机构治疗联盟及其与精神科日间医院项目结局的关系。

Institutional therapeutic alliance and its relationship with outcomes in a psychiatric day hospital program.

作者信息

Pulido Ricardo, Monari Marco, Rossi Nicolino

机构信息

Dipartimento di Psicologia, Universitá degli Studi di Bologna, Viale Berti Pichat, Bologna, Italia.

出版信息

Arch Psychiatr Nurs. 2008 Oct;22(5):277-87. doi: 10.1016/j.apnu.2007.07.003.

DOI:10.1016/j.apnu.2007.07.003

PMID:18809120

Abstract

The article shows the results of a longitudinal study aimed to explore the institutional therapeutic alliance (ITA) that is the alliance formed by a patient and all the therapeutic staff. Fifty five patients who have psychiatric disorders in partial hospitalization were evaluated at admission (global functional level, social support, symptomatic condition, and treatment expectancies), at discharge, and after 3 months. ITA was assessed after 1 week of treatment and at discharge, from patient's and staff's perspectives. Preliminary findings suggest that the ITA represents a specific phenomenon different from the classical therapeutic alliance (patienttherapist), which would be particularly relevant for the treatment of patients who are severely disturbed.

摘要

本文展示了一项纵向研究的结果，该研究旨在探索机构治疗联盟（ITA），即患者与所有治疗人员形成的联盟。对55名部分住院治疗的精神疾病患者在入院时（整体功能水平、社会支持、症状状况和治疗期望）、出院时以及出院3个月后进行了评估。从患者和工作人员的角度，在治疗1周后和出院时对ITA进行了评估。初步研究结果表明，ITA代表了一种不同于经典治疗联盟（患者-治疗师）的特殊现象，这对于治疗严重精神障碍的患者可能特别重要。