Therapeutic Alliance in Family-Based Treatment of Anorexia Nervosa: In-Person Versus Telehealth

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-06-19 DOI:10.1002/cpp.3017
Marita Cooper, Chloe Connor, Natalia Orloff, John D. Herrington, C. Alix Timko
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Abstract

Objective

The therapeutic alliance is broadly linked with positive outcomes. However, nearly all research in this area involves in-person therapy, whereas teletherapy has grown increasing common since the COVID-19 pandemic. There is now a pressing need to establish whether the nature and importance of the therapeutic alliance is impacted by teletherapy. This study examined therapeutic alliance in families of youth with anorexia nervosa who were participating in a randomized controlled trial that transitioned from in-person to telehealth visits during the COVID-19 pandemic.

Method

We analysed data from 53 adolescents and their parents (20 began in-person, 33 began with telehealth). Both parents, youth and therapist completed the Working Alliance Inventory–Short Revised after 4 weeks of treatment.

Results

We found no significant differences across telehealth and in-person treatment for paternal or therapist reported data. However, both adolescents and mothers reported higher bond and goal-related alliance for in-person sessions compared to telehealth.

Conclusions

Findings regarding alliance across telehealth and in-person sessions were mixed, with some preference among mothers and youth for in-person treatment. Future studies should determine whether possible adaptations can improve working alliance during family-based treatment for anorexia nervosa via telehealth.

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厌食症家庭治疗中的治疗联盟:面对面治疗与远程医疗。
目的:治疗联盟与积极的治疗效果有着广泛的联系。然而,该领域的几乎所有研究都涉及面对面治疗,而自 COVID-19 大流行以来,远程治疗越来越普遍。现在迫切需要确定治疗联盟的性质和重要性是否会受到远程治疗的影响。本研究考察了神经性厌食症青少年家庭的治疗联盟,这些青少年参加了一项随机对照试验,在 COVID-19 大流行期间,该试验从面对面访问过渡到了远程医疗访问:我们分析了 53 名青少年及其父母的数据(其中 20 人从面谈开始,33 人从远程医疗开始)。治疗 4 周后,父母、青少年和治疗师都填写了工作联盟量表--简短修订版:我们发现,在父亲或治疗师报告的数据方面,远程医疗和面对面治疗没有明显差异。然而,与远程医疗相比,青少年和母亲都报告了更高的亲身参与治疗和与目标相关的联盟:有关远程医疗和面对面治疗的联盟的研究结果不一,母亲和青少年更倾向于面对面治疗。未来的研究应确定,在通过远程医疗进行基于家庭的神经性厌食症治疗过程中,可能的调整是否能改善工作联盟。
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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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