To deliver or not to deliver cognitive behavioral therapy for eating disorders: Replication and extension of our understanding of why therapists fail to do what they should do

Behaviour Research and Therapy
Sandra MulkensGlenn Waller

Abstract

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. 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). 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. Improving treatment delivery will involve working with clinicians' levels...Continue Reading

Citations

Feb 11, 2020·The International Journal of Eating Disorders·Martie de JongHans W Hoek
Feb 2, 2019·The International Journal of Eating Disorders·Katrina D'Souza WalshGlenn Waller
Aug 15, 2020·Frontiers in Psychology·Emily T Troscianko, Michael Leon
Jun 16, 2019·Implementation Science : IS·Rebecca E StewartRinad S Beidas
Feb 28, 2021·The International Journal of Eating Disorders·Erin E ReillyKatherine Schaumberg
Aug 31, 2021·Current Opinion in Psychiatry·Sandra Mulkens, Glenn Waller
Jan 8, 2022·Journal of Clinical Psychology·Ashleigh C Fletcher, Jaime Delgadillo

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