Evidence map›Paper›PMID 38855305›Full record

ArticleFrontiers in psychology2024

Direct and indirect effects of psychological well-being and therapeutic alliance on therapy outcome in eating disorders.

Laura Muzi, Nicola Carone, Marta Mirabella, Anna Franco, Michele A Rugo, Claudia Mazzeschi, Vittorio Lingiardi

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Article in Frontiers in psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Laura MuziDepartment of Philosophy, Social Sciences, Humanities and Education, University of Perugia, Perugia, Italy.
Nicola CaroneDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Marta MirabellaDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy.
Anna FrancoEating Disorder Clinic "Residenza Gruber", Bologna, Italy.
Michele A RugoEating Disorder Clinic "Residenza Gruber", Bologna, Italy.
Claudia MazzeschiDepartment of Philosophy, Social Sciences, Humanities and Education, University of Perugia, Perugia, Italy.
Vittorio LingiardiDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Outcome research in eating disorders (EDs) is commonly focused on psychopathological dysfunction. However, Ryff's model of psychological well-being (PWB) has shown promising-yet preliminary-results with ED patients. Additionally, despite substantial evidence highlighting the association between the therapeutic alliance and treatment outcome, findings in ED samples remain unclear. The present study aimed at exploring the direct effect of PWB dimensions and the early therapeutic alliance on ED patients' individual treatment responses, as well as the mediating role played by the early therapeutic alliance in the relationship between PWB dimensions and overall pre-post symptom change. Methods: A sample of Results: The PWB dimensions of autonomy, positive relations, and self-acceptance were associated with clinically significant change, while the dimensions of personal growth and self-acceptance were associated with reliable change. The early therapeutic alliance showed both direct and indirect effects on therapy outcome, predicting clinically significant and reliable symptom reduction. It also emerged as a significant mediator in the relationship between all PWB dimensions and overall symptomatic change. Conclusion: The identification of individual, adaptive characteristics in ED patients that might influence their development of an early therapeutic alliance may help therapists to predict relationship ruptures and tailor their interventions to enhance treatment effectiveness.

Indexed as

anorexia nervosabulimia nervosapsychological well-beingresidential treatmentstherapeutic alliancetherapy outcome

Identifiers

PMID38855305
PMCPMC11162114

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