The role of the working alliance in improving outcomes among veterans with Gulf War Illness: a longitudinal study.
Military Veterans with Gulf War Illness (GWI), a "medically unexplained" persistent physical syndrome (PPS), have difficult experiences of care, in part, due to non-concordant relationships with their healthcare providers. A critical factor in improving care for this population may be the working al...
| Publicado en: | Journal of Behavioral Medicine Vol. 48; no. 3; pp. 478 - 488 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185156194&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185156194 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Jun2025 vid: 48 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 185156194 183307548 185156194 185156194 10.1007/s10865-024-00540-z 185156194 ppf: 478 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The role of the working alliance in improving outcomes among veterans with Gulf War Illness: a longitudinal study. aug: au: Gentile, Anna M. Rogers, Caroline O. Lesnewich, Laura M. Lu, Shou-en Pigeon, Wilfred R. Helmer, Drew A. McAndrew, Lisa M. affil: https://ror.org/012zs8222 Department of Educational and Counseling Psychology, University at Albany, 1400 Washington Ave, 12222, Albany, NY, USA sug: subj: Persian Gulf Syndrome Therapy Veterans Therapeutic Alliance Professional-Patient Relations Treatment Outcomes Quality Improvement Patient Attitudes Human Prospective Studies Male Female Middle Age Aged Goal-Setting Decision Making, Shared Life Experiences Patient Care Patient Satisfaction Patient Compliance Health Status Medically Unexplained Symptoms Funding Source Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Military Veterans with Gulf War Illness (GWI), a "medically unexplained" persistent physical syndrome (PPS), have difficult experiences of care, in part, due to non-concordant relationships with their healthcare providers. A critical factor in improving care for this population may be the working alliance, which is the extent to which patients and providers agree on the goals and tasks of treatment and have a shared bond. The present study examined if, for Veterans with GWI, perceptions of the working alliance over time predicted better experiences of care (i.e., patient satisfaction and treatment adherence) and improved health outcomes (i.e., reduced disability, depression symptoms, and physical symptoms). Positive Veteran perceptions of the working alliance at 4 weeks were related to better patient satisfaction and treatment adherence at 12 weeks. Veteran perceptions of the working alliance were not consistently related to reductions in disability, depression symptoms, or physical symptoms. The results of this study suggest that the working alliance is important for improving patient experiences of care but may not be sufficient to consistently impact health outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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