Research Paper Psychological treatments for eating disorders: What is the importance of the quality of the therapeutic alliance for outcomes?

Author:

Antoniou Pavlina,Cooper Mick

Abstract

BackgroundResearch data suggests that eating disorders symptomatology is determined by the individual’s unique combination of biological and psychological factors, in relation to their familial and social backgrounds (Brumberg, 2000). This means that different clients may benefit from different psychological interventions (Lock et al., 2010).PurposeThis systematic review investigates the significance of the quality of the therapeutic alliance for the effectiveness of psychological treatments with eating disorders.MethodA review of electronic databases was conducted against pre-determined exclusion and inclusion criteria, with applicable studies been abstracted using the PRISMA four-phase flow diagram (Moher et al., 2009). Nine quantitative and two qualitative studies which were published prior to June 2012 were included, and their data are critically considered and analysed.FindingsThe quality of the therapeutic alliance is significantly associated with the success of treatment outcome for anorexia nervosa, although its importance remains unclear for bulimic individuals.DiscussionPossible reasons behind the ambiguity of the results are discussed, and alternative contributors to successful treatment outcomes are incorporated.ConclusionNotwithstanding the fact that this systematic review encountered a number of limitations, the findings could inform practice as well as form the basis for additional research in the field of eating disorders.

Publisher

British Psychological Society

Subject

Psychiatry and Mental health,Applied Psychology,Clinical Psychology

Reference76 articles.

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3. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

4. Beck, S.J. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York: The Guilford Press.

5. Stability of Personality Traits in Patients Who Received Intensive Treatment for a Severe Eating Disorder

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