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Helping alliance and early dropout from psychiatric out-patient care The influence of patient factors.

Publiceringsår: 2006
Språk: Engelska
Sidor: 140-147
Publikation/Tidskrift/Serie: Social Psychiatry and Psychiatric Epidemiology
Volym: 41
Nummer: 2
Dokumenttyp: Artikel i tidskrift
Förlag: Steinkopff


Background The study examined client factors

of relevance in the establishment of helping alliance

and in the prediction of dropout from a routine

psychiatric setting admitting a variety of diagnoses and

staffed with a multiprofessional team. Method Newly

admitted patients (n=122) and staff completed questionnaires

regarding helping alliance, and the patients

also completed questionnaires regarding motivation,

symptoms and interpersonal problems. The patients

were also diagnosed according to ICD-10 and were

followed up concerning early dropout. Results Several

variables correlated with helping alliance, and multivariate

analyses showed that cold/distant factor, motivation

and interpersonal sensitivity factor were the

most important factors in establishing helping alliance.

Moreover, it was the alliance as perceived by the patients

(and not by the staff) that proved to be the most

essential variable. A logistic regression analysis showed

that early dropout was predicted by low helping alliance,

low age and cold/distant factor. Conclusion The

most important client factors for establishing helping

alliance and for predicting early dropout seem to be

those relevant to interpersonal processes. Furthermore,

the therapists’/staff’s responsiveness to these

client factors seems to be of decisive importance.


  • Occupational Therapy
  • psychotherapy
  • psychiatry
  • therapeutic relationship
  • working alliance
  • therapeutic alliance
  • helping alliance
  • dropout
  • psychiatric care
  • patient factors


  • Occupational Therapy and Occupational Science
  • ISSN: 0933-7954

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