دانلود مقاله ISI انگلیسی شماره 74454
عنوان فارسی مقاله

تاثیر تغییر اولین علائم و اتحاد درمانی بر نتایج درمان در درمان شناختی رفتاری برای اختلالات خوردن

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
74454 2015 5 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
The impact of early symptom change and therapeutic alliance on treatment outcome in cognitive-behavioural therapy for eating disorders
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Behaviour Research and Therapy, Volume 73, October 2015, Pages 165–169

کلمات کلیدی
اختلالات اشتها؛ درمان شناختی رفتاری؛ تغییر زودهنگام؛ اتحاد درمانی
پیش نمایش مقاله
پیش نمایش مقاله تاثیر تغییر اولین علائم و اتحاد درمانی بر نتایج درمان در درمان شناختی رفتاری برای اختلالات خوردن

چکیده انگلیسی

The present study explored the impact of early symptom change (cognitive and behavioural) and the early therapeutic alliance on treatment outcome in cognitive-behavioural therapy (CBT) for the eating disorders. Participants were 94 adults with diagnosed eating disorders who completed a course of CBT in an out-patient community eating disorders service in the UK. Patients completed a measure of eating disorder psychopathology at the start of treatment, following the 6th session and at the end of treatment. They also completed a measure of therapeutic alliance following the 6th session. Greater early reduction in dietary restraint and eating concerns, and smaller levels of change in shape concern, significantly predicted later reduction in global eating pathology. The early therapeutic alliance was strong across the three domains of tasks, goals and bond. Early symptom reduction was a stronger predictor of later reduction in eating pathology than early therapeutic alliance. The early therapeutic alliance did not mediate the relationship between early symptom reduction and later reduction in global eating pathology. Instead, greater early symptom reduction predicted a strong early therapeutic alliance. Early clinical change was the strongest predictor of treatment outcome and this also facilitated the development of a strong early alliance. Clinicians should be encouraged to deliver all aspects of evidence-based CBT, including behavioural change. The findings suggest that this will have a positive impact on both the early therapeutic alliance and later change in eating pathology.

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