The impact of early symptom change and therapeutic alliance on treatment outcome in cognitive-behavioural therapy for eating disorders

Behaviour Research and Therapy
Hannah TurnerEmily Marshall

Abstract

The present study explored the impact of early symptom change (cognitive and behavioural) and the early therapeutic alliance on treatment outcome in cognitive-behavioural therapy (CBT) for the eating disorders. Participants were 94 adults with diagnosed eating disorders who completed a course of CBT in an out-patient community eating disorders service in the UK. Patients completed a measure of eating disorder psychopathology at the start of treatment, following the 6th session and at the end of treatment. They also completed a measure of therapeutic alliance following the 6th session. Greater early reduction in dietary restraint and eating concerns, and smaller levels of change in shape concern, significantly predicted later reduction in global eating pathology. The early therapeutic alliance was strong across the three domains of tasks, goals and bond. Early symptom reduction was a stronger predictor of later reduction in eating pathology than early therapeutic alliance. The early therapeutic alliance did not mediate the relationship between early symptom reduction and later reduction in global eating pathology. Instead, greater early symptom reduction predicted a strong early therapeutic alliance. Early clinical change was th...Continue Reading

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Citations

May 15, 2016·The International Journal of Eating Disorders·Alexandra E DingemansEric F van Furth
Jan 21, 2017·The International Journal of Eating Disorders·Caroline BellJaime Delgadillo
Aug 3, 2018·The International Journal of Eating Disorders·Ina Beintner, Corinna Jacobi
Aug 17, 2016·The International Journal of Eating Disorders·Jake LinardonXochitl de la Piedad Garcia
Nov 20, 2016·European Eating Disorders Review : the Journal of the Eating Disorders Association·Jake LinardonLeah Brennan
May 27, 2017·BMC Psychiatry·Maria KleinstäuberWolfgang Hiller
Sep 12, 2017·Current Psychiatry Reports·Kelsie T ForbushVictoria L Perko
Dec 1, 2020·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Dirk ZimmermannWolfgang Lutz
Feb 2, 2021·Journal of Behavior Therapy and Experimental Psychiatry·Martina IsakssonMartina Wolf-Arehult
Nov 5, 2020·Eating and Weight Disorders : EWD·Paul E JenkinsCeridwen Morgan
Apr 30, 2021·Clinical Psychology Review·Peter G R Y ChangGlenn Waller
Sep 4, 2020·The International Journal of Eating Disorders·Lauren BloodGlenn Waller
Apr 11, 2018·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Sophie D BennettRoz Shafran

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