التفاصيل البيبلوغرافية
| العنوان: |
Impact of personality dysfunction on interdisciplinary treatment team working alliance in an inpatient psychiatric population. |
| المؤلفون: |
Noor N; Menninger Department of Psychiatry and Behavioral Sciences., Rufino KA; Menninger Clinic., Patriquin MA; Menninger Department of Psychiatry and Behavioral Sciences., Oldham JM; Menninger Department of Psychiatry and Behavioral Sciences., Rohr JC; Department of Psychiatry. |
| المصدر: |
Personality disorders [Personal Disord] 2023 Mar; Vol. 14 (2), pp. 216-222. Date of Electronic Publication: 2022 Jun 20. |
| نوع المنشور: |
Journal Article |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Educational Pub. Foundation of the American Psychological Association Country of Publication: United States NLM ID: 101517071 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1949-2723 (Electronic) Linking ISSN: 19492723 NLM ISO Abbreviation: Personal Disord Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Washingon, DC : Educational Pub. Foundation of the American Psychological Association |
| مواضيع طبية MeSH: |
Inpatients* , Borderline Personality Disorder*/psychology, Humans ; Personality Disorders/diagnosis ; Personality ; Antisocial Personality Disorder/diagnosis |
| مستخلص: |
Cluster B personality disorders (PDs) share specific traits that can result in interpersonal conflict. As therapeutic working alliance has a strong relationship with improved outcomes, there is interest in understanding the relationship between PDs, working alliance, and clinical outcomes. This is especially compelling in inpatient populations, where symptoms are severe, and patients are working with a treatment team. The aims of this study were to (a) assess whether higher team working alliance is associated with lower depressive symptoms, (b) assess whether patients with Cluster B PD traits have worse working alliance with their team than patients without those Cluster B PD traits, and (c) assess whether higher team working alliance is associated with lower depressive symptoms when Cluster B PD traits are present. Team working alliance was measured at baseline and at discharge for 3,406 inpatients at a psychiatric hospital. Improved team working alliance was associated with lower depression scores at discharge. Patients with borderline personality disorder traits had worse team working alliance, whereas patients with narcissistic personality disorder and antisocial personality disorder traits had similar working alliance scores as other patients. Borderline personality disorder and antisocial personality disorder traits moderated the association between team working alliance and depressive symptoms differently. Findings suggest that team working alliance works similarly to therapist working alliance. Of clinical importance is the finding that team working alliance and its relationship with depression symptoms differ based on Cluster B PD traits, and the importance of strong working alliance regardless of interpersonal challenges due to personality pathology. (PsycInfo Database Record (c) 2023 APA, all rights reserved). |
| تواريخ الأحداث: |
Date Created: 20220621 Date Completed: 20230306 Latest Revision: 20230306 |
| رمز التحديث: |
20231215 |
| DOI: |
10.1037/per0000590 |
| PMID: |
35727317 |
| قاعدة البيانات: |
MEDLINE |
