in Psychiatry Pub Date : 2024-05-22 DOI:10.1111/eip.13552

T. Cowan, C. Millar, K. O'Donovan, D. Chibani, G. Reeves, S. Redman, J. Fitzgerald, S. Jay, J. Schiffman, P. Rakhshan Rouhakhtar

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Abstract

Aim

Many trials have demonstrated the efficacy of specific therapy modalities for individuals with attenuated psychosis symptoms (APS). Less is known regarding mechanisms behind positive outcomes, including the role of nonspecific therapeutic factors. This study explored working alliance (WA) in a clinic serving individuals with APS to see how WA changed across the course of treatment and its relation to APS.

Methods

Session level APS and WA data was available for 12 individuals of diverse racial and gender identity, (M = 48 sessions each). Multilevel models with random intercepts tested change in WA and APS over time, and cross-sectional and prospective relations.

Results

WA increased and APS decreased over time. Cross sectionally, WA and APS were inversely related. Prospective relations were non-significant.

Conclusion

When symptoms increase, therapists for individuals with APS should be attentive to potential disruptions in WA, though strong WA may be a cross-sectional protective factor.

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精神病症状的减轻与治疗师和服务对象之间的工作联盟有关。

目的：许多试验已经证明，特定的治疗模式对有减轻的精神病症状（APS）的人有疗效。但对于积极疗效背后的机制，包括非特异性治疗因素的作用，人们知之甚少。本研究探讨了一家诊所为 APS 患者提供的工作联盟（WA），以了解工作联盟在整个治疗过程中的变化情况及其与 APS 的关系：方法：本研究获得了 12 名不同种族和性别身份的患者的会话水平 APS 和 WA 数据（M=48 次会话）。带有随机截距的多层次模型测试了 WA 和 APS 随时间的变化，以及横截面和前瞻性关系：结果：随着时间的推移，WA 增加，APS 减少。横截面上，WA 和 APS 呈反比关系。结论：结论：当症状增加时，APS 患者的治疗师应注意 WA 的潜在干扰，尽管强大的 WA 可能是一个横断面保护因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.