Supported by MH079979, MH083914, MH093768 from National Institute of Mental Health as well as a grant from the Baker Foundation (Australia) and from NIH.
Therapeutic alliance in two treatments for adolescent anorexia nervosa†
Article first published online: 27 JUL 2012
Copyright © 2012 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 46, Issue 1, pages 34–38, January 2013
How to Cite
Forsberg, S., LoTempio, E., Bryson, S., Fitzpatrick, K. K., Le Grange, D. and Lock, J. (2013), Therapeutic alliance in two treatments for adolescent anorexia nervosa . Int. J. Eat. Disord., 46: 34–38. doi: 10.1002/eat.22047
- Issue published online: 11 DEC 2012
- Article first published online: 27 JUL 2012
- Manuscript Accepted: 8 JUN 2012
- anorexia nervosa;
- therapeutic alliance;
- family-based treatment
The aim of this study was to examine the relationship between therapeutic alliance and treatment outcome (remission status) in family-based treatment (FBT) and adolescent-focused therapy (AFT) for adolescents with anorexia nervosa (AN).
Independent observers rated audiotapes of early therapy sessions using the Working Alliance Inventory-Observer Version (WAI-o). Outcome was defined using established cut-points for full and partial remission. To control for effects of early symptom improvement, changes in weight- and eating-related psychopathology prior to the alliance session were calculated and entered as a covariate in each analysis.
Participants in AFT had significantly higher alliance scores; however, overall scores were high in both therapies. The alliance was not a predictor of full remission for either treatment, though it was a non-specific predictor for partial remission.
Therapeutic alliance is achievable in adolescents with AN in both AFT and FBT, but demonstrated no relationship to full remission of the disorder. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)