Sandra Mulkens1, Chloé de Vos2, Anastacia de Graaff2, Glenn Waller3. 1. Maastricht University, The Netherlands. Electronic address: s.mulkens@maastrichtuniversity.nl. 2. Maastricht University, The Netherlands. 3. The University of Sheffield, United Kingdom.
Abstract
OBJECTIVE: This study investigated the extent to which therapists fail to apply empirically supported treatments in a sample of clinicians in The Netherlands, delivering cognitive behavioral therapy for eating disorders (CBT-ED). It aimed to replicate previous findings, and to extend them by examining other potential intra-individual factors associated with the level of (non-)use of core CBT-ED techniques. METHOD: Participants were 139 clinicians (127 women; mean age 41.4 years, range = 24-64) who completed an online survey about the level of use of specific techniques, their beliefs (e.g., about the importance of the alliance and use of pretreatment motivational techniques), anxiety (Intolerance of Uncertainty Scale), and personality (Ten Item Personality Inventory). RESULTS: Despite some differences with Waller's (2012) findings, the present results continue to indicate that therapists are not reliably delivering the CBT-ED techniques that would be expected to provide the best treatment to their patients. This 'non-delivery' appears to be related to clinician anxiety, temporal factors, and clinicians' beliefs about the power of the therapeutic alliance in driving therapy outcomes. DISCUSSION: Improving treatment delivery will involve working with clinicians' levels of anxiety, clarifying the lack of benefit of pre-therapy motivational enhancement work, and reminding clinicians that the therapeutic alliance is enhanced by behavioral change in CBT-ED, rather than the other way around.
OBJECTIVE: This study investigated the extent to which therapists fail to apply empirically supported treatments in a sample of clinicians in The Netherlands, delivering cognitive behavioral therapy for eating disorders (CBT-ED). It aimed to replicate previous findings, and to extend them by examining other potential intra-individual factors associated with the level of (non-)use of core CBT-ED techniques. METHOD:Participants were 139 clinicians (127 women; mean age 41.4 years, range = 24-64) who completed an online survey about the level of use of specific techniques, their beliefs (e.g., about the importance of the alliance and use of pretreatment motivational techniques), anxiety (Intolerance of Uncertainty Scale), and personality (Ten Item Personality Inventory). RESULTS: Despite some differences with Waller's (2012) findings, the present results continue to indicate that therapists are not reliably delivering the CBT-ED techniques that would be expected to provide the best treatment to their patients. This 'non-delivery' appears to be related to clinician anxiety, temporal factors, and clinicians' beliefs about the power of the therapeutic alliance in driving therapy outcomes. DISCUSSION: Improving treatment delivery will involve working with clinicians' levels of anxiety, clarifying the lack of benefit of pre-therapy motivational enhancement work, and reminding clinicians that the therapeutic alliance is enhanced by behavioral change in CBT-ED, rather than the other way around.
Authors: Anna S Lau; Teresa Lind; Morgan Crawley; Adriana Rodriguez; Ashley Smith; Lauren Brookman-Frazee Journal: Adm Policy Ment Health Date: 2020-03
Authors: Erin E Reilly; Brittany Bohrer; Daniel Sullivan; Jamal H Essayli; Nicholas R Farrell; Tiffany A Brown; Sasha Gorrell; Lisa M Anderson; Marita Cooper; Colleen C Schreyer; Olenka Olesnycky; Olivia Peros; Katherine Schaumberg Journal: Int J Eat Disord Date: 2021-02-27 Impact factor: 4.861
Authors: Martie de Jong; Philip Spinhoven; Kees Korrelboom; Mathijs Deen; Iris van der Meer; Unna N Danner; Selma van der Schuur; Maartje Schoorl; Hans W Hoek Journal: Int J Eat Disord Date: 2020-02-10 Impact factor: 4.861