Early Therapeutic Alliance, Treatment Retention, and 12-Month Outcomes in a Healthy Lifestyles Intervention for People with Psychotic Disorders. Issue 12 (December 2016)

• Record Type: Journal Article
• Authors: Andrews, Michelle; Baker, Amanda L.; Halpin, Sean A.; Lewin, Terry J.; Richmond, Robyn; Kay-Lambkin, Frances J.; Filia, Sacha L.; Castle, David; Williams, Jill M.; Clark, Vanessa; Callister, Robin
• Is Part Of: Journal of nervous and mental disease. Volume 204:Issue 12(2016:Dec.)
• Publication Date: 2016-12
• Subjects: Predictors -- psychosis -- telephone-delivered treatment modality -- therapeutic alliance -- treatment retention; Neurology -- Periodicals; Psychiatry -- Periodicals; Neurology; Psychiatry; Neurologie; Psychiatrie; Neurology; Psychiatry; Periodicals; 616.8005
• DOI: 10.1097/NMD.0000000000000585
• Languages: English
• ISSNs: 0022-3018

Abstract

Abstract : Abstract: Engaging and retaining individuals with psychotic disorders in psychosocial treatments is difficult. Early therapeutic alliance, treatment retention, and 12-month outcomes were examined in a subsample of smokers with a psychotic disorder ( N = 178) participating in a healthy lifestyles study comparing a telephone versus face-to-face delivered intervention. Therapeutic alliance was assessed using the Agnew Relationship Measure; primary outcomes were treatment retention and changes in symptoms and health behaviors. Contrary to expectations, early alliance did not predict treatment retention. However, elements of both client- and therapist-rated alliance predicted some clinical outcomes ( e.g., higher confidence in the therapeutic alliance at session 1 predicted improvements in 12-month depression). Some modest interactions between early alliance and intervention condition were also identified ( e.g., clients initially with lower self-perceived initiative, or higher therapist-perceived bonding benefited preferentially from the telephone-delivered intervention), highlighting the need to further examine the interplay between therapeutic alliance and treatment modality. Abstract : Supplemental digital content is available.