Working alliance predicts symptomatic improvement in public hospital-delivered psychotherapy in Nairobi, Kenya.

ABSTRACT:

Objective

Although patient-therapist collaboration (working alliance) has been studied extensively in Europe and America, it is unknown to what extent the importance of working alliance for psychotherapy outcome generalizes to lower- and middle-income countries. Additionally, there is a need for more studies on the alliance using methods that are robust to confounders of its effect on outcome.

Method

In this study, 345 outpatients seeking care at the 2 public psychiatric hospitals in Nairobi, Kenya, filled out the Session Alliance Inventory (SAI) and the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) during each session. The effect of alliance on next-session psychological distress was modeled using the random intercept cross-lagged panel model, which esti

SUBMITTER: Falkenstrom F 

PROVIDER: S-EPMC7776120 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature