Patient baseline interpersonal problems as moderators of outcome in two psychotherapies for bulimia nervosa

Abstract

Interpersonal problems related to communion and agency may inform treatment fit among two empirically supported therapies for BN.

Patients' interpersonal problems as moderators of depression outcomes in a randomized controlled trial comparing mindfulness‐based cognitive therapy and a group version of the cognitive‐behavioral analysis system of psychotherapy in chronic depression

“…In addition, a recent study reported that changes in the alliance and interpersonal problems serially mediate the effect of CBASP (compared to supportive therapy) on depression outcome in chronic depression (Klein et al, 2020). The present study showed a moderating effect of interpersonal problems between MBCT and CBASP in patients with chronic depression and this finding corresponds to psychotherapy studies on other mental disorders, where interpersonal problems moderated outcomes between psychotherapies (bulimia nervosa: Gomez Pendeo, Constantino, Coyne, Bernecker & Smith‐Hansen, 2018; generalized anxiety disorder: Gomez Pendeo, Constantino, Coyne, Westra & Antony, 2017; Newman, Jacobson, Erickson, & Fisher, 2017). Therefore, interpersonal problems might be an important patient characteristic in the context of treatment selection.…”

Interpersonal psychotherapy for eating disorders: current perspectives

“…All studies were conducted on outpatient samples. Ten studies adopted an RCT methodology (10/37; 27.0%), 11 , 16 , 20 , 21 , 28 , 29 , 31 , 39 , 40 , 46 five were follow-up studies (5/37; 13.5%), 17 – 19 , 30 , 47 eleven were based on secondary analyses carried out on the same samples of RCTs (11/37; 29.7%), 50 – 54 , 58 , 59 , 61 , 62 , 64 , 67 three were case series or case reports (3/37; 8.1%), 55 , 66 , 69 four were pilot studies (10.8%), 45 , 55 , 68 , 70 and four were studies with experimental designs other than RCTs (retrospective, 57 quasi-experimental, 60 community based, 63 laboratory meal 65 (4/37; 10.8%).…”

Interpersonal problems and social dysfunction: Examining patients with avoidant and borderline personality disorder symptoms

“…By understanding the indirect associations of PD symptom severity on social dysfunction through interpersonal problems, clinicians may be better able to attune themselves to the client-clinician relationship. Research has shown that interpersonal coldness predicted poorer treatment outcomes, which may be due to an impaired therapeutic alliance (Gomez Penedo, Constantino, Coyne, Bernecker, & Smith-Hansen, 2019). Clinicians with clients exhibiting cold interpersonal problems may find it more difficult to empathically relate, which could inhibit their ability to effectively conceptualize clients' concerns and facilitate effective treatments.…”