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    Therapeutic alliance in Enhanced Cognitive Behavioural Therapy for bulimia nervosa: Probably necessary but definitely insufficient

    199864_199864.pdf (301.0Kb)
    Access Status
    Open access
    Authors
    Raykos, B.
    McEvoy, Peter
    Erceg-Hurn, David
    Byrne, S.
    Fursland, A.
    Nathan, P.
    Date
    2014
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Raykos, B. and McEvoy, P. and Erceg-Hurn, D. and Byrne, S. and Fursland, A. and Nathan, P. 2014. Therapeutic alliance in Enhanced Cognitive Behavioural Therapy for bulimia nervosa: Probably necessary but definitely insufficient. Behaviour Research and Therapy. 57: pp. 65-71.
    Source Title
    Behaviour Research and Therapy
    DOI
    10.1016/j.brat.2014.04.004
    ISSN
    0005-7967
    School
    School of Psychology
    Remarks

    NOTICE: this is the author’s version of a work that was accepted for publication in Behaviour Research and Therapy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Behaviour Research and Therapy, Vol. 57 (2014). DOI: 10.1016/j.brat.2014.04.004

    URI
    http://hdl.handle.net/20.500.11937/44035
    Collection
    • Curtin Research Publications
    Abstract

    The present paper assessed therapeutic alliance over the course of Enhanced Cognitive Behavioural Therapy (CBT-E) in a community-based sample of 112 patients with a diagnosis of bulimia nervosa (BN) or atypical BN. Temporal assessment of alliance was conducted at three time points (the start, middle and end of treatment) and the relationship between alliance and treatment retention and outcome was explored. Results indicated that the alliance between patient and therapist was strong at all stages of CBT-E, and even improved in the early stages of treatment when behaviour change was initiated (weekly in-session weighing, establishing regular eating, and ceasing binge-eating and compensatory behaviours).The present study found no evidence that alliance was related to treatment retention or outcomes, or that symptom severity or problematic interpersonal styles interacted with alliance to influence outcomes. Alliance was also unrelated to baseline emotional or interpersonal difficulties. The study provides no evidence that alliance has clinical utility for the prediction of treatment retention or outcome in CBT-Efor BN, even for individuals with severe symptoms or problematic interpersonal styles. Early symptom change was the best predictor of outcome in CBT-E. Further research is needed to determine whether these results are generalizable to patients with anorexia nervosa.

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