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RecoveryMANTRA was supported by student mentors or peer mentors (recovered individuals) over six weekly chat\u2010based sessions. We examined whether LSM during RecoveryMANTRA predicted patients'working alliance with the clinic therapist, motivation, eating disorder (ED) and general psychopathology. A further aim was to examine differences in LSM between student mentors and peer mentors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>87 AN adults received RecoveryMANTRA plus treatment as usual. The LSM algorithm was used to calculate verbal attunement between patient and mentor. Participants were assessed at baseline and at the end of the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both early (1<jats:sup>st<\/jats:sup> session) and late (6<jats:sup>th<\/jats:sup> session) LSM predicted higher working alliance with the clinic therapist. Moreover, late LSM predicted lower EDs symptoms at the end of the RecoveryMANTRA intervention. Patient\/peer mentor dyads showed higher late verbal attunement than patient\/student mentor dyads.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings suggests that in the early phase of treatment relational aspects can impact on engagement with treatment. Verbal attunement in a GSH for AN is associated with working alliance and better clinical outcome.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2948","type":"journal-article","created":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T11:50:17Z","timestamp":1660909817000},"page":"135-146","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Patient and mentor language style matching as a predictor of working alliance, engagement with treatment as usual, and eating disorders symptoms over the course of an online guided self\u2010help intervention for anorexia nervosa"],"prefix":"10.1002","volume":"31","author":[{"given":"Gaia","family":"Albano","sequence":"first","affiliation":[{"name":"Department of Psychology, Educational Science and Human Movement University of Palermo  Palermo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Salerno","sequence":"additional","affiliation":[{"name":"Department of Psychology, Educational Science and Human Movement University of Palermo  Palermo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7763-7099","authenticated-orcid":false,"given":"Valentina","family":"Cardi","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine King's College London  London UK"},{"name":"Department of General Psychology University of Padova  Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timo","family":"Brockmeyer","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Medical Faculty Heinrich Heine University  D\u00fcsseldorf Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suman","family":"Ambwani","sequence":"additional","affiliation":[{"name":"Department of Psychology Dickinson College  Carlisle Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0871-4596","authenticated-orcid":false,"given":"Janet","family":"Treasure","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9027-1899","authenticated-orcid":false,"given":"Gianluca","family":"Lo Coco","sequence":"additional","affiliation":[{"name":"Department of Psychology, Educational Science and Human Movement University of Palermo  Palermo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,8,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000433"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23559"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540261.2019.1588711"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/pap0000177"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2431"},{"key":"e_1_2_10_9_1","volume-title":"Structural equation modeling with AMOS: Basic concepts, applications and programming (multivariate applications series)","author":"Bryne B. 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