scholarly journals A meta-analysis of the relation between therapeutic alliance and treatment outcome in eating disorders

2017 ◽  
Vol 50 (4) ◽  
pp. 323-340 ◽  
Author(s):  
Tiffany A. Graves ◽  
Nassim Tabri ◽  
Heather Thompson-Brenner ◽  
Debra L. Franko ◽  
Kamryn T. Eddy ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Meta Analysis

Alliance in Adult Psychotherapy

2019 ◽  
pp. 24-78 ◽  
Author(s):  
Christoph Flückiger ◽  
A. C. Del Re ◽  
Bruce E. Wampold ◽  
Adam O. Horvath
Keyword(s):  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Working Alliance ◽  
Outcome Measures ◽  
Random Effects ◽  
Meta Analysis ◽  
Patient Characteristics ◽  
Positive Relation ◽  
Treatment Approaches ◽  
Face To Face

The alliance continues to be one of the most investigated variables related to success in psychotherapy. In this chapter, the authors define and illustrate the alliance (also conceptualized as therapeutic alliance or working alliance) and then present a meta-analysis of 295 independent studies that covered more than 30,000 patients for face-to-face psychotherapy as well as Internet-based psychotherapy. The relation of the alliance and treatment outcome was investigated using three-level meta-analysis with random-effects. The overall alliance–outcome association for face-to-face psychotherapy was r = .278 (equivalent of d = .579). The correlation for internet-based psychotherapy was approximately the same (r = .275, k = 23). These results confirm the robustness of the positive relation between the alliance and outcome. This relation remains consistent across assessor perspectives, alliance and outcome measures, treatment approaches, patient characteristics, and countries. The chapter concludes with research limitations, diversity considerations, and therapeutic practices.

An evaluation of binge eating characteristics in individuals with eating disorders: a systematic review and meta-analysis

Appetite ◽  
2021 ◽  
pp. 105176
Author(s):  
Carla Loureiro Mourilhe Silva ◽  
Carlos Eduardo Ferreira de Moraes ◽  
Gloria Valeria da Veiga ◽  
Felipe Q. da Luz ◽  
Amanda Pompeu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Binge Eating ◽  
Meta Analysis

scholarly journals Therapeutic outcome and related predictors of stereotactic body radiotherapy for small liver-confined HCC: a systematic review and meta-analysis of observational studies

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yanyan Long ◽  
Yan Liang ◽  
Shujie Li ◽  
Jing Guo ◽  
Ying Wang ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Radiation Dose ◽  
Tumor Size ◽  
Stereotactic Body Radiotherapy ◽  
Observational Studies ◽  
Meta Analysis ◽  
Local Treatment ◽  
Cochrane Library ◽  
Tumor Control ◽  
Comparison Results

Abstract Background and purpose Stereotactic body radiotherapy (SBRT) is a promising ablative modality for hepatocellular carcinoma (HCC) especially for those with small-sized or early-stage tumors. This study aimed to synthesize available data to evaluate efficacy and explore related predictors of SBRT for small liver-confined HCC (≤ 3 lesions with longest diameter ≤ 6 cm). Materials and methods A systematic search were performed of the PubMed and Cochrane Library databases. Primary endpoints were overall survival (OS) and local control (LC) of small HCC treated with SBRT, meanwhile, to evaluate clinical parameters associated with treatment outcome by two methods including subgroup comparisons and pooled HR meta-analysis. The secondary endpoint was treatment toxicity. Results After a comprehensive database review, 14 observational studies with 1238 HCC patients received SBRT were included. Pooled 1-year and 3-year OS rates were 93.0% (95% confidence interval [CI] 88.0–96.0%) and 72.0% (95% CI 62.0–79.0%), respectively. Pooled 1-year and 3-year LC rates were 96.0% (95% CI 91.0–98.0%) and 91.0% (95% CI 85.0–95.0%), respectively. Subgroup comparisons regarding Child–Pugh class (stratified by CP-A percentage 100%, 75–100%, 50–75%) showed there were statistically significant differences for both 1-year and 3-year OS rate (p < 0.01), while that regarding number of lesions, pretreatment situation, age (median/mean age of 65), macrovascular invasion, tumor size, and radiation dose (median BED10 of 100 Gy), there were no differences. In subgroup comparisons for LC rate, it showed number of lesions (1 lesion vs. 2–3 lesions) was significantly associated with 1-year LC rate (p = 0.04), though not associated with 3-year LC rate (p = 0.72). In subgroup comparisons categorized by other factors including pretreatment situation, age, CP-A percentage, macrovascular invasion, tumor size, and radiation dose, there were no significant differences for 1- or 3-year LC rate. To further explore the association between CP class and OS, the second method was applied by combining HR and 95% CIs. Results indicated CP-A was predictive of better OS (p = 0.001) with pooled HR 0.31 (95% CIs 0.11–0.88), which was consistent with subgroup comparison results. Concerning adverse effect of SBRT, pooled rates of grade ≥ 3 hepatic complications and RILD were 4.0% (95% CI 2.0–8.0%) and 14.7% (95% CI 7.4–24.7%), respectively. Conclusion The study showed that SBRT was a potent local treatment for small liver-confined HCC conferring excellent OS and LC persisting up to 3 years, even though parts of included patients were pretreated or with macrovascular invasion. CP-A class was a significant predictor of optimal OS, while number of lesions might affect short term tumor control (1-year LC). Tumor size and radiation dose were not vital factors impacting treatment outcome for such small-sized HCC patients. Because of the low quality of observational studies and heterogeneous groups of patients treated with SBRT, further clinical trials should be prospectively investigated in large sample sizes.

Autonomous Motivation: A Predictor of Treatment Outcome in Bulimia-Spectrum Eating Disorders

2012 ◽  
Vol 20 (3) ◽  
pp. e116-e122 ◽  
Author(s):  
Sandra Mansour ◽  
Kenneth R. Bruce ◽  
Howard Steiger ◽  
David C. Zuroff ◽  
Sarah Horowitz ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Treatment Outcome ◽  
Autonomous Motivation
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