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Patients’ care dependency in mental health care: Development of a self‐report questionnaire and preliminary correlates

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 percei...

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Autores principales: Geurtzen, Naline, Keijsers, Ger P. J., Karremans, Johan C., Hutschemaekers, Giel J. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6619340/
https://www.ncbi.nlm.nih.gov/pubmed/29319187
http://dx.doi.org/10.1002/jclp.22574
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author Geurtzen, Naline
Keijsers, Ger P. J.
Karremans, Johan C.
Hutschemaekers, Giel J. M.
author_facet Geurtzen, Naline
Keijsers, Ger P. J.
Karremans, Johan C.
Hutschemaekers, Giel J. M.
author_sort Geurtzen, Naline
collection PubMed
description 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; α’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.
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spelling pubmed-66193402019-07-22 Patients’ care dependency in mental health care: Development of a self‐report questionnaire and preliminary correlates Geurtzen, Naline Keijsers, Ger P. J. Karremans, Johan C. Hutschemaekers, Giel J. M. J Clin Psychol Regular Articles 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; α’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. John Wiley and Sons Inc. 2018-01-10 2018-07 /pmc/articles/PMC6619340/ /pubmed/29319187 http://dx.doi.org/10.1002/jclp.22574 Text en © 2018 The Authors. Journal of Clinical Psychology Published by Wiley Periodicals, Inc. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Regular Articles
Geurtzen, Naline
Keijsers, Ger P. J.
Karremans, Johan C.
Hutschemaekers, Giel J. M.
Patients’ care dependency in mental health care: Development of a self‐report questionnaire and preliminary correlates
title Patients’ care dependency in mental health care: Development of a self‐report questionnaire and preliminary correlates
title_full Patients’ care dependency in mental health care: Development of a self‐report questionnaire and preliminary correlates
title_fullStr Patients’ care dependency in mental health care: Development of a self‐report questionnaire and preliminary correlates
title_full_unstemmed Patients’ care dependency in mental health care: Development of a self‐report questionnaire and preliminary correlates
title_short Patients’ care dependency in mental health care: Development of a self‐report questionnaire and preliminary correlates
title_sort patients’ care dependency in mental health care: development of a self‐report questionnaire and preliminary correlates
topic Regular Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6619340/
https://www.ncbi.nlm.nih.gov/pubmed/29319187
http://dx.doi.org/10.1002/jclp.22574
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