Therapeutic alliance in two treatments for adults with severe and enduring anorexia nervosa

Stiles-Shields, Colleen, Touyz, Stephen, Hay, Phillipa, Lacey, Hubert, Crosby, Ross D., Rieger, Elizabeth, Bamford, Bryony, and Le Grange, Daniel (2013) Therapeutic alliance in two treatments for adults with severe and enduring anorexia nervosa. International Journal of Eating Disorders, 46 (8). pp. 783-789.

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Objective: The aim of this study was to investigate the strength and role of therapeutic alliance in a trial comparing Cognitive Behavioral Therapy for anorexia nervosa (CBT-AN) and Specialist Supportive Clinical Management for the treatment of severe and enduring AN (SE-AN).

Method: Participants were 63 adult females with SE-AN presenting to an outpatient, multisite randomized controlled trial conducted at two clinical sites. Participants completed measures assessing their perception of the quality of the therapeutic relationship, eating disorder (ED) symptomatology, and depressive symptomatology.

Results: Beyond the effect of early treatment change and treatment assignment, early therapeutic alliance was a significant predictor of Restraint and Shape Concern at follow-up (ps < .02). Late therapeutic alliance was a significant predictor of weight change, depressive symptomatology, and ED symptomatology at end of treatment and follow-up (ps < .008), with the exception of Shape Concern at follow-up (p = .07).

Discussion: The results suggest that therapeutic alliance can be effectively established in the treatment of SE-AN and may be relevant for treatment response, particularly in late treatment, on some aspects of ED and depressive symptomatology..

Item ID: 32994
Item Type: Article (Research - C1)
ISSN: 1098-108X
Keywords: therapeutic alliance, anorexia nervosa, cognitive behavioral therapy, specialist supportive clinical management
Funders: Australian National Health and Research Council, South-West London and St. George's NHS Trust, Butterfly Foundation, University of Western Sydney
Projects and Grants: Australian National Health and Research Council (PG 457419)
Date Deposited: 30 Apr 2014 09:57
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1111 Nutrition and Dietetics > 111104 Public Nutrition Intervention @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 100%
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