Abstract：
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.
摘要：
治疗联盟在进食障碍(ED)心理治疗中的作用，包括那些远程交付的，建立得很好。然而,很少有研究调查指导自助联盟，一种广泛推荐的以定期暴饮暴食为特征的ED一线治疗方法。使用来自随机对照试验的数据，当前的研究检查了电子邮件辅助和面对面指导的自助中的促进者和患者对联盟的评估，并研究了联盟之间的关联，ED症状和ED相关损害。在指导自助过程中和之后，有113名患者和11名辅导员完成了联盟措施。虽然患者和主持人的评分是可靠的，在患者样本和面对面情况下,联盟评分均较高.联盟的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关联，这可以告知如何在有指导的自助中鼓励早期症状改变。
