Dataset Information

Patients' care dependency in mental health care: Development of a self-report questionnaire and preliminary correlates.

ABSTRACT:

Objectives

Patients' dependency on the therapist or treatment has received little empirical attention. To examine care dependency, we aimed to develop a theory-driven questionnaire based on three hypothetical dimensions (passive-submissive dependency; active-emotional dependency; and lack of perceived alternatives) and to provide a preliminary exploration of several correlates of care dependency.

Method

Care dependency, perceived social support, therapeutic alliance, remoralization, and symptom severity were measured in a large cross-sectional sample of 742 outpatients with various psychiatric disorders. Test-retest reliability was established in a smaller patient sample.

Results

Findings indicated a reliable questionnaire measuring three unidimensional subscales of care dependency (i.e., submissive dependency, need for contact, and lack of perceived alternatives; ?'s .74, .81, and .86 respectively; r_t1,t2 's .78, .76, and .80, respectively). These subscales were all positively correlated with each other and with patients' self-proclaimed care dependency, but divergent from patients' trait dependency and symptoms of a dependent personality disorder. Moreover, higher levels of care dependency were correlated with lower levels of remoralization and more symptoms severity, and with a better therapeutic alliance.

Conclusions

A reliable and valid questionnaire was developed to measure patients' care dependency. Future studies are needed to determine whether care dependency covers an unwanted side-effect or a crucial ingredient of an effective treatment.

SUBMITTER: Geurtzen N

PROVIDER: S-EPMC6619340 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Publications

Patients' care dependency in mental health care: Development of a self-report questionnaire and preliminary correlates.

Geurtzen Naline N Keijsers Ger P J GPJ Karremans Johan C JC Hutschemaekers Giel J M GJM

Journal of clinical psychology 20180110 7

<h4>Objectives</h4>Patients' dependency on the therapist or treatment has received little empirical attention. To examine care dependency, we aimed to develop a theory-driven questionnaire based on three hypothetical dimensions (passive-submissive dependency; active-emotional dependency; and lack of perceived alternatives) and to provide a preliminary exploration of several correlates of care dependency.<h4>Method</h4>Care dependency, perceived social support, therapeutic alliance, remoralizatio ...[more]

PMID: 29319187

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Dataset Information

Patients' care dependency in mental health care: Development of a self-report questionnaire and preliminary correlates.

Objectives

Method

Results

Conclusions

Publications

Patients' care dependency in mental health care: Development of a self-report questionnaire and preliminary correlates.

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