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The effect of Working Alliance on drug attitude in patients with Major Depressive Disorder

Published online by Cambridge University Press:  01 September 2022

G. Santarelli*
Affiliation:
University of Florence, Human Health Sciences, Firenze, Italy
G. Sanfilippo
Affiliation:
University of Florence, Human Health Sciences, Firenze, Italy
F. Benvenuti
Affiliation:
University of Florence, Human Health Sciences, Firenze, Italy
L. Santoro
Affiliation:
University of Florence, Human Health Sciences, Firenze, Italy
A. Nistri
Affiliation:
University of Florence, Human Health Sciences, Firenze, Italy
M. Innocenti
Affiliation:
University of Florence, Human Health Sciences, firenze, Italy
A. Ballerini
Affiliation:
University of Florence, Human Health Sciences, firenze, Italy
V. Ricca
Affiliation:
University of Florence, Human Health Sciences, firenze, Italy
*
*Corresponding author.

Abstract

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Introduction

Working Alliance is defined as the emotional bond and the agreement on therapeutic goals and tasks between patients and therapists. Despite the wide use of the construct of working alliance in research on psychotherapy, few studies have investigated the role of working alliance in influencing adherence to pharmacotherapy, and drug attitude. A deeper knowledge of the interplay between working alliance and drug attitude could help to challenge low adherence to psychopharmacological treatments in Major Depressive Disorder.

Objectives

This study aimed to investigate the relationship between working alliance and drug attitude in patients with Major Depressive Disorder.

Methods

27 patients admitted in the Psychiatric Unit of Careggi with diagnosis of Major Depressive Disorders were enrolled. Working Alliance Inventory - patient version (WAI-P), Drug Attitude Inventory (DAI) and Beliefs about Medicines (BMQ) were administered. Pearson’s correlation was used to assess relationships between variables.

Results

A significant positive correlation was detected between BMQ total scores, DAI total scores and WAI-P task, bond, and goal subscales.

Correlations between WAI-P subscales and BMQ and DAI total scores
DAI total scoresBMQ total scores
rprp
WAI-P task0.5510.0030.6130.001
WAI-P bond0.4300.0010.5600.004
WAI-P goal0.6210.0010.6030.002

Conclusions

Such preliminary data suggest a relationship between Working Alliance and drug attitude. This could contribute to provide tools to challenge low adherence to psychopharmacological treatments in patients with Major Depressive Disorder.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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