Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study
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 illne...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
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Wolters Kluwer Health
2017
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| Online Access: | https://eprints.nottingham.ac.uk/38847/ |
| _version_ | 1848795704007327744 |
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| author | Arnold, Katrin Loos, Sabine Mayer, Benjamin Clarke, Eleanor Slade, Mike Fiorillo, Andrea Del Vecchio, V. Égerházi, Anikó Ivánka, T. Munk-Jørgensen, Povl Bording, Malene Krogsgaard Kawohl, Wolfram Rössler, Wulf Puschner, Bernd |
| author_facet | Arnold, Katrin Loos, Sabine Mayer, Benjamin Clarke, Eleanor Slade, Mike Fiorillo, Andrea Del Vecchio, V. Égerházi, Anikó Ivánka, T. Munk-Jørgensen, Povl Bording, Malene Krogsgaard Kawohl, Wolfram Rössler, Wulf Puschner, Bernd |
| author_sort | Arnold, Katrin |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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 of unmet needs was slower in patients with higher HA (B=0.04, p<.0001) only for patient-rated measures. Improvement in both patient-rated and staff-rated HA over time was associated with fewer subsequent patient- (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. |
| first_indexed | 2025-11-14T19:36:19Z |
| format | Article |
| id | nottingham-38847 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:36:19Z |
| publishDate | 2017 |
| publisher | Wolters Kluwer Health |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-388472024-08-15T15:22:31Z https://eprints.nottingham.ac.uk/38847/ Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study Arnold, Katrin Loos, Sabine Mayer, Benjamin Clarke, Eleanor Slade, Mike Fiorillo, Andrea Del Vecchio, V. Égerházi, Anikó Ivánka, T. Munk-Jørgensen, Povl Bording, Malene Krogsgaard Kawohl, Wolfram Rössler, Wulf Puschner, Bernd 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 of unmet needs was slower in patients with higher HA (B=0.04, p<.0001) only for patient-rated measures. Improvement in both patient-rated and staff-rated HA over time was associated with fewer subsequent patient- (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. Wolters Kluwer Health 2017-04-30 Article PeerReviewed Arnold, Katrin, Loos, Sabine, Mayer, Benjamin, Clarke, Eleanor, Slade, Mike, Fiorillo, Andrea, Del Vecchio, V., Égerházi, Anikó, Ivánka, T., Munk-Jørgensen, Povl, Bording, Malene Krogsgaard, Kawohl, Wolfram, Rössler, Wulf and Puschner, Bernd (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). pp. 329-333. ISSN 1539-736X Helping alliance; Unmet needs; Severe mental illness; Prospective observational study http://insights.ovid.com/crossref?an=00005053-201704000-00016 doi:10.1097/NMD.0000000000000650 doi:10.1097/NMD.0000000000000650 |
| spellingShingle | Helping alliance; Unmet needs; Severe mental illness; Prospective observational study Arnold, Katrin Loos, Sabine Mayer, Benjamin Clarke, Eleanor Slade, Mike Fiorillo, Andrea Del Vecchio, V. Égerházi, Anikó Ivánka, T. Munk-Jørgensen, Povl Bording, Malene Krogsgaard Kawohl, Wolfram Rössler, Wulf Puschner, Bernd Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study |
| title | Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study |
| title_full | Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study |
| title_fullStr | Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study |
| title_full_unstemmed | Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study |
| title_short | Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study |
| title_sort | helping alliance and unmet needs in routine care of people with severe mental illness across europe: a prospective longitudinal multicenter study |
| topic | Helping alliance; Unmet needs; Severe mental illness; Prospective observational study |
| url | https://eprints.nottingham.ac.uk/38847/ https://eprints.nottingham.ac.uk/38847/ https://eprints.nottingham.ac.uk/38847/ |