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Therapist Factors Related to the Treatment of Adolescent Eating Disorders

机译：治疗师的治疗相关因素青少年饮食失调

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Eating disorders (EDs) are historically complex to treat, and evidence-based recommendations for treating adolescents with EDs need to be improved. The present study is unique and distinctive as it is the first to assess therapists' report of their technique, working alliance, and countertransference with ED adolescents in relation to patient factors of childhood traumatic experiences as well as ED symptomatology. One hundred and four experienced (M = 16.28 years as clinician) therapists from a variety of different theoretical orientations and disciplines currently treating an adolescent patient diagnosed with an ED for at least 8 sessions completed an online survey. These therapists completed measures of therapists' technique, alliance, and countertransference, as well as a DSM-5 ED symptom and childhood trauma questionnaire regarding their patients. Therapists reported experiencing more special/ overinvolved countertransference when the patient had greater trauma severity, specifically with patients who experienced more severe traumatic parental upheavals and had been a victim of violence. In addition, therapists used more psychodynamic interpersonal (PI) techniques when treating patients with more severe trauma histories, especially when they were victim to a major parental upheaval, childhood sexual abuse, and serious injury. PI was also significantly related to total ED symptoms, and most specifically with bulimia nervosa and binge ED symptoms. Despite these findings, there was a lack of significance for therapist alliance with ED symptom or trauma variables. Overall, these findings highlight how therapist treatment process may be related to aspects of trauma history and symptomatology when treating an adolescent with an ED.
机译：饮食失调(EDs)历史复杂治疗,和以证据为基础的建议用EDs治疗青少年需要改善。独特的,因为它是第一个评估治疗师的报告他们的技术,工作联盟和反移情作用青少年与病人的因素童年创伤经历以及教育症状。(M = 16.28年临床医生)从一个治疗师各种不同的理论取向和学科目前治疗一个青少年病人被诊断为至少8的ED会议完成了一项在线调查。治疗师的治疗师完成措施技术联盟和反移情作用dsm - 5 ED症状和童年创伤调查问卷关于他们的病人。治疗师报道经历更多的特殊/当病人overinvolved反移情作用有更大的创伤严重程度,特别是患者经历更严重的创伤父母的剧变和曾经的受害者暴力。心理动力学人际关系时(π)技术患者更严重的创伤历史,特别是当他们的受害者主要的父母的剧变,儿童性虐待,和严重的伤害。相关总ED症状,大多数特别是与暴食症和狂欢症状。对治疗师联盟缺乏意义ED症状或损伤变量。发现强调治疗师如何治疗可能与创伤的过程历史和症状在治疗青少年教育。

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