The Association Between Patient Characteristics and the Therapeutic Alliance in Cognitive-Behavioral and Interpersonal Therapy for Bulimia Nervosa.
- 1 January 2005
- journal article
- clinical trial
- Published by American Psychological Association (APA) in Journal of Consulting and Clinical Psychology
- Vol. 73 (2) , 203-211
- https://doi.org/10.1037/0022-006x.73.2.203
Abstract
The therapeutic alliance is an established predictor of psychotherapy outcome. However, alliance research in the treatment of eating disorders has been scant, with even less attention paid to correlates of alliance development. The goal of this study was to examine the relation between specific patient characteristics and the development of the alliance in 2 different treatments for bulimia nervosa (BN). Data derive from a large, randomized clinical trial comparing cognitive- behavioral therapy (CBT) and interpersonal therapy (IPT) for BN. Across both treatments, patient expectation of improvement was positively associated with early- and middle-treatment alliance quality. In CBT, baseline symptom severity was negatively related to middle alliance. In IPT, more baseline interpersonal problems were associated with poorer alliance quality at midtreatment.Keywords
This publication has 36 references indexed in Scilit:
- PRETREATMENT EXPECTATIONS, INTERPERSONAL FUNCTIONING, AND SYMPTOMS IN THE PREDICTION OF THE THERAPEUTIC ALLIANCE ACROSS SUPPORTIVE-EXPRESSIVE PSYCHOTHERAPY AND COGNITIVE THERAPYPsychotherapy Research, 2003
- Editor's notesNew Directions for Community Colleges, 2002
- Purposes, processes, and products of the task force on empirically supported therapy relationships.Psychotherapy, 2001
- Expectations and preferences.Psychotherapy, 2001
- An interpersonal model of psychotherapy: Linking patient and therapist developmental history, therapeutic process, and types of outcome.Journal of Consulting and Clinical Psychology, 2000
- Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review.Journal of Consulting and Clinical Psychology, 2000
- Therapeutic alliance as a predictor of outcome in treatment of cocaine dependencePsychotherapy Research, 1999
- A comparison of six measures of working alliance.Psychotherapy, 1989
- Relation of patient pretreatment characteristics to the therapeutic alliance in diverse psychotherapies.Journal of Consulting and Clinical Psychology, 1988
- Therapeutic alliance and outcome: Impact of treatment length and pretreatment symptomatology.Psychotherapy, 1988