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首页> 外文期刊>Journal of mental health >Change in working alliance and recovery in severe mental illness: An exploratory study
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Change in working alliance and recovery in severe mental illness: An exploratory study

机译：工作联盟的变化和严重精神疾病的康复：一项探索性研究

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Background Consumer-defined recovery from schizophrenia spectrum disorders and other recurring psychotic illnesses ("serious mental illness", "SMI") emphasize re-establishment of a personally meaningful life. The working alliance ("the alliance") is highlighted as important in facilitating recovery, however there is little empirical evidence concerning the relationship between the alliance and recovery in populations with SMI.Aims The aim is to explore the relationship between the alliance and recovery over time in a sample with SMI.Method Sixty-one individuals with SMI receiving case management support from mental health services in Australia were recruited by their mental health workers and completed measures of working alliance and recovery. Measures were collected by the workers during regular counselling sessions on two separate occasions. The average time between measurement times was 6 months apart.Results Multiple regression analyses indicated that changes in the alliance predicted recovery, but changes in recovery also predicted the alliance. No definitive conclusions regarding the causal direction of the relationship between the alliance and recovery could be drawn.Conclusions The results provide preliminary evidence that improvement in the alliance positively influences gains in recovery and that gains in recovery also facilitate stronger alliance in SMI. These findings support an emphasis on the alliance.
机译：背景技术从精神分裂症频谱疾病和其他复发性精神病（“严重精神病”，“ SMI”）的消费者定义的恢复强调了对个人有意义的生活的重建。工作联盟（“联盟”）被强调对促进康复很重要，但是很少有关于SMI人群中联盟与恢复之间关系的经验证据。目的是探讨联盟与灾后恢复之间的关系。方法采用心理健康工作者招募了来自澳大利亚心理健康服务机构的个案管理方法的六十一名患有SMI的个体，由其心理健康工作者招募，并完成了工作同盟和康复的措施。工人在两次单独的定期辅导期间收集了措施。测量时间之间的平均时间间隔为6个月。结果多元回归分析表明，联盟的变化可以预测恢复，但是恢复的变化也可以预测联盟。结论关于结盟与恢复之间的因果关系，尚无明确结论。结论这些结果提供了初步证据，表明结盟的改善对恢复收益产生积极影响，而恢复收益也有助于SMI加强结盟。这些发现支持对联盟的重视。

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