期刊
INTERNATIONAL JOURNAL OF EATING DISORDERS
卷 39, 期 8, 页码 677-684出版社
JOHN WILEY & SONS INC
DOI: 10.1002/eat.20303
关键词
anorexia nervosa; therapeutic alliance; family therapy
资金
- NIMH NIH HHS [K08 MH1457, K24 MH074467] Funding Source: Medline
objective: The purpose of this study is to examine the role of therapeutic alliance in predicting treatment dropout, response and outcome in a cohort of adolescents with anorexia nervosa (AN) and their families who were treated using a manualized form of family-based therapy (FBT). Method: Independent assessors scored early and late therapeutic alliances for patients and parents using the Working Alliance Inventory-Observer (WAIo). Outcomes were weights and scores on the subscales of the Eating Disorder Examination at the end of 12 months of FBT. Results: Therapeutic alliance throughout treatment was strong both for adolescents and for their parents. A strong early alliance with adolescents was associated with early treatment response in terms of weight gain. A strong early alliance with parents prevented dropout, whereas a strong late parental alliance predicted their child's total weight gain at the end of treatment. Conclusion: Therapeutic alliance in both patients and parents treated with FBT is generally strong and likely contributes to treatment retention and treatment outcome. (c) 2006 by Wiley Periodicals, Inc.
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