The impact of thought disorder on therapeutic alliance and personal recovery in schizophrenia and schizoaffective disorder: An exploratory study

Cavelti, Marialuisa; Homan, Philipp; Vauth, Roland

doi:10.1016/j.psychres.2016.02.070

Cited by 44 publications

(29 citation statements)

References 63 publications

(76 reference statements)

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“…The present study utilized only baseline and 24-month measures given our interest in examining the relationships between alliance and treatment outcomes controlling for baseline measures. Our decision to examine relationships between alliance and post-treatment (24-month) outcomes rather than between alliance and outcomes during treatment is consistent with primary alliance-outcome work outside of psychosis (Horvath et al, 2011;Horvath & Luborsky, 1993;Krupnick et al, 1996;Martin et al, 2000) as well as the vast majority of alliance-outcome studies within schizophrenia and FEP (e.g., Berry et al, 2016;Cavelti et al, 2016;Dunn et al, 2006;Frank & Gunderson, 1990;Goldsmith et al, 2015;Huddy et al, 2012;Jung et al, 2014;Weiss et al, 2002). Finally, since the present study examined a subset of measures utilized in RAISE ETP, only these measures are described in detail below (refer to Kane et al, 2016 andKane et al, 2015 for more details).…”

Section: Methodsmentioning

confidence: 87%

The therapeutic alliance in individual resiliency training for first episode psychosis: Relationship with treatment outcomes and therapy participation.

Browne¹,

Mueser²,

Meyer-Kalos³

et al. 2019

Journal of Consulting and Clinical Psychology

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Julia Browne: The Therapeutic Alliance in Individual Resiliency Training for First Episode Psychosis: Relationship with Treatment Outcomes and Therapy Participation (Under the direction of David L. Penn) The therapeutic alliance, or the relationship between the client and provider, has long been considered an essential part of treatment. Despite a large body of work examining the alliance-outcome relationship, very few studies have examined it within individuals with first episode psychosis (FEP). Given the dearth of research examining alliance and outcome in FEP in tandem with the sizeable rise in specialized FEP programs throughout the United States, the potential benefits of this work are substantial. As such, the present study examined the therapeutic alliance and its relationship to treatment outcomes and therapy participation in a sample of 144 FEP clients who received specialized FEP treatment at U.S. clinics. Furthermore, the present study extended prior literature by utilizing an observer-rated alliance measure and by examining between-therapist and within-therapist effects of alliance on outcomes. Resultsindicated that a better therapeutic alliance was related to improved mental health recovery, psychological well-being, quality of life, total symptoms, negative symptoms, and disorganized symptoms at the end of 24 months controlling for the baseline measure of outcome and treatment-related covariates. Additionally, the between-therapist effect of the alliance was significantly related to better mental health recovery whereas the within-therapist effect of the iv alliance was related to better quality of life, total symptoms, and negative symptoms at the end of treatment controlling for the baseline measure of outcome and treatment-related covariates.

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Section: Methodsmentioning

confidence: 87%

The therapeutic alliance in individual resiliency training for first episode psychosis: Relationship with treatment outcomes and therapy participation.

Browne¹,

Mueser²,

Meyer-Kalos³

et al. 2019

Journal of Consulting and Clinical Psychology

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“…Therefore, we expected to replicate previous results and find lower connectedness between words in patients with the schizophrenia diagnosis, in comparison with patients with psychotic symptoms and a diagnosis of bipolar disorder. Given the importance of FTD in defining the nature of psychosis and predicting its clinical (Demjaha et al, 2017) and global functional impact (Cavelti et al, 2016), one must be able to relate such a measure to functional outcome as well as any existing scales for FTD. The measure should also be expected to relate to core cognitive deficits in psychoses such as processing speed (Dickinson et al, 2007), as FTD shows a complex interplay with cognitive impairment (Xu et al, 2014;Nagels et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Speech structure links the neural and socio-behavioural correlates of psychotic disorders

Palaniyappan

Mota

Oowise³

et al. 2019

Progress in Neuro-Psychopharmacology and Biological Psychiatry

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“…This is problematic since the presence of TD has been associated with poorer work (Racenstein et al, 1999) and social functioning (Bowie et al, 2011;Bowie and Harvey, 2008;Harrow and Marengo, 1986), poorer quality of life (Tan et al, 2014) and high rates of rehospitalisation (Harrow and Marengo, 1986;Wilcox, 1990). TD has also been found to have a negative impact on clinicians" ratings of the therapeutic alliance (Cavelti et al, 2016) a core process in effective cognitive behavioral therapy for psychosis (CBTp;Goldsmith et al, 2015). Moreover, TD has been found to be a significant predictor of future conversion into psychosis in high-risk populations (Bearden et al, 2011;Cannon et al, 2008;DeVylder et al, 2014;Ott et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

The role of social isolation and social cognition in thought disorder

Sousa

Sellwood

Eldridge

et al. 2018

Psychiatry Research

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A better understanding of how social factors relate to the psychological processes in thought disorder (TD) is necessary for the development of effective psychological interventions. Sixty-eight participants diagnosed with psychosis (18-65; 47.1% female) were recruited and evaluated on social cognition (Hinting Task, HT; and reading the mind in the eyes test, RMET), social isolation (size of social network, frequency and quality of contact), psychotic symptoms (Positive and Negative Syndrome Scale, PANSS) and TD (Thought, Language and Communication Disorders Scale, TLC). A mediation model was tested with isolation as the predictor, TD as the outcome, and performance on HT and RMET as the mediators. The final model, with adjustment for comorbid symptoms (i.e. delusions, suspiciousness, hallucinations, and negative symptoms), supported full mediation and explained a significant amount of the observed variance (60%). Performance on the HT was a significant mediator of the relationship between social isolation and TD. From the covariates, delusions contributed independently and significantly to TD. The implications of the findings for psychological practice, and TD-specific interventions, are discussed as well as the limitations of the study. Further avenues for symptom-specific research are discussed, in particular with reference to more complex psychosocial models.

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The impact of thought disorder on therapeutic alliance and personal recovery in schizophrenia and schizoaffective disorder: An exploratory study

Cited by 44 publications

References 63 publications

The therapeutic alliance in individual resiliency training for first episode psychosis: Relationship with treatment outcomes and therapy participation.

The therapeutic alliance in individual resiliency training for first episode psychosis: Relationship with treatment outcomes and therapy participation.

Speech structure links the neural and socio-behavioural correlates of psychotic disorders

The role of social isolation and social cognition in thought disorder

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