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Composition of treatment alliance in bipolar disorder: A cross-sectional study of patients' perspectives

World Journal of Psychiatry 2022年第6期12卷 814-826页

作者： Rajeet Kumar Subho Chakrabarti Abhishek Ghosh Department of Psychiatry Postgraduate Institute of Medical Education and ResearchChandigarh 160012India

BACKGROUND treatment alliance has an impact on several key patient outcomes in all psychiatric disorders,including bipolar disorder(BD).It has been suggested that the construct of treatment alliance is different among patients from routine psychiatric settings compared to psychotherapeutic ***,research on the composition of treatment alliance in psychiatric disorders,such as BD,is relatively *** To determine whether a broader construct of treatment alliance was prevalent among outpatients with *** This is a cross-sectional study,conducted in the psychiatric unit of a multispecialty hospital in north India over 12 mo(September 2018 to September 2019).A consecutive sample of 160 remitted adult outpatients with BD on mood stabilizers for at least a year were *** principal instrument to assess treatment alliance was the Working alliance Inventory-client version(WAIClient).Other potential constituents of the alliance explored were perceived trust in clinicians assessed by the Trust in Physicians(TRIP)scale,perceived support from clinicians assessed by the Psychosocial Care by Physicians(PCP)scale,and perceived treatment satisfaction assessed by the Patient Satisfaction Questionnaire(PSQ).Associations between scores on all scales were determined by correlational and multiple regression *** factor analysis of combined items of all scales was conducted using a principal components *** Scores on all the three WAI-Client subscales were significantly correlated with each other(r=0.66-0.81;P<0.0001).The total TRIP scores were associated with the total WAI-Client scores(r=0.28;P<0.01).The total TRIP scores and the total PCP scores were also significantly associated with the WAI-Client scores on the Task subscale(r=0.28-0.29;P<0.01).The total TRIP scores were significantly associated with the total PSQ scores(r=0.45;P<0.0001).Factor analysis yielded two independent and coherent factors,which explained 69%of the va

关键词： treatment alliance Bipolar disorder Composition Factor-analysis

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