Composition of treatment alliance in bipolar disorder: A cross-sectional study of patients’ perspectives

Table 2 Components of treatment alliance: Scores on the four scales

Scores	Patients with BD, n = 160, mean ± SD (range)
WAI-Client scores
Total WAI-Client scores	222.82 ± 20.14 (142-252)
Goal subscale	72.24 ± 7.97 (45-84)
Bond subscale	76.94 ± 7.97 (44-84)
Task subscale	73.64 ± 7.55 (49-84)
PCP scores1
Total PCP scores	40.34 ± 5.86 (22-60)
Emotional support subscale	14.45 ± 3.23 (8-33)
Informational support subscale	6.5 ± 1.03 (4-8)
SDM subscale	9.68 ± 1.57 (5-12)
Supportive behaviour (support) subscale	9.69 ± 1.35 (4-12)
TRIP scores
Total TRIP scores	10.12 ± 1.45 (8-12)
I completely trusted my doctors	3.40 ± 0.50 (2-4)
I had the impression that the doctors are very competent	3.38 ± 0.51 (2-4)
With the doctors in this hospital one is in good hands	3.40 ± 0.50 (2-4)
PSQ scores
Total PSQ scores	9.39 ± 1.99 (6-12)
Satisfied with places and times of appointment	2.30 ± 0.59 (1-3)
Satisfied with time available for talking about problems	2.31 ± 0.55 (1-3)
Feel confident that members of service are competent to deal with problems	2.39 ± 0.49 (2-3)
Pleased with the care received from the service so far	2.38 ± 0.50 (1-3)
Correlations between scores on different scales and subscales	Pearson’s coefficients2
Goal and Task subscale scores of the WAI-Client	0.81a
Bond and Task subscale scores of the WAI-Client	0.69a
Bond and Goal subscale scores of the WAI-Client	0.66a
Total TRIP scores and WAI-Client total scores	0.28b
Total TRIP scores and WAI-Client Task subscale scores	0.29b
Total PCP scores and WAI-Client Task subscale scores	0.28b
PCP-SDM subscale scores and WAI-Client total scores	0.28b
PCP-SDM subscale scores and WAI-Client Goal subscale scores	0.28b
Total scores on the TRIP and the PSQ	0.45a

^aP < 0.0001.

^bP < 0.01.

¹Weighted mean scores were highest on the “Supportive behavior” subscale (subjective perceptions of support by physicians), followed by the subscales measuring emotional support, shared decision-making and informational support.

²Only significant associations that persisted after the Bonferroni corrections are shown. Significant associations were also noted between the Working Alliance Inventory-client version (WAI-Client) total and subscale scores and the Trust in Physicians scores, between the WAI-Client total and subscale scores and the Psychosocial Care by Physicians total and subscale scores, but these did not cross the Bonferroni threshold.

BD: Bipolar disorder; PCP: Psychosocial Care by Physicians; PSQ: Patient Satisfaction Questionnaire; SDM: Shared decision-making; TRIP: Trust in Physicians; WAI-Client: Working Alliance Inventory-client version.