Patient baseline interpersonal problems as moderators of outcome in two psychotherapies for bulimia nervosa
| Autor: | Juan Martín Gómez Penedo, Samantha L. Bernecker, Alice E. Coyne, Michael J. Constantino, Lotte Smith-Hansen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
050103 clinical psychology Psychotherapist medicine.medical_treatment media_common.quotation_subject BULIMIA NERVOSA Interpersonal communication Outcome (game theory) Severity of Illness Index CIENCIAS SOCIALES 03 medical and health sciences Interpersonal relationship 0302 clinical medicine Surveys and Questionnaires medicine Humans 0501 psychology and cognitive sciences Interpersonal Relations Baseline (configuration management) Bulimia Nervosa media_common Interpersonal Psychotherapy MODERATORS Treatment interaction Psychiatric Status Rating Scales INTERPERSONAL PSYCHOTHERAPY (IPT) Cognitive Behavioral Therapy Bulimia nervosa 05 social sciences Otras Psicología COGNITIVE-BEHAVIORAL THERAPY (CBT) medicine.disease Psicología 030227 psychiatry Clinical Psychology Treatment Outcome Interpersonal psychotherapy INTERPERSONAL PROBLEMS Aptitude Female Psychology |
| Zdroj: | Psychotherapy research : journal of the Society for Psychotherapy Research. 29(6) |
| ISSN: | 1468-4381 |
| Popis: | Objective: We tested an aptitude by treatment interaction; namely, whether patients’ baseline interpersonal problems moderated the comparative efficacy of cognitive-behavioral therapy (CBT) vs. interpersonal psychotherapy (IPT) for bulimia nervosa (BN). Method: Data derived from a randomized-controlled trial. Patients reported on their interpersonal problems at baseline; purge frequency at baseline, midtreatment, and posttreatment; and global eating disorder severity at baseline and posttreatment. We estimated the rate of change in purge frequency across therapy, and the likelihood of attaining clinically meaningful improvement (recovery) in global eating disorder severity by posttreatment. We then tested the interpersonal problem by treatment interactions as predictors of both outcomes. Results: Patients with more baseline overly communal/friendly problems showed steeper reduction in likelihood of purging when treated with CBT vs. IPT. Patients with more problems of being under communal/cold had similar reductions in likelihood of purging across both treatments. Patients with more baseline problems of being overly agentic were more likely to recover when treated with IPT vs. CBT, whereas patients with more problems of being under agentic were more likely to recover when treated with CBT vs. IPT. Conclusions: Interpersonal problems related to communion and agency may inform treatment fit among two empirically supported therapies for BN. Fil: Gómez Penedo, Juan Martín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires; Argentina Fil: Constantino, Michael J.. University Of Massachusetts Amherst; Estados Unidos Fil: Coyne, Alice E.. University Of Massachusetts Amherst; Estados Unidos Fil: Bernecker, Samantha L.. University Of Massachusetts Amherst; Estados Unidos. Harvard University; Estados Unidos Fil: Smith Hansen, Lotte. Suffolk University; Estados Unidos |
| Databáze: | OpenAIRE |
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