title: The role of patient attachment and working alliance on patient adherence, satisfaction, and health-related quality of life in lupus treatment.
abstract: OBJECTIVE
  Researchers tested the hypothesis that patients' working alliance with their physicians, and patients' attachment styles would predict patients' adherence, satisfaction, and health-related quality of life.
  
  
  METHODS
  One hundred ninety-three patients diagnosed with lupus participated in an online survey. They completed measures of the Physician-Patient Alliance Inventory, Experiences in Close Relationships Scale, SF-36, General Adherence Inventory, and the Medical Patient Satisfaction Questionnaire.
  
  
  RESULTS
  Working alliance was significantly and positively associated with all three outcome variables of adherence, satisfaction, and quality of life. Attachment avoidance was significantly and negatively related to adherence, and attachment anxiety was significantly and negatively related to health-related quality of life.
  
  
  CONCLUSIONS
  A working alliance between physician and patient, characterized by agreement communication on goals and tasks of treatment, along with trust and patient liking of his/her doctor, predicts patient adherence, satisfaction, and quality of life. Psychological dimensions of attachment also predict patient adherence and quality of life.
  
  
  CONCLUSIONS
  Doctors and other health service providers ought to actively set goals and tasks of treatment, and foster patient trust and liking. A strong relationship with patients can increase treatment efficacy and effectiveness and improve outcomes for individuals with debilitating chronic illnesses such as lupus.
authors.affiliation: Fordham University at Lincoln Center, New York, NY 10023, USA.
authors.forename: Jennifer K
authors.initials: JK
authors.lastname: Bennett
authors.forename: Jairo N
authors.initials: JN
authors.lastname: Fuertes
authors.forename: Merle
authors.initials: M
authors.lastname: Keitel
authors.forename: Robert
authors.initials: R
authors.lastname: Phillips
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009769:Object Attachment; D010349:Patient Compliance; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011788:Quality of Life; D014481:United States