The role of therapeutic alliance within psychological treatments for eating disorders (EDs), including those delivered remotely, is well established. However, few studies have investigated alliance in guided self-help, a widely recommended first-line treatment for EDs characterised by regular binge eating. Using data from a randomised controlled trial, the current study examined both facilitator and patient assessments of alliance within e-mail-assisted and face-to-face guided self-help and looked at associations between alliance, ED symptoms and ED-related impairment. One hundred thirteen patients and 11 facilitators completed measures of alliance during and following a course of guided self-help. Whilst ratings were reliable across patients and facilitators, alliance scores were higher both in the patient sample and in the face-to-face condition. Ratings of alliance showed no correlations with ED symptoms at post-treatment, and early alliance was not significantly associated with outcome, which could inform how early symptom change is encouraged in guided self-help.

中文翻译：

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两种形式的暴食引导自助治疗联盟

治疗联盟在饮食失调（ED）心理治疗（包括远程治疗）中的作用已得到充分证实。然而，很少有研究调查引导自助联盟，这是一种广泛推荐的针对经常暴饮暴食的 ED 的一线治疗方法。本研究利用随机对照试验的数据，检查了辅导者和患者对电子邮件辅助和面对面指导自助中联盟的评估，并研究了联盟、ED 症状和 ED 相关障碍之间的关联。 113 名患者和 11 名辅导员在引导自助课程期间和之后完成了联盟措施。虽然患者和辅导员的评分都是可靠的，但患者样本和面对面条件下的联盟得分都较高。联盟评级显示与治疗后的 ED 症状没有相关性，早期联盟与结果没有显着相关，这可以告诉我们如何在引导自助中鼓励早期症状改变。