CP Research Corner: Therapeutic Alliance and Treatment Outcome

A meta-analysis of the relationship between therapeutic alliance and treatment outcome in eating disorders

While the therapeutic alliance has long been identified as an important factor in favorable psychotherapeutic outcomes, the effects of the therapeutic alliance relative to the presence of early symptom change in ED treatment remains undefined. The relationship between early alliance formation and early symptom reduction may be moderated by factors such as the age of the client, patient diagnosis, and type of therapeutic intervention (behavioral vs. non-behavioral).

In addition to these moderators, clinicians question the extent to which a quality alliance may result from versus promote the observed change. In a research review published in the International Journal of Eating Disorders in 2016, twenty studies were reviewed that examine this very relationship. Results demonstrated that "early symptom reduction enhances therapeutic alliance and treatment outcome in EDs, but early alliance may require specific attention for younger patients and for those receiving non-behaviorally oriented treatments.” Interestingly, further analyses of the aforementioned moderators supported the role of early alliance in predicting later symptom-change for individual-focused therapies (e.g., IPT, FBT) and multiple therapies; but not for CBT. Read more here.

 References:Graves TA, Tabri N, Thompson-Brenner H., Franko DL, Eddy KT, Bourion-Bedes S, Brown A, Constantino MJ, Fluckiger C, Forsberg S, Isserlin L, Couturier J, Paulson, Karlsson G, Mander J, Teufel M, Mitchell JE, Crosby RD, Prestano C, Satir DA, Simpson S, Sly R, Lacey JH, Stiles-Shields C,Tasca GA, Waller G, Zaitsoff SL,Rienecke R, Le Grange D,Thomas JJ. A meta-analysis of the relation between therapeutic alliance and treatment outcome in eating disorders. Int J Eat Disord. 2017;00:000–000. doi:10.1002/eat.22672.

MELISSA GERSON, LCSW

Melissa Gerson is the founder of Columbus Park Center for Eating Disorders in New York City. Over the last 20-plus years, she has trained in just about every evidence-based eating disorder treatment available to individuals with eating disorders: a dizzying list of acronyms including CBT-E, CBT-AR, DBT, FBT, IPT, SSCM, FBI and more.

Among Melissa’s most important achievements has been a certification as a Family-Based Treatment provider; with her mastery of this potent and life-changing (and life-saving!) modality, she’s treated hundreds of young people successfully and continues to maintain a small caseload of FBT clients as she also focuses on leadership and management roles at Columbus Park.

Since founding Columbus Park in 2008, Melissa has trained multiple generations of eating disorder professionals and has dedicated her time to a combination of clinical practice, writing, and presenting.

https://www.columbuspark.com
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