Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
Department of Psychological Medicine, King's College London, London, UK.
Eur Eat Disord Rev. 2023 Jan;31(1):135-146. doi: 10.1002/erv.2948. Epub 2022 Aug 19.
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.
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.
Both early (1 session) and late (6 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.
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.
本研究旨在通过测量患者/导师语言风格匹配（LSM）的水平，探讨针对厌食症（AN）患者的指导性自助（GSH）预处理干预（RecoveryMANTRA）所涉及的过程。RecoveryMANTRA 通过六次基于聊天的每周会议，由学生导师或同伴导师（康复个体）提供支持。我们研究了 RecoveryMANTRA 期间的 LSM 是否可以预测患者与诊所治疗师的工作联盟、动机、饮食障碍（ED）和一般心理病理学。进一步的目的是检查学生导师和同伴导师之间的 LSM 差异。
87 名 AN 成年人接受了 RecoveryMANTRA 加常规治疗。使用 LSM 算法计算患者和导师之间的言语协调。参与者在基线和干预结束时进行评估。
早期（1 次会议）和晚期（6 次会议）的 LSM 均预测与诊所治疗师的工作联盟更高。此外，晚期 LSM 预测 RecoveryMANTRA 干预结束时 ED 症状较低。患者/同伴导师对的晚期言语协调度高于患者/学生导师对。
这些发现表明，在治疗的早期阶段，关系方面可能会影响对治疗的参与度。AN 的 GSH 中的言语协调与工作联盟和更好的临床结果相关。
