Predictors of satisfaction with psychotherapy in stable outpatients with schizophrenia

Poster B97, Friday, October 21, 11:30 am - 1:00 pm, Le Baron

Young Chul Chung1, Yong Sung Choi2; 1Chonbuk National University Medical School, Jeonju, Korea, 2Suseong Jungdong Hospital, Daegu, Korea

Objective: The present study identified the elements of the psychotherapy offered to stable outpatients with schizophrenia and investigated the predictive value of patient demographic and clinical characteristics and therapeutic alliance for satisfaction with such elements. Methods: The independent variables were sociodemographic characteristics and clinical data collected with the Positive and Negative Syndrome Scale (PANSS), the Calgary Depression Scale for Schizophrenia (CDSS), the Social and Occupational Functioning Assessment Scale, and self-rating scales including the Working Alliance Inventory-Short Form. The outcome variable was satisfaction with the psychotherapeutic elements measured using the Therapeutic Factors Questionnaire (TFQ). A logistic regression analysis was performed to identify predictors of satisfaction. Results: The study included 65 participants. The TFQ scores for the common and supportive psychotherapy elements were higher than those for the other therapies, and the percent of patients who received the cognitive–behavioral, common, dynamic, and supportive interventions were 82.3, 98.4, 61.3, and 93.5%, respectively. Several clinical characteristics, including schema, reappraisal of emotion, severity of symptomatology, retrospective memory, suicide risk, and working alliance, predicted a high level of satisfaction with the psychotherapeutic elements. After controlling for confounding variables, education and working alliance remained as independent predictors of high levels of satisfaction. Conclusions: We found that stable outpatients with schizophrenia had a favorable perception of common and supportive psychotherapeutic elements. Education and working alliance were independent predictors of high levels of satisfaction with psychotherapy. Our findings highlight the importance of establishing a good working alliance for a satisfactory psychotherapeutic outcome.

Topic Area: Psychosocial Interventions

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