Neurocognitive correlates of therapeutic alliance in schizophrenia

The Journal of Nervous and Mental Disease
Louanne W Davis, Paul H Lysaker

Abstract

Although therapeutic alliance in schizophrenia has been linked with treatment adherence and outcome, less is known about its clinical correlates. This study explored neurocognition as a possible predictor of perceived therapeutic alliance among people with schizophrenia in cognitive behavior therapy. Twenty-four participants with schizophrenia spectrum disorders and their therapists were administered the Working Alliance Inventory, Short Form after 3 months of therapy. Totals for clients and therapists were correlated with measures of verbal memory, premorbid intelligence, visual spatial reasoning, executive function, and attention, all obtained before beginning therapy. Poorer performance on verbal memory was significantly related to client report of stronger alliance, whereas better performance on visual spatial reasoning was significantly related to therapist report of stronger alliance. Client and therapist ratings of therapeutic alliance were significantly and positively related. Clients' abilities may differentially affect therapist and client perception of therapeutic alliance in schizophrenia.

References

Jul 1, 1991·Archives of General Psychiatry·A J SaykinP Stafiniak
Mar 1, 1996·The American Journal of Psychiatry·M F Green
Mar 31, 1999·Schizophrenia Bulletin·J Addington, D Addington
Jul 10, 2003·Psychological Assessment·Michael A Busseri, John D Tyler

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Citations

Apr 17, 2007·The Journal of Nervous and Mental Disease·Louanne W Davis, Paul H Lysaker
Feb 25, 2011·The Journal of Nervous and Mental Disease·Ragnhild JohansenIngrid Melle
Jul 5, 2012·The Journal of Nervous and Mental Disease·Vyv HuddyDaniel Stahl
Feb 24, 2015·Community Mental Health Journal·Asia RuchlewskaNiels C L Mulder
Aug 27, 2005·The Psychiatric Clinics of North America·Christopher R Bowie, Philip D Harvey
Jan 18, 2014·Journal of the Neurological Sciences·Eija Rosti-OtajärviPäivi Hämäläinen
Apr 25, 2015·PloS One·Friederike X E HöferStefanie K Gairing
Feb 10, 2009·European Psychiatry : the Journal of the Association of European Psychiatrists·Andreas WittorfStefan Klingberg
Mar 30, 2020·The Journal of Nervous and Mental Disease·Héloïse da CostaNicolas Franck

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