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

Julia Browne; Kim T. Mueser; Piper Meyer-Kalos; Jennifer D. Gottlieb; Sue E. Estroff; David L. Penn

doi:10.1037/ccp0000418

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

Julia Browne, Kim T. Mueser, Piper Meyer-Kalos, Jennifer D. Gottlieb, Sue E. Estroff, David L. Penn

Psychiatry & Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

17 Scopus citations

Abstract

Objective: The therapeutic alliance 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). Method: The present study examined the alliance at Session 3, 4, or 5 and its relationship to 2-year treatment outcomes and therapy participation in a sample of 144 FEP clients who received specialized FEP treatment at U.S. clinics. Furthermore, we examined between-therapist and within-therapist (client) effects of the alliance on outcomes. Results: Results indicated that a better 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 treatment. In addition, the between-therapist effect of the alliance was significantly related to better mental health recovery whereas the within-therapist (client) effect of the alliance was related to better quality of life, total symptoms, and negative symptoms at the end of treatment. Conclusions: A stronger alliance was related to improved treatment outcomes in FEP. Future work should consider examining mediators of the alliance-outcome relationship as well as how changes in the alliance relate to changes in outcomes over time.

Original language	English (US)
Pages (from-to)	734-744
Number of pages	11
Journal	Journal of consulting and clinical psychology
Volume	87
Issue number	8
DOIs	https://doi.org/10.1037/ccp0000418
State	Published - Aug 2019

Bibliographical note

Funding Information:
The contents of this article are solely the responsibility of the authors and do not necessarily represent the views of NIMH or the U.S. Department of Health and Human Services. The RAISE ETP study was supported in whole or in part with funds from the American Recovery and Reinvestment Act and the National Institute of Mental Health (HHSN-271-2009-00019C). Additional support was provided by a National Institute of Mental Health Advanced Centers for Intervention and/or Services Research award (P30MH090590) to the Principal Investigator, John Kane. Julia Browne received funding from The Tom and Karen Sox Summer Research Fellowship awarded by The Graduate School at UNC-Chapel Hill.

Publisher Copyright:
© 2019 American Psychological Association.

Keywords

Early intervention
First episode psychosis
Recovery
Therapist effects
Working relationship

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title = "The therapeutic alliance in individual resiliency training for first episode psychosis: Relationship with treatment outcomes and therapy participation",

abstract = "Objective: The therapeutic alliance 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). Method: The present study examined the alliance at Session 3, 4, or 5 and its relationship to 2-year treatment outcomes and therapy participation in a sample of 144 FEP clients who received specialized FEP treatment at U.S. clinics. Furthermore, we examined between-therapist and within-therapist (client) effects of the alliance on outcomes. Results: Results indicated that a better 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 treatment. In addition, the between-therapist effect of the alliance was significantly related to better mental health recovery whereas the within-therapist (client) effect of the alliance was related to better quality of life, total symptoms, and negative symptoms at the end of treatment. Conclusions: A stronger alliance was related to improved treatment outcomes in FEP. Future work should consider examining mediators of the alliance-outcome relationship as well as how changes in the alliance relate to changes in outcomes over time.",

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author = "Julia Browne and Mueser, {Kim T.} and Piper Meyer-Kalos and Gottlieb, {Jennifer D.} and Estroff, {Sue E.} and Penn, {David L.}",

note = "Funding Information: The contents of this article are solely the responsibility of the authors and do not necessarily represent the views of NIMH or the U.S. Department of Health and Human Services. The RAISE ETP study was supported in whole or in part with funds from the American Recovery and Reinvestment Act and the National Institute of Mental Health (HHSN-271-2009-00019C). Additional support was provided by a National Institute of Mental Health Advanced Centers for Intervention and/or Services Research award (P30MH090590) to the Principal Investigator, John Kane. Julia Browne received funding from The Tom and Karen Sox Summer Research Fellowship awarded by The Graduate School at UNC-Chapel Hill. Publisher Copyright: {\textcopyright} 2019 American Psychological Association.",

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AU - Estroff, Sue E.

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

Abstract

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