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Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study

Arnold, Katrin; Loos, Sabine; Mayer, Benjamin; Clarke, Eleanor; Slade, Mike; Fiorillo, Andrea; Del Vecchio, V.; Égerházi, Anikó; Ivánka, T.; Munk-Jørgensen, Povl; Bording, Malene Krogsgaard; Kawohl, Wolfram; Rössler, Wulf; Puschner, Bernd

Authors

Katrin Arnold

Sabine Loos

Benjamin Mayer

Eleanor Clarke

Mike Slade

Andrea Fiorillo

V. Del Vecchio

Anikó Égerházi

T. Ivánka

Povl Munk-Jørgensen

Malene Krogsgaard Bording

Wolfram Kawohl

Wulf Rössler

Bernd Puschner



Abstract

The helping alliance (HA) refers to the collaborative bond between patient and therapist including shared goals and tasks. People with severe mental illness have a complex mixture of clinical and social needs. Using mixed-effects regression, this study examined in 588 people with severe mental illness whether an increase in the HA is associated with fewer unmet needs over time, and whether change in the HA precedes change in unmet needs. It was found that a reduction of unmet needs was slower in patients with higher HA (B=0.04, p

Journal Article Type Article
Publication Date Apr 30, 2017
Journal Journal of Nervous and Mental Disease
Print ISSN 0022-3018
Electronic ISSN 1539-736X
Publisher Lippincott, Williams & Wilkins
Peer Reviewed Peer Reviewed
Volume 205
Issue 4
APA6 Citation Arnold, K., Loos, S., Mayer, B., Clarke, E., Slade, M., Fiorillo, A., …Puschner, B. (2017). Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study. Journal of Nervous and Mental Disease, 205(4), doi:10.1097/NMD.0000000000000650
DOI https://doi.org/10.1097/NMD.0000000000000650
Keywords Helping alliance; Unmet needs; Severe mental illness; Prospective observational study
Publisher URL http://insights.ovid.com/crossref?an=00005053-201704000-00016
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
Additional Information This is not the final published version.

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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