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Can the therapeutic relationship predict 18 month outcomes for individuals with psychosis?
- Source :
- Farrelly, S, Brown, G, Szmukler, G, Rose, D, Birchwood, M, Marshall, M, Waheed, W & Thornicroft, G 2014, ' Can the therapeutic relationship predict 18 month outcomes for individuals with psychosis? ', Psychiatry Research, vol. 220, no. 1-2, pp. 585-591 . https://doi.org/10.1016/j.psychres.2014.07.032
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- Therapeutic relationships (TRs) are considered a key component of good psychiatric care, yet its association with outcomes for individuals with psychosis remains unclear. Five hundred and sixty-nine service users with psychotic disorders and care coordinators in community settings rated their therapeutic relationship; outcomes were assessed 18 months later. In multivariate analyses, a small but significant association was found between service user ratings and instances of psychiatric hospital admissions, self harm and suicide attempts over an 18 month period. Care coordinator ratings were associated with instances of psychiatric hospital admissions and harm to others over the 18 months and level of functioning at 18 months. The differential findings and small effect size suggests that the therapeutic relationship needs further definition for this patient group in this setting. Nevertheless, clinicians should prioritise interactions that strengthen therapeutic relationships.
- Subjects :
- Adult
Male
Psychosis
medicine.medical_specialty
Multivariate analysis
Suicide, Attempted
law.invention
Randomized controlled trial
law
medicine
Humans
Psychiatric hospital
Psychiatry
Biological Psychiatry
business.industry
Level of functioning
Professional-Patient Relations
medicine.disease
Hospitalization
Therapeutic relationship
Psychiatry and Mental health
Harm
Psychotic Disorders
Schizophrenia
Female
business
Follow-Up Studies
Clinical psychology
Subjects
Details
- ISSN :
- 01651781
- Volume :
- 220
- Database :
- OpenAIRE
- Journal :
- Psychiatry Research
- Accession number :
- edsair.doi.dedup.....f303bc76d3cd5a2cb51e8c85d6b8dd1f