Treatment alliance and needs of care concerning religiousness and spirituality: A follow-up study among psychiatric inpatients

Joke C. van Nieuw Amerongen-Meeuse, Arjan W. Braam, Christa Anbeek, Jos W.R. Twisk, Hanneke Schaap-Jonker

Research output: Contribution to journalArticleAcademicpeer-review


Background: Patient satisfaction with religious/spiritual (R/S) care during mental health treatment has been associated with a better treatment alliance. Aims: To investigate the longitudinal relations between (un)met R/S care needs and treatment alliance/compliance over a 6-month period. Method: 201 patients in a Christian (CC) and a secular mental health clinic completed a questionnaire (T0) containing an R/S care needs questionnaire, the Working Alliance Inventory (WAI) and the Service Engagement Scale (SES). After 6 months 136 of them took part in a follow-up (T1). Associations were analysed using hybrid linear mixed models and structural equation modelling. Results: R/S care needs decreased over time, but a similar percentage remained unanswered (e.g. 67% of the needs on R/S conversations in a secular setting). Over a 6-month period, met R/S care needs were associated with a higher WAI score (β =.25; p
Original languageEnglish
Pages (from-to)1341-1350
Number of pages10
JournalInternational Journal of Social Psychiatry
Issue number7
Publication statusPublished - 2022


  • Care needs
  • alliance
  • compliance
  • descriptive survey study
  • religion
  • spirituality

Cite this