Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-26T03:36:51.515Z Has data issue: false hasContentIssue false
  • English
  • Français

Therapeutic alliance: satisfaction and attrition of patients from a mental health clinic in Ayacucho, Peru

Published online by Cambridge University Press:  02 January 2018

Maria C. Prom ,
Jeffrey Stovall ,
Luis E. Bedregal ,
James Phillips  and
Mario A. Davidson
Maria C. Prom
Affiliation:
Vanderbilt University School of Medicine, Nashville, Tennessee, USA, email [email protected]
Jeffrey Stovall
Affiliation:
Vanderbilt University School of Medicine, Nashville, Tennessee, USA
Luis E. Bedregal
Affiliation:
Yale University School of Medicine, New Haven, Connecticut, USA
James Phillips
Affiliation:
Yale University School of Medicine, New Haven, Connecticut, USA
Mario A. Davidson
Affiliation:
Vanderbilt University School of Medicine, Nashville, Tennessee, USA
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

This study examines the role of the patient–provider relationship (alliance) and patient satisfaction in early patient withdrawal from mental health therapy in rural Peru. A prospective comparison of 60 patients demonstrated that early withdrawal was associated with the clinician's, but not the patient's, evaluation of the patient–provider alliance. This suggests that the satisfaction and alliance questionnaires typically used in high-income countries may not be effective in evaluating patient attitudes in this population, but may be useful for clinician evaluations of the alliance. Clinicians can use the Working Alliance Inventory to indicate the need for early intervention to prevent patient drop-out in middle- and low-income countries.

Type
Research papers
Information
International Psychiatry , Volume 11 , Issue 4 , November 2014 , pp. 95 - 97
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Royal College of Psychiatrists 2014

References

Barrett, M. S., Chua, W. J., Crits-Christoph, P., et al (2008) Early withdrawal from mental health treatment: implications for psychotherapy practice. Psychotherapy (Chicago), 45, 247–267.CrossRefGoogle ScholarPubMed
Edlund, M. J., Wang, P. S., Berglund, P. A., et al (2002) Dropping out of mental health treatment: patterns and predictors among epidemiological survey respondents in the United States and Ontario. American Journal of Psychiatry, 159, 845–851.CrossRefGoogle ScholarPubMed
Hansen, N. B., Lambert, M. J. & Forman, E. M. (2002) The psychotherapy dose–response effect and its implications for treatment delivery services. Clinical Psychology: Science and Practice, 9, 329–343.Google Scholar
Horvath, A. O. & Greenberg, L. S. (1989) Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36, 223–233.CrossRefGoogle Scholar
Lhullier, A. C., Nunes, M. L. T., Antochevis, A. F., et al (2000) Change of therapist and therapy drop out in a training clinic. Aletheia, 11, 7–11.Google Scholar
Martin, D. J., Garske, J. P. & Davis, M. K. (2000) Relation of the therapeutic alliance with outcome and other variables: a meta-analytical review. Journal of Counseling and Clinical Psychology, 68, 438–450.CrossRefGoogle Scholar
Morlino, M., Buonocore, M., Calento, A., et al (2009) First contact with psychiatric services: who leaves and who remains. General Hospital Psychiatry, 31, 367–375.CrossRefGoogle ScholarPubMed
Paris, M., Añez, L. M., Bedregal, L. E., et al (2005) Help seeking and satisfaction among Latinas: the roles of setting, ethnic identity, and therapeutic alliance. Journal of Community Psychiatry, 33, 299–312.Google Scholar
Reneses, B., Munoz, E. & López-Ibor, J. J. (2009) Factors predicting drop-out in community mental health centres. World Psychiatry, 8, 173–177.CrossRefGoogle ScholarPubMed
Rossi, A., Amaddeo, F., Sandri, M., et al (2008) What happens to patients seen only once for psychiatric services? Findings from a follow-up study. Psychiatry Research, 157, 53–65.CrossRefGoogle ScholarPubMed
Santibáñez, P. (2003) The therapeutic alliance in psychotherapy: ‘Working Alliance Inventory’ in Chile. Psykhe, 12, 109–118.Google Scholar
Santibáñez Fernández, P. M., Román Mella, M. F. & Vinet, E. V. (2009) Efectividad de la psicoterapia y su relación con la alianza terapéutica [Effectiveness of psychotherapy and its relationship to the therapeutic alliance]. Interdisciplinaria, 26, 267–287.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.