Within a clinical population of multi-problem families a study will be conducted to the quality of the therapeutic relationship, the perception of the family on this relationship and the role of attachment representations of therapists and treatment…
ID
Source
Brief title
Condition
- Psychiatric disorders NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcome variable is therapeutic relationship, the observed
relationship consisting of 4 aspects, namely emotional connectedness, safety,
shared goals and therapeutic involvement (4 subscales of the SOFTA
observations). Additionally, the therapeutic relationship as experienced by the
families is also measured. The second primary parameter is attachment, which is
conceptualized by the attachment representations of the therapist and
attachment styles.
Secondary outcome
Secondary study paramaters are the treatment outcomes: increased feelings of
influence, decrease of psychopathology, decrease of parenting stress,
improvement in family functioning, decrease of attachment related fears in
parents, and the degree of goal realisation.
Background summary
Working with multi-problemfamilies with complex psychiatric problems asks a
different attitude from therapists. According to Ghesquiere (1993), the
interaction between the family and the therapist is the core problem in working
with multi-problem families. Especially with such families is it of the utmost
importance to build a strong therapeutic relationship (Zoon Berg-Le Clercq,
2013). Research to the therapeutic relationship with multi-problem families has
been sparse, as has research to reciprocity in this relationship (Guzder e.a.,
2011).
Study objective
Within a clinical population of multi-problem families a study will be
conducted to the quality of the therapeutic relationship, the perception of the
family on this relationship and the role of attachment representations of
therapists and treatment outcomes. The study population, multi-problem
families, is a very specific group of people with psychiatric problems who are
stuck in their family functioning. The present study will investigate the role
of attachment representations of the therapists and will investigate the
developmental course of the therapeutic relationship.
Study design
The family psychiatric departments of Yulius (Barendrecht) en GGZ Drenthe
(Beilen) conduct this research together. On 4 measurement occasions (T0-T3) a
number of different family factors will be measured by means of questionnaires,
namely: parenting stress, parental psychopathology, general family functioning,
child psychopathology, attachment styles and influence of parents. Between T0
(intake) and T1 (advice) there is a standard treatment aimed on proces
diagnostics. A therapeutic relationship is formed between intake and advice
with a systemic therapist. This relationship will be monitored during the first
contact after intake by video and a questionnaire. Between T1 and T2 a specific
intensive treatment takes place for 6-16 weeks. This is treatment as usual. In
this phase, 3 therapeutic interventions are offered within the institutions:
policlinical treatment, family day treatment and clinical intake. Which
treatment program the family will follow is not influenced by the current
study, but this is dependent on family characteristics and the expert opinion
of the therapist. The expected treatment outcomes are: greater feelings of
influence, decrease of psychopathology, decrease of family stress, improvement
of family functioning and goal realisation. Within two years we aim to include
about 80 families in the study.
Study burden and risks
Parents: 4 x 40 minutes (T0-T3) and 5 minutes per time for monitoring the
working relationship (SRS).
Children: monitoring the working relationship (SRS), 5 minutes per time.
Adolescents: 4 x 10 minutes (T0-T3) and 5 minutes per time for monitoring the
working relationship (SRS).
Therapist: 20 minutes for attachment interview, 5 minutes for general
questionnaire and 5 minutes for attachment questionnaire (RSQ).
There are no risks.
Mathenesserlaan 202
Rotterdam 3014 HH
NL
Mathenesserlaan 202
Rotterdam 3014 HH
NL
Listed location countries
Age
Inclusion criteria
- All families that apply for family psychiatric treatment within the participating institutions will be recruited for participation
- All therapists that build a working relationship with these families will be included in this study. Therapists are at least HBO-educated.
Exclusion criteria
Participants that meet the following criteria will not be included in the study:
- Not speaking Dutch
- Not having a definite place to stay of live
Besides, there are several contraindications for treatment and therfore for this study. These are:
- psychosis
- invalidating substance abuse
- families in need of crisis intervention
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL51686.101.14 |