How do adolescents with bulimia nervosa rate the acceptability and therapeutic relationship in family-based treatment?
OBJECTIVE
To describe therapeutic alliance and treatment acceptability ratings of adolescents with bulimia nervosa (BN) participating in family-based treatment (FBT-BN) and to explore how participant characteristics relate to these constructs.


METHODS
Adolescents with BN (n = 80) in a randomized controlled trial comparing FBT-BN and individual supportive psychotherapy (SPT), completed the Eating Disorder Examination, Rosenberg Self-esteem Scale, and Beck Depression Inventory prior to treatment. The Helping Relationship Questionnaire, patient expectancy for treatment, treatment suitability, and self-reported estimates of improvement ratings were obtained at multiple points throughout treatment.


RESULTS
Therapeutic alliance and treatment acceptability ratings were positive in both treatments and generally did not differ. Within FBT-BN, more severe eating disorder symptomatology pretreatment was related to lower alliance ratings mid-treatment (p < .05). However, reductions in binge and purge behaviors over the course of treatment were not related to alliance or acceptability for participants in FBT-BN (all p's > .10).


CONCLUSIONS
Contrary to expectations of FBT-BN, adolescents receiving both treatments develop a strong alliance with the therapist.
Zaitsoff
Shannon L
SL
Department of Psychiatry, The University of Chicago, Chicago, Illinois 60637, USA.
Doyle
Angela Celio
AC
Hoste
Renee Rienecke
RR
le Grange
Daniel
D
D000293:Adolescent; D052018:Bulimia Nervosa / Q000523:psychology / Q000628:therapy*; D003469:Culture; D005196:Family Therapy; D005260:Female; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D017060:Patient Satisfaction; D009629:Person-Centered Psychotherapy; D010555:Personality Inventory; D011369:Professional-Patient Relations; D012944:Social Support; D011795:Surveys and Questionnaires; D016896:Treatment Outcome