Mulkens, S., de Vos, C., de Graff, A. et al. (1 more author) (2018) To Deliver or Not to Deliver Cognitive Behavioral Therapy for Eating Disorders: Replication and Extension of Our Understanding of Why Therapists Fail to Do What They Should Do. Behaviour Research and Therapy, 106. pp. 57-63. ISSN 0005-7967
Abstract
Objective: This study investigated the extent to which therapists fail to apply empirically supported treatments in a sample of clinicians in The Netherlands, delivering cognitive behavioral therapy for eating disorders (CBT-ED). It aimed to replicate previous findings, and to extend them by examining other potential intra-individual factors associated with the level of (non-)use of core CBT-ED techniques. Method: Participants were 139 clinicians (127 women; mean age 41.4 years, range = 24-64) who completed an online survey about the level of use of specific techniques, their beliefs (e.g., about the importance of the alliance and use of pretreatment motivational techniques), anxiety (Intolerance of Uncertainty Scale), and personality (Ten Item Personality Inventory). Results: Despite some differences with Waller’s (2012) findings, the present results continue to indicate that therapists are not reliably delivering the CBT-ED techniques that would be expected to provide the best treatment to their patients. This ‘non-use’ appears to be related to clinician anxiety, temporal factors, and clinicians’ beliefs about the role of the therapeutic alliance in driving therapy outcomes. Discussion: Improving treatment delivery will involve working with clinicians’ levels of anxiety, clarifying the lack of benefit of pre-therapy motivational enhancement work, and reminding clinicians that the therapeutic alliance is enhanced by behavioral change in CBT-ED, rather than the other way around.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | ©2018 Elsevier Ltd. This is an author produced version of a paper subsequently published in Behaviour Research and Therapy. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Cognitive Behavior Therapy; eating disorders; therapist drift; evidence-based practice; therapeutic alliance; clinician anxiety |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 30 Apr 2018 14:20 |
Last Modified: | 04 May 2020 00:39 |
Published Version: | https://doi.org/10.1016/j.brat.2018.05.004 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.brat.2018.05.004 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:130204 |