Can the therapeutic relationship predict 18 month outcomes for individuals with psychosis?

Simone Farrelly, Gillian Brown, George Szmukler, Diane Rose, Max Birchwood, Max Marshall, Waquas Waheed, Graham Thornicroft

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Therapeutic relationships (TRs) are considered a key component of good psychiatric care, yet its association with outcomes for individuals with psychosis remains unclear. Five hundred and sixty-nine service users with psychotic disorders and care coordinators in community settings rated their therapeutic relationship; outcomes were assessed 18 months later. In multivariate analyses, a small but significant association was found between service user ratings and instances of psychiatric hospital admissions, self harm and suicide attempts over an 18 month period. Care coordinator ratings were associated with instances of psychiatric hospital admissions and harm to others over the 18 months and level of functioning at 18 months. The differential findings and small effect size suggests that the therapeutic relationship needs further definition for this patient group in this setting. Nevertheless, clinicians should prioritise interactions that strengthen therapeutic relationships.
Original languageEnglish
Pages (from-to)585-591
Number of pages7
JournalPsychiatry Research
Volume220
Issue number1-2
Early online date22 Jul 2014
DOIs
Publication statusPublished - 15 Dec 2014

Keywords

  • Outcome
  • Schizophrenia
  • Therapeutic relationship

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    Farrelly, S., Brown, G., Szmukler, G., Rose, D., Birchwood, M., Marshall, M., Waheed, W., & Thornicroft, G. (2014). Can the therapeutic relationship predict 18 month outcomes for individuals with psychosis? Psychiatry Research, 220(1-2), 585-591. https://doi.org/10.1016/j.psychres.2014.07.032