Impact of patient and partner insight into anorexia nervosa on treatment outcome

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  • March 20, 2019
Creator
  • Pentel, Kimberly
    • Affiliation: College of Arts and Sciences, Department of Psychology and Neuroscience
Abstract
  • Across disorders, increased insight is associated with better treatment outcome. Among patients with AN, limited insight is common yet understudied, and romantic partners develop their own understanding of the disorder. In this study, an observational coding system was developed to assess patient and partner insight into AN. Coders assessed pre-treatment couple conversations for 22 couples in which one individual had AN. Codes were used to predict patient outcome following cognitive-behavioral couple-based AN treatment. The proposed model posited that increased insight would predict better patient outcomes, mediated by relationship functioning. Results indicated that increased insight was associated with lower end-treatment patient symptom severity. Strikingly, partner insight predicted patient’s outcome better than the patient’s own insight. However, relationship functioning did not mediate the association between insight and outcome. These pilot findings underscore the pivotal role of partners in the recovery process and suggest that harnessing partner insight may help maximize treatment gains.
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  • In Copyright
Advisor
  • Raney, Thomas
  • Baucom, Donald
  • Abramowitz, Jonathan
Degree
  • Master of Arts
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2016
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