文章基本信息

标题：The Impeding Role of Self-Critical Perfectionism on Therapeutic Alliance During Treatment and Eating Disorder Symptoms at Follow-up in Patients with an Eating Disorder
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作者：Jolene van der Kaap-Deeder ; Jos Smets ; Liesbet Boone 等
期刊名称：Psychologica Belgica
电子版ISSN：2054-670X
出版年度：2016
卷号：56
期号：2
页码：101-110
DOI：10.5334/pb.297
语种：English
出版社：Ubiquity Press
摘要：This study examines the impeding role of self-critical perfectionism at onset of treatment on therapeutic alliance during treatment and eating disorder symptoms at follow-up in patients with an eating disorder. Participants were 53 female patients with a mean age of 21.1 years treated for an eating disorder in a specialized inpatient treatment unit. Self-critical perfectionism was assessed at admission, therapeutic alliance was assessed during treatment (after three months of treatment), and eating disorder symptoms were assessed at admission, after three months and one year later. Self-critical perfectionism negatively related to treatment alliance with the therapist. Although self-critical perfectionism was not directly predictive of subsequent changes in eating disorder symptoms, it was indirectly related to less reduction in body dissatisfaction through the therapeutic alliance. These results point to the importance of self-critical perfectionism in the therapeutic alliance and in changes in body image problems. Treatment implications are discussed.
关键词：Self-criticism;therapeutic alliance;eating disorder patients;therapeutic change