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Feedback in group psychotherapy for eating disorders: A randomized clinical trial.
Davidsen, Annika Helgadóttir; Poulsen, Stig; Lindschou, Jane; Winkel, Per; Tróndarson, Marjun Frígerð; Waaddegaard, Mette; Lau, Marianne.
Afiliación
  • Davidsen AH; Mental Health Services, Stolpegaard Psychotherapy Centre, Capital Region of Denmark.
  • Poulsen S; Department of Psychology, University of Copenhagen.
  • Lindschou J; Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Copenhagen University Hospital.
  • Winkel P; Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Copenhagen University Hospital.
  • Tróndarson MF; Mental Health Services, Stolpegaard Psychotherapy Centre, Capital Region of Denmark.
  • Waaddegaard M; Mental Health Services, Stolpegaard Psychotherapy Centre, Capital Region of Denmark.
  • Lau M; Mental Health Services, Stolpegaard Psychotherapy Centre, Capital Region of Denmark.
J Consult Clin Psychol ; 85(5): 484-494, 2017 05.
Article en En | MEDLINE | ID: mdl-28333513
ABSTRACT

OBJECTIVE:

To investigate the effect of client feedback in group psychotherapy on attendance and treatment outcome for patients with eating disorders.

METHOD:

We conducted a randomized clinical trial with central randomization stratified for diagnosis and treatment type according to a computer-generated allocation sequence concealed to the investigators. One-hundred and 59 adult participants, diagnosed with bulimia nervosa, binge eating disorder, or eating disorder not otherwise specified according to DSM-IV, were included. Eighty participants were allocated to the experimental group, and 79 participants to the control group. Both groups received 20-25 weekly group psychotherapy sessions. In the experimental group, participants gave and received feedback about therapy progress and alliance, measured before and after each session using the Outcome Rating Scale and the Group Session Rating Scale. The primary outcome was rate of attendance to treatment sessions; the secondary outcome was severity of eating disorder symptoms measured with the Eating Disorder Examination interview. Exploratory outcomes were psychological distress measured with the Symptom Checklist-90-R and the Outcome Rating Scale, social functioning measured with the Sheehan Disability Scale, and episodes of self-harm and suicide measured with a modified version of the Self-Harm Inventory.

RESULTS:

Feedback compared with control did not affect the rate of attendance (0.59 vs. 0.58; p = .96), the severity of symptoms (2.03 vs. 2.02; p = .46), or any of the exploratory outcomes (p values from 0.06 to 0.67).

CONCLUSIONS:

Feedback neither increased attendance nor improved outcomes for outpatients in group psychotherapy for eating disorders. The results are discussed from different perspectives. (PsycINFO Database Record
Asunto(s)

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Psicoterapia de Grupo / Trastornos de Alimentación y de la Ingestión de Alimentos / Terapia Cognitivo-Conductual / Retroalimentación Psicológica Tipo de estudio: Clinical_trials Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: J Consult Clin Psychol Año: 2017 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Psicoterapia de Grupo / Trastornos de Alimentación y de la Ingestión de Alimentos / Terapia Cognitivo-Conductual / Retroalimentación Psicológica Tipo de estudio: Clinical_trials Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: J Consult Clin Psychol Año: 2017 Tipo del documento: Article