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Treatment alliance and needs of care concerning religiousness and spirituality: A follow-up study among psychiatric inpatients

Background: Patient satisfaction with religious/spiritual (R/S) care during mental health treatment has been associated with a better treatment alliance. Aims: To investigate the longitudinal relations between (un)met R/S care needs and treatment alliance/compliance over a 6-month period. Method: 20...

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Published in:International journal of social psychiatry 2022-11, Vol.68 (7), p.1341-1350
Main Authors: van Nieuw Amerongen-Meeuse, Joke C, Braam, Arjan W, Anbeek, Christa, Twisk, Jos WR, Schaap-Jonker, Hanneke
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container_title International journal of social psychiatry
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creator van Nieuw Amerongen-Meeuse, Joke C
Braam, Arjan W
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description Background: Patient satisfaction with religious/spiritual (R/S) care during mental health treatment has been associated with a better treatment alliance. Aims: To investigate the longitudinal relations between (un)met R/S care needs and treatment alliance/compliance over a 6-month period. Method: 201 patients in a Christian (CC) and a secular mental health clinic completed a questionnaire (T0) containing an R/S care needs questionnaire, the Working Alliance Inventory (WAI) and the Service Engagement Scale (SES). After 6 months 136 of them took part in a follow-up (T1). Associations were analysed using hybrid linear mixed models and structural equation modelling. Results: R/S care needs decreased over time, but a similar percentage remained unanswered (e.g. 67% of the needs on R/S conversations in a secular setting). Over a 6-month period, met R/S care needs were associated with a higher WAI score (β = .25; p 
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Aims: To investigate the longitudinal relations between (un)met R/S care needs and treatment alliance/compliance over a 6-month period. Method: 201 patients in a Christian (CC) and a secular mental health clinic completed a questionnaire (T0) containing an R/S care needs questionnaire, the Working Alliance Inventory (WAI) and the Service Engagement Scale (SES). After 6 months 136 of them took part in a follow-up (T1). Associations were analysed using hybrid linear mixed models and structural equation modelling. Results: R/S care needs decreased over time, but a similar percentage remained unanswered (e.g. 67% of the needs on R/S conversations in a secular setting). Over a 6-month period, met R/S care needs were associated with a higher WAI score (β = .25; p &lt; .001), and unmet R/S care needs with lower WAI score (β = −.36; p &lt; .001), which were mainly between subjects effects. Patients reporting a high score of unmet R/S care at baseline, reported a decrease in SES over time (β = −.13; p &lt; .05). Conclusions: Satisfaction with R/S care among mental health patients is related to a better treatment alliance. When unmet R/S care needs persist, they precede a decrease in treatment compliance. Mental health professionals are recommended to assess the presence of R/S care needs and consider possibilities of R/S care especially in the first weeks of treatment.</description><identifier>ISSN: 0020-7640</identifier><identifier>EISSN: 1741-2854</identifier><identifier>DOI: 10.1177/00207640211023065</identifier><identifier>PMID: 34100667</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Alliances ; Between-subjects design ; Compliance ; Medical personnel ; Mental disorders ; Mental health care ; Mental health professionals ; Mental health services ; Needs assessment ; Patient satisfaction ; Patients ; Psychiatric hospitals ; Questionnaires ; Religiosity ; Socioeconomic status ; Spirituality ; Structural equation modeling ; Structural models ; Therapeutic alliances ; Treatment compliance</subject><ispartof>International journal of social psychiatry, 2022-11, Vol.68 (7), p.1341-1350</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-7168db0127edb7cf32c5760fc23a34b5f98599b89ef7e004b788d7020565ea013</citedby><cites>FETCH-LOGICAL-c411t-7168db0127edb7cf32c5760fc23a34b5f98599b89ef7e004b788d7020565ea013</cites><orcidid>0000-0001-7584-3211 ; 0000-0002-0825-6188</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999,33223,33774,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34100667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Nieuw Amerongen-Meeuse, Joke C</creatorcontrib><creatorcontrib>Braam, Arjan W</creatorcontrib><creatorcontrib>Anbeek, Christa</creatorcontrib><creatorcontrib>Twisk, Jos WR</creatorcontrib><creatorcontrib>Schaap-Jonker, Hanneke</creatorcontrib><title>Treatment alliance and needs of care concerning religiousness and spirituality: A follow-up study among psychiatric inpatients</title><title>International journal of social psychiatry</title><addtitle>Int J Soc Psychiatry</addtitle><description>Background: Patient satisfaction with religious/spiritual (R/S) care during mental health treatment has been associated with a better treatment alliance. Aims: To investigate the longitudinal relations between (un)met R/S care needs and treatment alliance/compliance over a 6-month period. Method: 201 patients in a Christian (CC) and a secular mental health clinic completed a questionnaire (T0) containing an R/S care needs questionnaire, the Working Alliance Inventory (WAI) and the Service Engagement Scale (SES). After 6 months 136 of them took part in a follow-up (T1). Associations were analysed using hybrid linear mixed models and structural equation modelling. Results: R/S care needs decreased over time, but a similar percentage remained unanswered (e.g. 67% of the needs on R/S conversations in a secular setting). Over a 6-month period, met R/S care needs were associated with a higher WAI score (β = .25; p &lt; .001), and unmet R/S care needs with lower WAI score (β = −.36; p &lt; .001), which were mainly between subjects effects. Patients reporting a high score of unmet R/S care at baseline, reported a decrease in SES over time (β = −.13; p &lt; .05). Conclusions: Satisfaction with R/S care among mental health patients is related to a better treatment alliance. When unmet R/S care needs persist, they precede a decrease in treatment compliance. Mental health professionals are recommended to assess the presence of R/S care needs and consider possibilities of R/S care especially in the first weeks of treatment.</description><subject>Alliances</subject><subject>Between-subjects design</subject><subject>Compliance</subject><subject>Medical personnel</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Mental health professionals</subject><subject>Mental health services</subject><subject>Needs assessment</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>Psychiatric hospitals</subject><subject>Questionnaires</subject><subject>Religiosity</subject><subject>Socioeconomic status</subject><subject>Spirituality</subject><subject>Structural equation modeling</subject><subject>Structural models</subject><subject>Therapeutic alliances</subject><subject>Treatment compliance</subject><issn>0020-7640</issn><issn>1741-2854</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8BJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kUFv1DAQhS0EotvCD-gFWeLCJWXsxHbCraqgrVSJSzlHjjNZXDl2sB1Ve-G318uWIrXiNPL4e29m9Ag5ZXDGmFKfATgo2QBnDHgNUrwiG6YaVvFWNK_JZv9f7YEjcpzSHZQ3g_otOaobBiCl2pDftxF1ntFnqp2z2huk2o_UI46JhokaHZGaUPrRW7-lEZ3d2rAmjyn9QdNio82rdjbvvtBzOgXnwn21LjTlddxRPYeiW9LO_LQ6R2uo9YvOtsxM78ibSbuE7x_rCfnx7evtxVV18_3y-uL8pjINY7lSTLbjAIwrHAdlppoboSRMhte6bgYxda3ouqHtcFII0AyqbUdVrhdSoAZWn5BPB98lhl8rptzPNhl0Tnsst_Rc1B2HTrZdQT8-Q-_CGn3ZrueKc6kYiKZQ7ECZGFKKOPVLtLOOu55Bvw-nfxFO0Xx4dF6HGccnxd80CnB2AJLe4r-x_3d8AAMEl2A</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>van Nieuw Amerongen-Meeuse, Joke C</creator><creator>Braam, Arjan W</creator><creator>Anbeek, Christa</creator><creator>Twisk, Jos WR</creator><creator>Schaap-Jonker, Hanneke</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7584-3211</orcidid><orcidid>https://orcid.org/0000-0002-0825-6188</orcidid></search><sort><creationdate>20221101</creationdate><title>Treatment alliance and needs of care concerning religiousness and spirituality: A follow-up study among psychiatric inpatients</title><author>van Nieuw Amerongen-Meeuse, Joke C ; 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source Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); Sage Journals Online; Sociological Abstracts
subjects Alliances
Between-subjects design
Compliance
Medical personnel
Mental disorders
Mental health care
Mental health professionals
Mental health services
Needs assessment
Patient satisfaction
Patients
Psychiatric hospitals
Questionnaires
Religiosity
Socioeconomic status
Spirituality
Structural equation modeling
Structural models
Therapeutic alliances
Treatment compliance
title Treatment alliance and needs of care concerning religiousness and spirituality: A follow-up study among psychiatric inpatients
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