Title |
Predictors of therapeutic alliance in two treatments for adults with severe and enduring anorexia nervosa
|
---|---|
Published in |
Journal of Eating Disorders, April 2016
|
DOI | 10.1186/s40337-016-0102-6 |
Pubmed ID | |
Authors |
Colleen Stiles-Shields, Bryony H. Bamford, Stephen Touyz, Daniel Le Grange, Phillipa Hay, Hubert Lacey |
Abstract |
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. 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. 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). Results suggest instilling hope in treatment outcome may enhance TA, and in turn, outcomes for patients with SE-AN in outpatient therapy. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 5 | 45% |
Denmark | 1 | 9% |
United Kingdom | 1 | 9% |
Unknown | 4 | 36% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 45% |
Scientists | 4 | 36% |
Science communicators (journalists, bloggers, editors) | 2 | 18% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 41 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 11 | 27% |
Student > Bachelor | 9 | 22% |
Student > Doctoral Student | 5 | 12% |
Student > Ph. D. Student | 2 | 5% |
Student > Postgraduate | 2 | 5% |
Other | 3 | 7% |
Unknown | 9 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 20 | 49% |
Medicine and Dentistry | 5 | 12% |
Nursing and Health Professions | 2 | 5% |
Arts and Humanities | 1 | 2% |
Environmental Science | 1 | 2% |
Other | 2 | 5% |
Unknown | 10 | 24% |