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A metaâ analysis of the relation between therapeutic alliance and treatment outcome in eating disorders
dc.contributor.authorGraves, Tiffany A.
dc.contributor.authorTabri, Nassim
dc.contributor.authorThompson‐brenner, Heather
dc.contributor.authorFranko, Debra L.
dc.contributor.authorEddy, Kamryn T.
dc.contributor.authorBourion‐bedes, Stephanie
dc.contributor.authorBrown, Amy
dc.contributor.authorConstantino, Michael J.
dc.contributor.authorFlückiger, Christoph
dc.contributor.authorForsberg, Sarah
dc.contributor.authorIsserlin, Leanna
dc.contributor.authorCouturier, Jennifer
dc.contributor.authorPaulson Karlsson, Gunilla
dc.contributor.authorMander, Johannes
dc.contributor.authorTeufel, Martin
dc.contributor.authorMitchell, James E.
dc.contributor.authorCrosby, Ross D.
dc.contributor.authorPrestano, Claudia
dc.contributor.authorSatir, Dana A.
dc.contributor.authorSimpson, Susan
dc.contributor.authorSly, Richard
dc.contributor.authorLacey, J. Hubert
dc.contributor.authorStiles‐shields, Colleen
dc.contributor.authorTasca, Giorgio A.
dc.contributor.authorWaller, Glenn
dc.contributor.authorZaitsoff, Shannon L.
dc.contributor.authorRienecke, Renee
dc.contributor.authorLe Grange, Daniel
dc.contributor.authorThomas, Jennifer J.
dc.date.accessioned2017-04-14T15:10:42Z
dc.date.available2018-05-15T21:02:51Zen
dc.date.issued2017-04
dc.identifier.citationGraves, Tiffany A.; Tabri, Nassim; Thompson‐brenner, Heather ; Franko, Debra L.; Eddy, Kamryn T.; Bourion‐bedes, Stephanie ; Brown, Amy; Constantino, Michael J.; Flückiger, Christoph ; Forsberg, Sarah; Isserlin, Leanna; Couturier, Jennifer; Paulson Karlsson, Gunilla; Mander, Johannes; Teufel, Martin; Mitchell, James E.; Crosby, Ross D.; Prestano, Claudia; Satir, Dana A.; Simpson, Susan; Sly, Richard; Lacey, J. Hubert; Stiles‐shields, Colleen ; Tasca, Giorgio A.; Waller, Glenn; Zaitsoff, Shannon L.; Rienecke, Renee; Le Grange, Daniel; Thomas, Jennifer J. (2017). "A metaâ analysis of the relation between therapeutic alliance and treatment outcome in eating disorders." International Journal of Eating Disorders 50(4): 323-340.
dc.identifier.issn0276-3478
dc.identifier.issn1098-108X
dc.identifier.urihttps://hdl.handle.net/2027.42/136435
dc.description.abstractThe therapeutic alliance has demonstrated an association with favorable psychotherapeutic outcomes in the treatment of eating disorders (EDs). However, questions remain about the interâ relationships between early alliance, early symptom improvement, and treatment outcome. We conducted a metaâ analysis on the relations among these constructs, and possible moderators of these relations, in psychosocial treatments for EDs. Twenty studies met inclusion criteria and supplied sufficient supplementary data. Results revealed smallâ toâ moderate effect sizes, βsâ =â 0.13 to 0.22 (pâ <â .05), indicating that early symptom improvement was related to subsequent alliance quality and that alliance ratings also were related to subsequent symptom reduction. The relationship between early alliance and treatment outcome was partially accounted for by early symptom improvement. With regard to moderators, early alliance showed weaker associations with outcome in therapies with a strong behavioral component relative to nonbehavioral therapies. However, alliance showed stronger relations to outcome for younger (vs. older) patients, over and above the variance shared with early symptom improvement. In sum, early symptom reduction enhances therapeutic alliance and treatment outcome in EDs, but early alliance may require specific attention for younger patients and for those receiving nonbehaviorally oriented treatments.Resumen: Objetivo: La alianza terapéutica entre paciente y terapeuta ha demostrado ser una relación con resultados psicoterapéuticos favorables en el tratamiento de los trastornos de la conducta alimentaria (TCA). Sin embargo, quedan preguntas acerca de la interâ relación entre alianza temprana, mejoría temprana de síntomas y resultados del tratamiento. Hicimos un metaâ análisis de la relación entre estos constructos y los posibles moderadores de estas relaciones en los tratamientos psicosociales para TCA. Método: Veintiún estudios reunieron los criterios de inclusión y aportaron suficientes datos suplementarios. Resultados: los resultados revelaron un efecto de la talla pequeño a moderado, βâ =â 0.13 a 0.22 (pâ <â .05), encontrando que la mejoría temprana de los síntomas estuvo relacionada con la subsecuente calidad de la alianza y las calificaciones de la alianza también estuvieron relacionadas con la subsecuente reducción de los síntomas. La relación entre alianza temprana y resultados de tratamiento fue parcialmente explicada por la temprana mejoría de los síntomas. Con relación a los moderadores, la alianza temprana mostró débiles asociaciones con el resultado en terapias con un fuerte componente conductual relativo a terapias no conductuales. Sin embargo, la alianza mostró más fuerte relación con los resultados para pacientes más jóvenes (versus mayores), por encima y sobre la varianza compartida con la temprana mejoría de síntomas. Discusión: En resumen, la reducción temprana de los síntomas refuerza la alianza terapéutica y los resultados del tratamiento en TCA, pero la alianza temprana puede requerir atención específica para pacientes jóvenes y para aquellos que no reciben tratamientos basados en una orientación conductual.
dc.publisherAmerican Psychological Association
dc.publisherWiley Periodicals, Inc.
dc.subject.othermetaâ analysis
dc.subject.othertherapeutic alliance
dc.subject.othertreatment outcome
dc.subject.othereating disorder
dc.titleA metaâ analysis of the relation between therapeutic alliance and treatment outcome in eating disorders
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/136435/1/eat22672.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/136435/2/eat22672_am.pdf
dc.identifier.doi10.1002/eat.22672
dc.identifier.sourceInternational Journal of Eating Disorders
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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