Observational Study
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World J Psychiatry. Jun 19, 2022; 12(6): 814-826
Published online Jun 19, 2022. doi: 10.5498/wjp.v12.i6.814
Composition of treatment alliance in bipolar disorder: A cross-sectional study of patients’ perspectives
Rajeet Kumar, Subho Chakrabarti, Abhishek Ghosh
Rajeet Kumar, Subho Chakrabarti, Abhishek Ghosh, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Author contributions: All authors were involved in preparing the study protocol; Rajeet K carried out assessments; Subho C and Abhishek G contributed to the supervision; all authors were involved in data analysis and preparation of manuscripts; and all authors have approved the final version of the manuscript for submission.
Institutional review board statement: This study was reviewed & approved by the Institutional review Board (thesis & ethics committees) of the PGIMER, Chandigarh, India (Reference no. - letter from Convenor, IRB has been provided).
Informed consent statement: Written informed consent was sought from the participants before inclusion and other ethical safeguards were also followed throughout the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data of this study is available from the authors upon reasonable request.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items. The checklist has been included.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Subho Chakrabarti, MD, Professor, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India. subhochd@yahoo.com
Received: July 13, 2021
Peer-review started: July 13, 2021
First decision: October 4, 2021
Revised: October 8, 2021
Accepted: May 22, 2022
Article in press: May 22, 2022
Published online: June 19, 2022
Processing time: 335 Days and 15.7 Hours
Core Tip

Core Tip: Research on the composition of treatment alliance in bipolar disorder (BD) is relatively limited. This study examined its composition in 160 remitted adult outpatients with BD using four different scales. Factor analysis yielded two independent factors explaining 69% of the variance. Factor-1 comprised of a combined Working Alliance Inventory goal-task-bond component and perceived clinicians’ support. Factor-2 consisted of items relating to the perceptions of trust in clinicians and satisfaction with treatment. This study suggested that in addition to collaborative components, treatment alliance among patients with BD also includes patients’ perceptions of clinicians’ trust, clinicians’ support, and treatment satisfaction.