Frank A F, Gunderson J G
Brookside Hospital, Nashua, NH 03063.
Arch Gen Psychiatry. 1990 Mar;47(3):228-36. doi: 10.1001/archpsyc.1990.01810150028006.
This study examined the relationship of the therapeutic alliance to the treatment course and outcome of 143 patients with nonchronic schizophrenia. Results showed that patients who formed good alliances with their therapists within the first 6 months of treatment were significantly more likely to remain in psychotherapy, comply with their prescribed medication regimens, and achieve better outcomes after 2 years, with less medication, than patients who did not. These results underscored the prognostic value of assessing the alliance and the need to identify factors that contribute to its development and maintenance with schizophrenic patients.
本研究考察了治疗联盟与143例非慢性精神分裂症患者的治疗过程及治疗结果之间的关系。结果显示，在治疗的前6个月内与治疗师建立良好联盟的患者，比未建立良好联盟的患者更有可能坚持心理治疗、遵守规定的药物治疗方案，并且在2年后使用更少的药物就能取得更好的治疗效果。这些结果强调了评估治疗联盟的预后价值，以及识别有助于在精神分裂症患者中发展和维持治疗联盟的因素的必要性。
