Department of Psychiatry, University of Western Ontario, London Health Sciences Center, Canada.
Psychotherapy (Chic). 2012 Mar;49(1):46-51. doi: 10.1037/a0023905. Epub 2011 Oct 3.
This pilot study examines the role of therapeutic alliance in relation to weight gain and change in psychological measures during family-based treatment for adolescent anorexia nervosa (AN). Our sample consisted of 14 adolescents with AN and their families. Therapeutic alliance was measured using the System for Observing Family Therapy Alliances Scale. Those adolescents who attained at least 85% of their ideal body weight at the end of treatment had parents who showed a stronger therapeutic alliance with the therapist during the second session of treatment, while adolescents who were remitted on psychological measures showed a higher therapeutic alliance between themselves and the therapist early in treatment. It appears that therapeutic alliance plays an important role in outcome in family-based treatment for AN. Further study is needed in this area to explore the role of the therapist in creating and maintaining a strong therapeutic alliance.
这项初步研究考察了治疗联盟在家庭为基础的青少年厌食症（AN）治疗中与体重增加和心理测量变化的关系中的作用。我们的样本包括 14 名患有 AN 的青少年及其家庭。治疗联盟使用家庭治疗联盟观察系统量表进行测量。在治疗结束时达到其理想体重 85%以上的青少年的父母在治疗的第二阶段与治疗师的治疗联盟更强，而在心理测量上缓解的青少年在治疗早期与治疗师之间的治疗联盟更高。这表明治疗联盟在家庭为基础的厌食症治疗中起着重要的作用。需要在这一领域进行进一步的研究，以探讨治疗师在建立和维持强大的治疗联盟中的作用。
