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; Grange, Daniel Le

doi:10.1002/eat.22187

Cited by 42 publications

(39 citation statements)

References 26 publications

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“…However, current findings on the role of the therapeutic alliance in the treatment of AN are inconsistent (Brown, Mountford, & Waller, 2013;Stiles-Shields et al, 2013). Interestingly, the subscale sense of autonomy loaded on this fourth dimension rather than on basic need satisfaction which we would expect given current theory.…”

Section: Discussionmentioning

confidence: 56%

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

et al. 2015

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Section: Discussionmentioning

confidence: 56%

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

et al. 2015

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“…In addition, those with more severe symptoms, depression, older age and the purging subtype of anorexia nervosa appeared to benefit more from CBT [24]. Within therapy predictors of outcome included the quality of the therapeutic alliance [28] and improved eating disorder symptoms and BMI [25].…”

Section: Randomized Controlled Trials Of Treatmentmentioning

confidence: 94%

Treatment of patients with severe and enduring eating disorders

Hay

Touyz

2015

Current Opinion in Psychiatry

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The staging model appears to have validity and clinical utility in anorexia nervosa, but this is less clear in other eating disorders. Most literature on treatment, including new randomised controlled trials, is on underweight individuals, and there is a small literature on emerging psychological therapies that may improve outcomes. There is an expectation that with better treatment engagement, there may also be a reduced need for involuntary interventions.

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“…Of the studies pertaining to the treatment of adult anorexia nervosa, two studies demonstrate support for the existence of an alliance-outcome association (Sly, Morgan, Mountford, & Lacey, 2013;Stiles-Shields et al, 2013). Sly and colleagues (2013) found that changes in the therapeutic alliance do not predict premature treatment termination.…”

Section: Anorexia Nervosamentioning

confidence: 96%

The Role of the Therapeutic Alliance in Eating Disorder Treatment Outcomes: A Systematic Review

et al. 2014

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The therapeutic alliance has proven to be an important construct in psychotherapy outcomes research for numerous psychiatric disorders. Given that dropout rates from treatment are especially high for individuals with eating disorders, it is critical to clarify the role that the therapeutic alliance plays in predicting treatment outcomes for this specific population. MEDLINE, CINAHL, and PsycINFO databases were systematically reviewed for studies that formally measured the therapeutic alliance construct and at least one other treatment variable in the context of eating disorder treatment. We identified 19 studies that indicate the therapeutic alliance may be an important factor in eating disorder treatment, yet reflect on the paucity of research on this topic in the context of treatment outcomes for both adult and adolescent populations. Current trends and limitations in the literature are highlighted to guide future research and ultimately improve clinical outcomes for patients with eating disorders.

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

Abstract: 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.

Cited by 42 publications

References 26 publications

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

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

Treatment of patients with severe and enduring eating disorders

The Role of the Therapeutic Alliance in Eating Disorder Treatment Outcomes: A Systematic Review

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