March 3, 2026Open Access

Working Alliance in Treating Staff and Patients With Schizophrenia Spectrum Disorder Living in Residential Facilities

Key Points

Positive correlation exists between patient and staff working alliance ratings, indicating shared perceptions of treatment quality.
Patients lacking engagement in work or study reported significantly lower working alliance ratings from staff, highlighting potential barriers.
Linear regression analysis shows that higher psychopathology severity negatively impacts working alliance ratings for both patients and staff members.
Findings support targeted interventions to enhance collaboration in treatment, improving overall patient outcomes in residential facilities.

Abstract

Objectives: Working Alliance (WA) is important in the care of patients with Schizophrenia Spectrum Disorders (SSD). This study aims to determine which sociodemographic and clinical factors are associated with WA, as assessed by patients and staff members in Residential Facilities (RFs), and may be associated with WA dyads' discrepancies.Methods: 303 SSD patients and 165 healthcare workers were recruited from 98 RFs and characterized for sociodemographic features. WA was rated by the Working Alliance Inventory (WAI) for patients (WAI-P) and staff members (WAI-T). SSD patients were assessed for the severity of psychopathology and psychosocial functioning.Results: Pearson's correlation revealed a positive correlation (ρ=.314; pConclusions: This study provides insight into the factors that influence WA in SSD patients and health workers in RFs. The findings address interventions to improve WA and ultimately patient outcomes.

Working Alliance in Treating Staff and Patients With Schizophrenia Spectrum Disorder Living in Residential Facilities

Key Points

Abstract

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