Enhancing motivation for change in treatment-resistant eating disorders

Vitousek, Kelly M.; Watson, Stanley W.; Wilson, G. Terence

doi:10.1016/s0272-7358(98)00012-9

Cited by 640 publications

(573 citation statements)

References 57 publications

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“…It is possible that the self-report of similar QOL of our sample to normative samples stems from the ego-syntonic Mishra and Schofield (1998) (N = 14,780 women aged 18-22 years) b Scott et al (1999) (N = 1883 women aged 25-44) c Mond et al (2006a, b) (N = 908 women aged 23-27) aspects of eating disorders and denial of its consequences (Vitousek, Watson, & Wilson, 1998). For example, at the Eating Disorders Service at Princess Margaret Hospital, a great deal of time in treatment is spent with patients and their families in an effort to increase their understanding that they are indeed ill.…”

Section: Discussionmentioning

confidence: 97%

Health-Related Quality of Life in Women with Eating Disorders: Association with Subjective and Objective Binge Eating

Latner

Vallance

Buckett

2008

J Clin Psychol Med Settings

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This study examined health-related quality of life (QOL) and its association with different forms of binge eating in 53 women with eating disorders. Participants had enrolled in treatment for anorexia nervosa, bulimia nervosa, binge eating disorder, or other eating disorders not otherwise specified and completed measures of QOL, eating-related psychopathology, and mood disturbance. Eating-and mood-related psychopathology, and to a lesser extent, mental-component QOL scores, were severely impaired in this sample relative to population norms. QOL was significantly and independently predicted by subjective bulimic episodes and compensatory behaviors, including food avoidance, laxative abuse, and self-induced vomiting, accounting for 32% of the variance. Subjective bulimic episodes and food avoidance also independently predicted the physical-component QOL, accounting for 27% of the variance. These findings suggest that subjective bulimic episodes may be independently associated with impairment in QOL and may require specific attention as targets of treatment.

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Section: Discussionmentioning

confidence: 97%

Health-Related Quality of Life in Women with Eating Disorders: Association with Subjective and Objective Binge Eating

Latner

Vallance

Buckett

2008

J Clin Psychol Med Settings

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“…1 Contemporary empirical and theoretical work has continued to highlight the low level of motivation to recover associated with AN. [2][3][4][5][6] The motivational deficiency has been partly attributed to the ego-syntonic quality of the illness as well as the patient's lack of understanding and concern regarding the seriousness of the disease. 7,8 The disease itself may serve a functional purpose for some by providing identity and a sense of selfworth despite the danger to health.…”

Section: Introductionmentioning

confidence: 99%

Readiness for change and short‐term outcomes of female adolescents in residential treatment for anorexia nervosa

McHugh

2007

Intl J Eating Disorders

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Objective: To determine if readiness for change (RFC) at admission predicted length of stay (LOS) and short-term outcomes among female adolescents in residential treatment for anorexia nervosa (AN).Method: Using a prospective cohort design to collect data from participants (N 5 65) at admission and discharge, KaplanMeier survival analysis and Cox regression tested whether RFC on admission predicted time in LOS to a favorable short-term outcome-a composite endpoint based on minimum criteria for weight gain, drive for thinness, depression, anxiety, and healthrelated quality of life (HRQOL).Results: Participants with low RFC had a mean survival time to a favorable short-term outcome of 59.4 days compared to 34.1 days for those with high RFC (log rank 5 8.44, df 5 1, p 5 .003). The probability of a favorable short-term outcome was 5.30 times greater for participants with high RFC. Conclusion:Readiness for change is a useful predictor of a favorable short-term outcome and should be considered in the assessment profile of patients with AN. V V C 2007 by Wiley Periodicals, Inc.

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“…32,33 Assuming this to be the case, we should expect that patients with bulimia nervosa not only perceive their own body dimensions to be larger than they really are, but also that they will be sensitive to the changes in mobility and general motor behavior that go along with a higher body mass index (BMI). Although directly considering the mental representation of the own gait patterns in bulimia nervosa would enhance the understanding of body image disturbances in eating disorders and could provide useful information for treatment (e.g., with respect to body exposure 34 ), this aspect has never been examined before.…”

Section: Introductionmentioning

confidence: 99%

Static and dynamic body image in bulimia nervosa: Mental representation of body dimensions and biological motion patterns

Vocks

Legenbauer

Rüddel

et al. 2006

Intl J Eating Disorders

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Objective: The aim of the present study was to find out whether in bulimia nervosa the perceptual component of a disturbed body image is restricted to the overestimation of one's own body dimensions (static body image) or can be extended to a misperception of one's own motion patterns (dynamic body image).Method: Participants with bulimia nervosa (n ¼ 30) and normal controls (n ¼ 55) estimated their body dimensions by means of a photo distortion technique and their walking patterns using a biological motion distortion device.Results: Not only did participants with bulimia nervosa overestimate their own body dimensions, but also they perceived their own motion patterns corresponding to a higher BMI than did controls. Static body image was correlated with shape/ weight concerns and drive for thinness, whereas dynamic body image was associated with social insecurity and body image avoidance. Conclusion:In bulimia nervosa, body image disturbances can be extended to a dynamic component.

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Enhancing motivation for change in treatment-resistant eating disorders

Cited by 640 publications

References 57 publications

Health-Related Quality of Life in Women with Eating Disorders: Association with Subjective and Objective Binge Eating

Health-Related Quality of Life in Women with Eating Disorders: Association with Subjective and Objective Binge Eating

Readiness for change and short‐term outcomes of female adolescents in residential treatment for anorexia nervosa

Static and dynamic body image in bulimia nervosa: Mental representation of body dimensions and biological motion patterns

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