ABSTRACT

Working alliance (WA) is an important predictor of treatment outcomes in therapy. Forming a strong WA can be challenging with people diagnosed with schizophrenia, and differences between client-rated and clinician-rated WA have been found in this population. This project examined WA in people diagnosed with schizophrenia who completed a skills training and attention shaping group intervention. Paired-samples t-tests revealed differences between client and clinician ratings on the Working Alliance Inventory Short Form (WAI-S). Clinician-rated WAI-S scores were related to symptom severity, cognitive functioning and attention during group sessions. Yet, the primary hypothesis was not supported as WAI-S scores were unrelated to clients’ treatment response. Clinician-rated WAI-S was found to partially mediate the relationship between negative symptoms and overall attention. Client-rated WAI-S scores were associated with client measures of self-efficacy and mastery. Results reinforce the importance of working alliance in the treatment of those diagnosed with schizophrenia and indicate clinical and functional factors that may influence the quality of WA.

摘要

工作联盟（WA）是治疗中治疗结果的重要预测指标。对于确诊为精神分裂症的人来说，形成一个强大的西医挑战性很大，并且在此人群中发现了客户评价与临床医生评价的西医之间的差异。该项目在完成技能培训和注意力塑造小组干预的诊断精神分裂症患者中检查了WA。配对样本t测试发现工作联盟清单简短表格（WAI-S）中客户和临床医生的评级存在差异。临床医师评估的WAI-S评分与小组会议期间的症状严重程度，认知功能和注意力有关。然而，主要假设没有得到支持，因为WAI-S评分与客户的治疗反应无​​关。临床医师评估的WAI-S被发现部分介导了负面症状与整体注意力之间的关系。客户评估的WAI-S分数与客户的自我效能感和掌握程度相关。结果加强了工作同盟在诊断为精神分裂症的患者中的重要性，并表明可能影响西澳质量的临床和功能因素。