Aggregating factors of the change process in the treatment of anorexia nervosa

Gumz, Antje; Kästner, Denise; Raczka, Karolina A.; Weigel, Angelika; Osen, Bernhard; Rose, Matthias; Meyer, Björn; Wollburg, Eileen; Voderholzer, Ulrich; Karačić, Matislava; Vettorazzi, Eik; Löwe, Bernd

doi:10.1016/j.eatbeh.2015.06.002

Cited by 3 publications

(2 citation statements)

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“…Taken together, our findings provide further support to earlier research showing AN patients as prone to establish acceptable levels of TA (Graves et al, ) although only a handful of studies on inpatients with AN are currently available (Gumz et al, ; Sly et al, ; Sly et al, ). As expected, no differences emerged between AN subtypes, thus indicating TA as independent of the phenotype.…”

Section: Discussionsupporting

confidence: 89%

“…Even fewer data are available on inpatients with AN; in fact, the available literature showed that TA upon admission is a significant predictor of both treatment completion and changes in eating symptomatology (Sly et al, ) and that TA upon discharge is associated with patients' body mass index (BMI) and eating specific psychopathology at admission (Gumz et al, ). Also, TA measured upon discharge predicted eating and depressive symptomatology 12 months after treatment (Stiles‐Shields et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Therapeutic alliance in inpatients with severe anorexia nervosa

Marzola

Albini

Delsedime

et al. 2019

Euro Eating Disorders Rev

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Objective Therapeutic alliance (TA) is a relevant aspect in anorexia nervosa (AN), but data on inpatients are lacking. We aimed to evaluate the influence of motivation to change, diagnostic subtypes, and duration of illness on TA at hospital discharge; we also investigated if baseline clinical characteristics were associated with discharge TA, and the TA‐outcome association. Method We enrolled 137 adult inpatients with AN completing Eating Disorder Examination‐Questionnaire, Beck Depression Inventory, State–Trait Anxiety Inventory, Anorexia Nervosa Stages of Change‐Questionnaire, EuroQoL‐Quality of Life Scale‐Visual Analogue Scale, and Working Alliance Inventory‐Short Revised. Results Patients with different AN subtypes and duration of illness reported similar TA. Baseline depression, state anxiety, and motivation to change were statistically significantly associated with TA at discharge. After controlling for all these variables and duration of illness, only motivation to change remained statistically significant. Statistically significant correlations were also found between improvements in body mass index and quality of life and discharge TA. Conclusions Few data exist on TA in inpatients with AN and a long duration of illness. Our findings suggest that baseline motivation to change correlates with TA at discharge independently of other variables. Future studies should ascertain as to whether a causal link exists or not.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%