Therapeutic alliance in a randomized clinical trial for bulimia nervosa.

ABSTRACT:

Objective

This study examined the temporal relation between therapeutic alliance and outcome in two treatments for bulimia nervosa (BN).

Method

Eighty adults with BN symptoms were randomized to 21 sessions of integrative cognitive-affective therapy (ICAT) or enhanced cognitive-behavioral therapy (CBT-E). Bulimic symptoms (i.e., frequency of binge eating and purging) were assessed at each session and posttreatment. Therapeutic alliance (Working Alliance Inventory) was assessed at Sessions 2, 8, 14, and posttreatment. Repeated-measures analyses using linear mixed models with random intercepts were conducted to determine differences in alliance growth by treatment and patient characteristics. Mixed-effects models examined the relation between alliance and symptom improvement.

SUBMITTER: Accurso EC 

PROVIDER: S-EPMC4446165 | biostudies-literature | 2015 Jun

REPOSITORIES: biostudies-literature