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International Journal of Social Psychiatry
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Therapeutic Relationships and Quality of Life: Association of Two Subjective Constructs in Schizophrenia Patients

Rosemarie McCabe

Department of Psychiatry, St. Bartholomew's & the Royal London School of Medicine & Dentistry, Academic Unit, East Ham Memorial Hospital, London E7 8QR, UK

Ute-Ulrike Röder-Wanner

Psychiatric Clinic, Ernst von Bergmann Klinikum, In der Aue 59-61, D-14480 Potsdam, Germany

Karin Hoffmann

Department of Social Psychiatry, Freie Universität Berlin, Platanenallee 19, D-14050 Berlin, Germany

Stefan Priebe

Subjective quality of life is an important criterion in outcome evaluation that has been well-researched in psychiatry. By comparison, the therapeutic relationship which may also be subjectively assessed has been relatively neglected as an outcome criterion although it has predictive power in relation to outcome. This exploratory study investigated subjective quality of life and therapeutic relationships in first-admission (N = 90) and long-term (N=168) schizophrenia patients, each at two points of time. The follow-up period was 9 months for the first-admission sample and 1.5 years for the long-term sample. A significant relationship was found between global assessments of quality of life and therapeutic relationships in long-term, but not in first-admission patients. This finding was consistent at both assessments, suggesting that therapeutic relationships may become more central to quality of life in long-term care situations and that patients' views of this relationship are increasingly embedded in their overall appraisal of life.

International Journal of Social Psychiatry, Vol. 45, No. 4, 276-283 (1999)
DOI: 10.1177/002076409904500406
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