Helping alliance and unmet needs in routine care of people with severe mental illness across Europe a prospective longitudinal multicenter study

Katrin Arnold; Sabine Loos; Benjamin Mayer; Eleanor Clarke; Mike Slade; Andrea Fiorillo; Valeria Del Vecchio; Anikó Égerházi; Tibor Ivánka; Pøvl Munk-Jørgensen; Malene Krogsgaard Bording; Wolfram Kawohl; Wulf Rössler; Bernd Puschner

doi:10.1097/NMD.0000000000000650

Helping alliance and unmet needs in routine care of people with severe mental illness across Europe a prospective longitudinal multicenter study

Katrin Arnold, Sabine Loos, Benjamin Mayer, Eleanor Clarke, Mike Slade, Andrea Fiorillo, Valeria Del Vecchio, Anikó Égerházi, Tibor Ivánka, Pøvl Munk-Jørgensen, Malene Krogsgaard Bording, Wolfram Kawohl, Wulf Rössler, Bernd Puschner^*

^*Corresponding author for this work

Health Service & Population Research

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

The helping alliance (HA) refers to the collaborative bond between patient and therapist, including shared goals and tasks. People with severe mental illness have a complex mixture of clinical and social needs. Using mixed-effects regression, this study examined in 588 people with severe mental illness whether an increase in the HA is associated with fewer unmet needs over time, and whether change in the HA precedes change in unmet needs. It was found that a reduction in unmet needs was slower in patients with higher HA (B = 0.04, p < 0.0001) only for patient-rated measures. Improvement in both patient-rated and staff-rated HA over time was associated with fewer subsequent patient-rated (B =-0.10, p < 0.0001) and staff-rated (B =-0.08, p = 0.0175) unmet needs. With positive changes in the HA preceding fewer unmet needs, findings provide further evidence for a causal relationship between alliance and outcome in the treatment of people with severe mental illness.

Original language	English
Pages (from-to)	329-333
Number of pages	5
Journal	Journal of Nervous and Mental Disease
Volume	205
Issue number	4
DOIs	https://doi.org/10.1097/NMD.0000000000000650
Publication status	Published - 1 Jan 2017

Keywords

Helping alliance
Prospective observational study
Severe mental illness
Unmet needs

Access to Document

10.1097/NMD.0000000000000650

Cite this

Arnold, K., Loos, S., Mayer, B., Clarke, E., Slade, M., Fiorillo, A., Del Vecchio, V., Égerházi, A., Ivánka, T., Munk-Jørgensen, P., Bording, M. K., Kawohl, W., Rössler, W., & Puschner, B. (2017). Helping alliance and unmet needs in routine care of people with severe mental illness across Europe a prospective longitudinal multicenter study. Journal of Nervous and Mental Disease, 205(4), 329-333. https://doi.org/10.1097/NMD.0000000000000650

@article{bb7b064351a145b6aa6304747a236152,

title = "Helping alliance and unmet needs in routine care of people with severe mental illness across Europe a prospective longitudinal multicenter study",

abstract = "The helping alliance (HA) refers to the collaborative bond between patient and therapist, including shared goals and tasks. People with severe mental illness have a complex mixture of clinical and social needs. Using mixed-effects regression, this study examined in 588 people with severe mental illness whether an increase in the HA is associated with fewer unmet needs over time, and whether change in the HA precedes change in unmet needs. It was found that a reduction in unmet needs was slower in patients with higher HA (B = 0.04, p < 0.0001) only for patient-rated measures. Improvement in both patient-rated and staff-rated HA over time was associated with fewer subsequent patient-rated (B =-0.10, p < 0.0001) and staff-rated (B =-0.08, p = 0.0175) unmet needs. With positive changes in the HA preceding fewer unmet needs, findings provide further evidence for a causal relationship between alliance and outcome in the treatment of people with severe mental illness.",

keywords = "Helping alliance, Prospective observational study, Severe mental illness, Unmet needs",

author = "Katrin Arnold and Sabine Loos and Benjamin Mayer and Eleanor Clarke and Mike Slade and Andrea Fiorillo and {Del Vecchio}, Valeria and Anik{\'o} {\'E}gerh{\'a}zi and Tibor Iv{\'a}nka and P{\o}vl Munk-J{\o}rgensen and Bording, {Malene Krogsgaard} and Wolfram Kawohl and Wulf R{\"o}ssler and Bernd Puschner",

year = "2017",

month = jan,

day = "1",

doi = "10.1097/NMD.0000000000000650",

language = "English",

volume = "205",

pages = "329--333",

journal = "Journal of Nervous and Mental Disease",

issn = "0022-3018",

publisher = "LIPPINCOTT WILLIAMS & WILKINS",

number = "4",

}

Arnold, K, Loos, S, Mayer, B, Clarke, E, Slade, M, Fiorillo, A, Del Vecchio, V, Égerházi, A, Ivánka, T, Munk-Jørgensen, P, Bording, MK, Kawohl, W, Rössler, W & Puschner, B 2017, 'Helping alliance and unmet needs in routine care of people with severe mental illness across Europe a prospective longitudinal multicenter study', Journal of Nervous and Mental Disease, vol. 205, no. 4, pp. 329-333. https://doi.org/10.1097/NMD.0000000000000650

TY - JOUR

T1 - Helping alliance and unmet needs in routine care of people with severe mental illness across Europe a prospective longitudinal multicenter study

AU - Arnold, Katrin

AU - Loos, Sabine

AU - Mayer, Benjamin

AU - Clarke, Eleanor

AU - Slade, Mike

AU - Fiorillo, Andrea

AU - Del Vecchio, Valeria

AU - Égerházi, Anikó

AU - Ivánka, Tibor

AU - Munk-Jørgensen, Pøvl

AU - Bording, Malene Krogsgaard

AU - Kawohl, Wolfram

AU - Rössler, Wulf

AU - Puschner, Bernd

PY - 2017/1/1

Y1 - 2017/1/1

N2 - The helping alliance (HA) refers to the collaborative bond between patient and therapist, including shared goals and tasks. People with severe mental illness have a complex mixture of clinical and social needs. Using mixed-effects regression, this study examined in 588 people with severe mental illness whether an increase in the HA is associated with fewer unmet needs over time, and whether change in the HA precedes change in unmet needs. It was found that a reduction in unmet needs was slower in patients with higher HA (B = 0.04, p < 0.0001) only for patient-rated measures. Improvement in both patient-rated and staff-rated HA over time was associated with fewer subsequent patient-rated (B =-0.10, p < 0.0001) and staff-rated (B =-0.08, p = 0.0175) unmet needs. With positive changes in the HA preceding fewer unmet needs, findings provide further evidence for a causal relationship between alliance and outcome in the treatment of people with severe mental illness.

AB - The helping alliance (HA) refers to the collaborative bond between patient and therapist, including shared goals and tasks. People with severe mental illness have a complex mixture of clinical and social needs. Using mixed-effects regression, this study examined in 588 people with severe mental illness whether an increase in the HA is associated with fewer unmet needs over time, and whether change in the HA precedes change in unmet needs. It was found that a reduction in unmet needs was slower in patients with higher HA (B = 0.04, p < 0.0001) only for patient-rated measures. Improvement in both patient-rated and staff-rated HA over time was associated with fewer subsequent patient-rated (B =-0.10, p < 0.0001) and staff-rated (B =-0.08, p = 0.0175) unmet needs. With positive changes in the HA preceding fewer unmet needs, findings provide further evidence for a causal relationship between alliance and outcome in the treatment of people with severe mental illness.

KW - Helping alliance

KW - Prospective observational study

KW - Severe mental illness

KW - Unmet needs

UR - http://www.scopus.com/inward/record.url?scp=85017370364&partnerID=8YFLogxK

U2 - 10.1097/NMD.0000000000000650

DO - 10.1097/NMD.0000000000000650

M3 - Article

C2 - 28350783

AN - SCOPUS:85017370364

SN - 0022-3018

VL - 205

SP - 329

EP - 333

JO - Journal of Nervous and Mental Disease

JF - Journal of Nervous and Mental Disease

IS - 4

ER -

Helping alliance and unmet needs in routine care of people with severe mental illness across Europe a prospective longitudinal multicenter study

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this