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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2018
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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. |
format | Online Article Text |
id | pubmed-6619340 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
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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