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Attenuated psychosis symptoms are related to working alliance between therapist and service user.
Cowan, T; Millar, C; O'Donovan, K; Chibani, D; Reeves, G; Redman, S; Fitzgerald, J; Jay, S; Schiffman, J; Rakhshan Rouhakhtar, P.
Afiliación
  • Cowan T; School of Medicine, Division of Child and Adolescent Psychiatry, University of Maryland, Baltimore, USA.
  • Millar C; Department of Psychology, University of Maryland Baltimore County, Baltimore, USA.
  • O'Donovan K; Department of Psychology, University of Maryland Baltimore County, Baltimore, USA.
  • Chibani D; School of Medicine, Division of Child and Adolescent Psychiatry, University of Maryland, Baltimore, USA.
  • Reeves G; Department of Psychology, University of Maryland Baltimore County, Baltimore, USA.
  • Redman S; School of Medicine, Division of Child and Adolescent Psychiatry, University of Maryland, Baltimore, USA.
  • Fitzgerald J; Department of Psychology, University of Maryland Baltimore County, Baltimore, USA.
  • Jay S; Department of Psychology, University of Maryland Baltimore County, Baltimore, USA.
  • Schiffman J; Department of Psychology, University of Maryland Baltimore County, Baltimore, USA.
  • Rakhshan Rouhakhtar P; Department of Psychology, University of California Irvine, Irvine, USA.
Article en En | MEDLINE | ID: mdl-38777336
ABSTRACT

AIM:

Many trials have demonstrated the efficacy of specific therapy modalities for individuals with attenuated psychosis symptoms (APS). Less is known regarding mechanisms behind positive outcomes, including the role of nonspecific therapeutic factors. This study explored working alliance (WA) in a clinic serving individuals with APS to see how WA changed across the course of treatment and its relation to APS.

METHODS:

Session level APS and WA data was available for 12 individuals of diverse racial and gender identity, (M = 48 sessions each). Multilevel models with random intercepts tested change in WA and APS over time, and cross-sectional and prospective relations.

RESULTS:

WA increased and APS decreased over time. Cross sectionally, WA and APS were inversely related. Prospective relations were non-significant.

CONCLUSION:

When symptoms increase, therapists for individuals with APS should be attentive to potential disruptions in WA, though strong WA may be a cross-sectional protective factor.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Early Interv Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Australia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Early Interv Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Australia