The Association Between Working Alliance, Compliance, Self-Efficacy And Social Function In A Cohort Of 400 Patients With First-Episode Psychosis

Presentation First Author: 
Marianne Melau

Background: Working alliance (WA) defined as the treatment relationship between client and primary professional contact. WA focus in: task agreement, how to achieve the goals, and development of personal bond. In the field of psychotherapy the link between a strong therapeutic alliance and positive outcomes is well documented. Studies addressing WA in treatment programs for people suffering from severe and persistent mental illness also suggest an association between positive WA and better outcome The Opus team is a specialised early intervention service where the WA between the patient and the primary team member is regarded a key element in the treatment. This study examine if patients positive assessment of WA is associated with increased compliance and self-efficacy, fewer psychotic and negative symptoms, and improved social functioning. Method: Cross -sectional data were collected from first-episode patients, age 19 – 37 years, fulfilling the ICD-10 criteria for schizophrenia, schizotypal or delusional disorders and treated in Opus for 1½ years. All participants rate the working alliance, using Working Alliance Inventory. The patients clinical, functional, and cognitive status was comprehensively assessed as well. Results: Analysis of data from 400 first episode patients will be presented. Discussion: A positive working alliance between the patient and the primary team member may be a prerequisite for achieving treatment adherence and provide the basis for a positive treatment outcome. We expect the results to identify the hallmarks of a positive and effective working alliance between patient and primary team member in Opus team.

Conference Name: 
Presentation Date: 
January, 2013
Additional Authors: 
Marianne Melau, Susanne Harder, Pia Jeppesen, Anne Thorup, Merete Nordentoft
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