Forensic Department Brøset, Centre for Research and Education in Forensic Psychiatry, St, Olav's Hospital, Trondheim University Hospital, P, Box 3008 Lade, Trondheim, 7441, Norway.
Ann Gen Psychiatry. 2013 May 9;12(1):14. doi: 10.1186/1744-859X-12-14.
The therapeutic alliance is related to better course and outcome of treatment in schizophrenia. This study explores predictors and characteristics of the therapeutic alliance in recent-onset schizophrenia spectrum disorders including the agreement between patient and therapist alliance ratings.
Forty-two patients were assessed with demographic, neurocognitive, and clinical measures including the Positive and Negative Syndrome Scale (PANSS). The therapeutic alliance was measured with the Working Alliance Inventory - Short Form (WAI-S).
Patient WAI-S total scores were predicted by age and PANSS excitative symptoms. Therapist WAI-S total scores were predicted by PANSS insight. Patient and therapist WAI-S total scores were moderately associated. Neurocognition was not associated with working alliance.
Working alliance is associated with specific demographic and symptom characteristics in patients with recent-onset schizophrenia spectrum disorders. There is moderate agreement between patients and therapists on the total quality of their working alliance. Findings highlight aspects that may increase therapists' specificity in the use of alliance-enhancing strategies.
治疗联盟与精神分裂症的治疗过程和结果有关。本研究探讨了首发精神分裂症谱系障碍患者治疗联盟的预测因素和特征，包括患者和治疗师对治疗联盟的评价之间的一致性。
42 名患者接受了人口统计学、神经认知和临床评估，包括阳性和阴性综合征量表（PANSS）。治疗联盟通过工作联盟评估-短表（WAI-S）进行评估。
患者 WAI-S 总分由年龄和 PANSS 兴奋症状预测。治疗师 WAI-S 总分由 PANSS 洞察力预测。患者和治疗师的 WAI-S 总分中度相关。神经认知与工作联盟无关。
在首发精神分裂症谱系障碍患者中，工作联盟与特定的人口统计学和症状特征有关。患者和治疗师对工作联盟的总体质量有中度的一致性。研究结果强调了可能增加治疗师在使用联盟增强策略时的特异性的方面。
