The role of collegial alliance in family-based treatment of adolescent anorexia nervosa: a pilot study.
The role of collegial alliance in family-based treatment of adolescent anorexia nervosa: a pilot study.
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学院联盟在青少年神经性厌食症家庭治疗中的作用：一项试点研究。
DOI：
10.1002/eat.22230
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
LeGrange,Daniel
中科院分区：
文献类型：
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作者：
Murray,StuartB;Griffiths,Scott;LeGrange,Daniel
目的为了更广泛地确定神经性厌食症治疗结果的中介和调节因素，这项初步研究调查了接受基于家庭治疗的神经性厌食症青少年患者的大学联盟与治疗结果的关系，大学联盟是指参与病例的专业人员之间感知的联盟。方法收集5名以家庭为基础的治疗人员的自我报告的大学联盟得分，以及他们照顾的29例青少年神经性厌食症与体重和认知相关的结果。结果在退出治疗和完成治疗的患者之间存在联合联盟，t(27) = 3.68，p= .001，η2= .33。此外，在治疗早期的大学联盟分数和治疗后的进食障碍症状之间有很强的负相关，r(23) = −.67，p<； .001。在早期的合议性联盟和患者在治疗后预期体重的百分比之间观察到适度但不显著的关联，r(23) = .32，p= .13讨论这些发现对增加空腹透气试验具有重要的意义，表明临床医生之间的团结促进了积极的治疗结果，特别是在进食障碍症状方面。2013Wiley期刊公司(INT J Eat Disord 2014；47：418-421)
ObjectiveIn 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.MethodThe 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.ResultsCollegial 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.DiscussionThese 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. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:418–421)