Predictors of therapeutic alliance in two treatments for adults with severe and enduring anorexia nervosa
| Autor: | Stephen Touyz, Colleen Stiles-Shields, Bryony Bamford, Phillipa Hay, Daniel Le Grange, Hubert Lacey |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
050103 clinical psychology
medicine.medical_specialty Eating Disorders medicine.medical_treatment Clinical Trials and Supportive Activities Population Therapeutic alliance 03 medical and health sciences Behavioral Neuroscience 0302 clinical medicine Clinical Research mental disorders Psychology Medicine 0501 psychology and cognitive sciences Psychiatry education Nutrition education.field_of_study Nutrition and Dietetics Predictors Specialist supportive clinical management business.industry Public health 05 social sciences Evaluation of treatments and therapeutic interventions Anorexia nervosa Serious Mental Illness medicine.disease Cognitive behavioral therapy Anorexia Brain Disorders 030227 psychiatry 3. Good health Psychiatry and Mental health Eating disorders Mental Health Alliance Anorexia nervosa (differential diagnoses) 6.1 Pharmaceuticals business Research Article |
| Zdroj: | Journal of eating disorders, vol 4, iss 1 Journal of Eating Disorders |
| ISSN: | 2050-2974 |
| DOI: | 10.1186/s40337-016-0102-6 |
| Popis: | Background Therapeutic alliance (TA) has been found to be a significant predictor of outcome for patients with severe and enduring anorexia nervosa (SE-AN), accounting for more variance than treatment type. To better understand how to promote TA for this population, the aim of the current study was to investigate predictors of TA in adults with SE-AN. Methods Participants were 63 adult females with SE-AN presenting to an outpatient, multi-site randomized controlled trial conducted at two clinical sites. Participants’ perception of the quality of their therapeutic relationship, demographic information, and eating disorder symptomatology were assessed via interview and questionnaire measures. Results Baseline ratings of how successful participants believed treatment would be for them was the only variable to significantly predict early (p = .01), mid (p = .009), and late treatment alliance (p = .03). No other variables investigated predicted the quality of patient rated TA at any point in treatment (ps > .57). Conclusions Results suggest instilling hope in treatment outcome may enhance TA, and in turn, outcomes for patients with SE-AN in outpatient therapy. |
| Databáze: | OpenAIRE |
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