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Prognostic Value of Early Therapeutic Alliance in Weight Recovery: A Prospective Cohort of 108 Adolescents With Anorexia Nervosa

Abstract : PURPOSE: To determine whether patients' perception of early therapeutic alliance (TA) could predict time to achieve a target weight among adolescents undergoing treatment for anorexia nervosa. METHOD: TA was assessed in a prospective cohort recruited from both inpatient and outpatient settings by self-administered and validated questionnaires. Kaplan-Meier survival curves were compared by log rank test, and Cox regression was used to test whether patients' perception of early TA predicted time to achieve a target weight. RESULTS: In total, 108 patients were included, and 79.6% achieved a target weight. Better patient perception of early TA increased the hazard ratio (HR) of achieving a target weight (HR = 2.7, 95% confidence interval: 1.7-4.4, p < .001) such as being in the inpatient setting by 6.7. Being very severely underweight at admission decreased the HR of achieving the target weight. CONCLUSION: Patients' perception of early TA is a good predictor of achieving a target weight. Because TA is a modifiable construct, it could be a target for intervention.
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https://hal.univ-lorraine.fr/hal-01707206
Contributor : Ngere Ul <>
Submitted on : Monday, February 12, 2018 - 4:05:10 PM
Last modification on : Sunday, October 25, 2020 - 7:05:55 AM

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Stéphanie Bourion-Bédès, Cédric Baumann, Solenn Kermarrec, Fabienne Ligier, François Feillet, et al.. Prognostic Value of Early Therapeutic Alliance in Weight Recovery: A Prospective Cohort of 108 Adolescents With Anorexia Nervosa. Journal of Adolescent Health, Elsevier, 2013, 52 (3), pp.344 - 350. ⟨10.1016/j.jadohealth.2012.06.017⟩. ⟨hal-01707206⟩

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