OBJECTIVE: To describe therapeutic alliance and treatment acceptability ratings of adolescents with bulimia nervosa (BN) participating in family-based treatment (FBT-BN) and to explore how participant characteristics relate to these constructs. METHOD: Adolescents with BN (n = 80) in a randomized controlled trial comparing FBT-BN and individual supportive psychotherapy (SPT), completed the Eating Disorder Examination, Rosenberg Self-esteem Scale, and Beck Depression Inventory prior to treatment. The Helping Relationship Questionnaire, patient expectancy for treatment, treatment suitability, and self-reported estimates of improvement ratings were obtained at multiple points throughout treatment. RESULTS:Therapeutic alliance and treatment acceptability ratings were positive in both treatments and generally did not differ. Within FBT-BN, more severe eating disorder symptomatology pretreatment was related to lower alliance ratings mid-treatment (p < .05). However, reductions in binge and purge behaviors over the course of treatment were not related to alliance or acceptability for participants in FBT-BN (all p's > .10). CONCLUSION: Contrary to expectations of FBT-BN, adolescents receiving both treatments develop a strong alliance with the therapist. (c) 2008 by Wiley Periodicals, Inc.
RCT Entities:
OBJECTIVE: To describe therapeutic alliance and treatment acceptability ratings of adolescents with bulimia nervosa (BN) participating in family-based treatment (FBT-BN) and to explore how participant characteristics relate to these constructs. METHOD: Adolescents with BN (n = 80) in a randomized controlled trial comparing FBT-BN and individual supportive psychotherapy (SPT), completed the Eating Disorder Examination, Rosenberg Self-esteem Scale, and Beck Depression Inventory prior to treatment. The Helping Relationship Questionnaire, patient expectancy for treatment, treatment suitability, and self-reported estimates of improvement ratings were obtained at multiple points throughout treatment. RESULTS: Therapeutic alliance and treatment acceptability ratings were positive in both treatments and generally did not differ. Within FBT-BN, more severe eating disorder symptomatology pretreatment was related to lower alliance ratings mid-treatment (p < .05). However, reductions in binge and purge behaviors over the course of treatment were not related to alliance or acceptability for participants in FBT-BN (all p's > .10). CONCLUSION: Contrary to expectations of FBT-BN, adolescents receiving both treatments develop a strong alliance with the therapist. (c) 2008 by Wiley Periodicals, Inc.
Authors: E Colleen Stiles-Shields; Zandrè Labuschagne; Andrea B Goldschmidt; Angela Celio Doyle; Daniel Le Grange Journal: Int J Eat Disord Date: 2012-02-13 Impact factor: 4.861
Authors: Sarah Forsberg; Elizabeth LoTempio; Susan Bryson; Kathleen Kara Fitzpatrick; Daniel Le Grange; James Lock Journal: Int J Eat Disord Date: 2012-07-27 Impact factor: 4.861
Authors: Elizabeth K Hughes; Daniel Le Grange; Andrew Court; Michele S M Yeo; Stephanie Campbell; Erica Allan; Ross D Crosby; Katharine L Loeb; Susan M Sawyer Journal: BMC Psychiatry Date: 2014-04-08 Impact factor: 3.630
Authors: M J Welmers-van de Poll; J J Roest; T van der Stouwe; A L van den Akker; G J J M Stams; V Escudero; G J Overbeek; J J W de Swart Journal: Clin Child Fam Psychol Rev Date: 2018-06