title: The Working Alliance Between Patients With Bipolar Disorder and the Nurse: Helpful and Obstructive Elements During a Depressive Episode From the Patients' Perspective.
abstract: Despite treatment, many patients with bipolar disorder experience impaired functioning and a decreased quality of life. Optimal collaboration between patient and mental health care providers could enhance treatment outcomes. The goal of this qualitative study, performed in a trial investigating the effect of collaborative care, was to gain more insight in patients' experiences regarding the helpful and obstructive elements of the working alliance between the patient recovering from a depressive episode and their nurse. Three core themes underpinned the nurses' support during recovery: a safe and supportive environment, assistance in clarifying thoughts and feelings, and support in undertaking physical activities.
authors.affiliation: Center for mental healthcare GGz Centraal, Lelystad, The Netherlands. Electronic address: e.stegink@ggzcentraal.nl.
authors.forename: Eva E
authors.initials: EE
authors.lastname: Stegink
authors.affiliation: VU University Medical Center, Dept. of Psychiatry, Amsterdam, The Netherlands; Dimence Mental Health, Deventer, The Netherlands. Electronic address: n.vandervoort@ggzingeest.nl.
authors.forename: Trijntje Y G Nienke
authors.initials: TY
authors.lastname: van der Voort
authors.affiliation: Faculty, Clinical Health Sciences, Faculty of Medicine, Utrecht University, The Netherlands.
authors.forename: Truus
authors.initials: T
authors.lastname: van der Hooft
authors.affiliation: VU University Medical Center, Dept. of Psychiatry, Amsterdam, The Netherlands; Altrecht Institute for Mental Health Care, Utrecht, The Netherlands. Electronic address: r.kupka@ggzingeest.nl.
authors.forename: Ralph W
authors.initials: RW
authors.lastname: Kupka
authors.affiliation: Dimence Mental Health, Deventer, The Netherlands; Radboud University Medical Center, Nijmegen, The Netherlands; GGZVS Institute for the Education of Clinical Nurse Specialists in Mental Health, Utrecht, The Netherlands. Electronic address: p.goossens@dimence.nl.
authors.forename: Peter J J
authors.initials: PJ
authors.lastname: Goossens
authors.affiliation: VU University Medical Center, Dept. of Psychiatry, Amsterdam, The Netherlands.
authors.forename: Aartjan T F
authors.initials: AT
authors.lastname: Beekman
authors.affiliation: VU University Medical Center, Dept. of Psychiatry, Amsterdam, The Netherlands; Inholland University of Applied Sciences, Research Group Mental Health Nursing, Department of Health, Sports & Welfare/Cluster Nursing, Amsterdam, The Netherlands; Parnassia Psychiatric Institute, Parnassia Academy, The Hague, The Netherlands. Electronic address: berno.vanmeijel@inholland.nl.
authors.forename: Berno
authors.initials: B
authors.lastname: van Meijel
mesh_terms: D001714:Bipolar Disorder / Q000523:psychology* / Q000628:therapy; D003299:Cooperative Behavior; D003863:Depression / Q000523:psychology*; D004645:Empathy; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D011568:Psychiatric Nursing; D036301:Qualitative Research; D011795:Surveys and Questionnaires