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Patient and mentor language style matching as a predictor of working alliance, engagement with treatment as usual, and eating disorders symptoms over the course of an online guided self-help intervention for anorexia nervosa.
Albano, Gaia; Salerno, Laura; Cardi, Valentina; Brockmeyer, Timo; Ambwani, Suman; Treasure, Janet; Lo Coco, Gianluca.
Afiliación
  • Albano G; Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
  • Salerno L; Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
  • Cardi V; Department of Psychological Medicine, King's College London, London, UK.
  • Brockmeyer T; Department of General Psychology, University of Padova, Padova, Italy.
  • Ambwani S; Department of Psychosomatic Medicine and Psychotherapy, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
  • Treasure J; Department of Psychology, Dickinson College, Carlisle, Pennsylvania, USA.
  • Lo Coco G; Department of Psychological Medicine, King's College London, London, UK.
Eur Eat Disord Rev ; 31(1): 135-146, 2023 01.
Article en En | MEDLINE | ID: mdl-35983983
OBJECTIVE: The aim of this study was to examine the processes involved in a guided self-help (GSH) pre-treatment intervention (RecoveryMANTRA) for patients with anorexia nervosa (AN), by measuring the levels of patient/mentor Language Style Matching (LSM). RecoveryMANTRA was supported by student mentors or peer mentors (recovered individuals) over six weekly chat-based sessions. We examined whether LSM during RecoveryMANTRA predicted patients'working alliance with the clinic therapist, motivation, eating disorder (ED) and general psychopathology. A further aim was to examine differences in LSM between student mentors and peer mentors. METHOD: 87 AN adults received RecoveryMANTRA plus treatment as usual. The LSM algorithm was used to calculate verbal attunement between patient and mentor. Participants were assessed at baseline and at the end of the intervention. RESULTS: Both early (1st session) and late (6th session) LSM predicted higher working alliance with the clinic therapist. Moreover, late LSM predicted lower EDs symptoms at the end of the RecoveryMANTRA intervention. Patient/peer mentor dyads showed higher late verbal attunement than patient/student mentor dyads. CONCLUSIONS: These findings suggests that in the early phase of treatment relational aspects can impact on engagement with treatment. Verbal attunement in a GSH for AN is associated with working alliance and better clinical outcome.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Alimentación y de la Ingestión de Alimentos Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Eur Eat Disord Rev Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Alimentación y de la Ingestión de Alimentos Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Eur Eat Disord Rev Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido