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The role of collegial alliance in family-based treatment of adolescent anorexia nervosa: A pilot study

机译:高校联盟在家庭青少年神经性厌食症治疗中的作用:一项初步研究

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Objective In keeping with broader efforts to identify mediators and moderators of treatment outcome in anorexia nervosa, this pilot study investigated the association between collegial alliance, which refers to the perceived alliance between case-involved professionals, and treatment outcomes in adolescent patients undergoing family-based treatment (FBT) for anorexia nervosa. Method The self-reported collegial alliance scores of five FBT practitioners were collected, alongside weight- and cognitive-related outcomes for 29 consecutive cases of adolescent anorexia nervosa under their care. Results Collegial alliance discriminated between patients who dropped out of treatment and patients who completed treatment, t(27) = 3.68, p = .001, η2 = .33. Furthermore, there was a strong negative correlation between collegial alliance scores early on in treatment and disordered eating symptoms later in treatment, r(23) = -.67, p .001. Moderate but non-significant associations were observed between early collegial alliance and patient's percentage of expected body weight later in treatment, r(23) = .32, p = .13. Discussion These findings have important implications for the augmentation of FBT, suggesting that unity amongst clinicians promotes positive treatment outcomes, particularly with regard to disordered eating symptomatology.
机译:目的为了更广泛地确定神经性厌食症的治疗结果的介导者和调节者,该试点研究调查了大学联盟(后者指的是病例相关专业人员之间的联盟)与接受家庭治疗的青少年患者的治疗结果之间的关联。神经性厌食症的治疗(FBT)。方法收集了五名FBT从业者的自我报告的大学联盟分数,并对其在照护下连续29例青少年神经性厌食症的体重和认知相关结果进行了收集。结果大学联盟区分了退出治疗的患者和完成治疗的患者,t(27)= 3.68,p = .001,η2= .33。此外,治疗初期的大学联盟评分与治疗后期的饮食失调症状之间存在很强的负相关性,r(23)= -.67,p <.001。在早期的大学联盟与患者在治疗后期的预期体重百分比之间发现了中等但不显着的关联,r(23)= 0.32,p = 0.13。讨论这些发现对FBT的增加具有重要意义,表明临床医生之间的团结促进了积极的治疗效果,特别是在饮食失调症状方面。

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