{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T23:49:47Z","timestamp":1784764187538,"version":"3.55.0"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T00:00:00Z","timestamp":1622073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003407","name":"Ministero dell'Istruzione, dell'Universit\u00e0 e della Ricerca","doi-asserted-by":"publisher","award":["262"],"award-info":[{"award-number":["262"]}],"id":[{"id":"10.13039\/501100003407","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["PB\u2010PG\u20100712\u201028041"],"award-info":[{"award-number":["PB\u2010PG\u20100712\u201028041"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The quality of working alliance (WA) is associated with treatment outcomes across several types of psychiatric disorders and psychological interventions. This study examined the role of WA with peer mentors (people with lived experience of illness) and student mentors (graduated psychology students) in a 6\u2010week, digital, guided self\u2010help (GSH) intervention for anorexia nervosa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Ninety\u2010nine patients rated weekly, for 6\u2009weeks: (a) eating psychopathology using the short version of the Eating Disorder Examination Questionnaire (EDE\u2010QS) and (b) WA with a student mentor (<jats:italic>n<\/jats:italic>\u00a0=\u200914) or a peer mentor (<jats:italic>n<\/jats:italic>\u00a0=\u200910). WA was assessed by asking patients the extent to which they felt comfortable working with their mentor and the extent to which they agreed with them on the goals for support. WA with mentors and the association with eating psychopathology change were measured on a session\u2010by\u2010session basis. The analysis involved a random intercepts cross\u2010lagged panel model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>WA with peer mentors was slightly higher than WA with students (ES\u00a0=\u00a00.3). Peer mentors' WA in the previous session was significantly associated with eating psychopathology ratings in the next session. No significant relationship was found between the previous session's EDE\u2010QS scores and peer mentor alliance in the following session. In the student mentor group, there were no session\u2010by\u2010session associations between WA and eating psychopathology. However, greater WA with the student mentor across sessions was associated with less eating psychopathology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>These findings suggest that clinical outcomes are in part associated with the characteristics of the mentor delivering guidance in an online GSH for eating disorders.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23559","type":"journal-article","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T09:30:28Z","timestamp":1622107828000},"page":"1519-1526","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["The relationship between working alliance with peer mentors and eating psychopathology in a digital 6\u2010week guided self\u2010help intervention for anorexia nervosa"],"prefix":"10.1002","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6981-6273","authenticated-orcid":false,"given":"Gaia","family":"Albano","sequence":"first","affiliation":[{"name":"Department of Psychology, Educational Science and Human Movement University of Palermo  Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7763-7099","authenticated-orcid":false,"given":"Valentina","family":"Cardi","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine Kings College London  London UK"},{"name":"Department of General Psychology University of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Dennis M.","family":"Kivlighan","sequence":"additional","affiliation":[{"name":"Department of Counseling, Higher Education and Special Education University of Maryland  College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7975-1971","authenticated-orcid":false,"given":"Suman","family":"Ambwani","sequence":"additional","affiliation":[{"name":"Department of Psychology Dickinson College  Carlisle Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Treasure","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine Kings College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Lo Coco","sequence":"additional","affiliation":[{"name":"Department of Psychology, Educational Science and Human Movement University of Palermo  Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540261.2019.1588711"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2014.01.003"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2015.1119908"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-019-0245-3"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22287"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2013.01.008"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291719002824"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.00707"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-015-0701-6"},{"key":"e_1_2_10_12_1","first-page":"3","article-title":"The session rating scale: Preliminary psychometric properties of a \"Working\" Alliance Measure","volume":"3","author":"Duncan B. 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