Is the transtheoretical model and motivational interviewing approach applicable to the treatment of eating disorders? A review

Dray, Jayne; Wade, Tracey D.

doi:10.1016/j.cpr.2012.06.005

Cited by 78 publications

(81 citation statements)

References 53 publications

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“…Across three reviews, pre-treatment motivational level was associated with positive change in weight, restrictive eating and binging, but it did not impact purging behaviours [4, 21, 22]. …”

Section: Introductionmentioning

confidence: 99%

Motivation to change, coping, and self-esteem in adolescent anorexia nervosa: a validation study of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ)

et al. 2017

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BackgroundUnderstanding motivation to change is a key issue in both the assessment and the treatment of eating disorders. Therefore, sound instruments assessing this construct are of great help to clinicians. Accordingly, the present study analysed the psychometric properties of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ), including its relation to coping style and self-esteem.Methods N = 92 adolescents referred to an eating disorders outpatient clinic meeting criteria for anorexia nervosa gave written informed consent to participate in this study and completed the ANSOCQ, the Eating Disorder Inventory, the Eating Attitudes Test, the Body Image Questionnaire, two questionnaires measuring Self-Related Cognitions and the Coping Across Situations Questionnaire. After a treatment period of nine months, clinical anorexia nervosa diagnosis and the body mass index were re-assessed. In addition to exploratory factor analysis, correlational analysis was used to test for the convergent validity of the ANSOCQ and logistic regression analysis was used to test its predictive validity.ResultsThe ANSOCQ had good psychometric properties. Factor analysis yielded two meaningful factors labelled as ‘weight gain and control’ and ‘attitudes and feelings’. Internal consistencies of the two factors amounted to Cronbach’s alpha = .87 and .76, respectively. Significant correlations with other scales measuring eating disorder psychopathology were indicative of meaningful construct validity. Higher motivation to change was related to higher self-esteem and a more active coping style. Higher (positive) ANSOCQ total scores predicted remission of anorexia nervosa after nine months of treatment. A higher score on ‘attitudes and feelings’ was a protective factor against drop-out from intervention.ConclusionsThe ANSOCQ is a clinically useful instrument for measuring motivation to change in adolescents with AN. Two factorial dimensions explain most of the variation. Self-esteem and coping style are relevant additional constructs for the understanding of the motivation to change in anorexia nervosa.Trial registration NCT02828956. Retrospectively registered July 2016Electronic supplementary materialThe online version of this article (doi:10.1186/s40337-016-0125-z) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Motivation to change, coping, and self-esteem in adolescent anorexia nervosa: a validation study of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ)

et al. 2017

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“…Their analysis of motivation as a predictor of EDs should nevertheless be interpreted with caution because some more relevant research may have been missed, leading to unreliable results. Finally, three reviews investigated a slightly different issue [18–20]. The authors were interested in whether the use of interventions specifically designed to enhance motivation in EDs translated into increased motivation and improved outcomes.…”

Section: Introductionmentioning

confidence: 99%

Does level of motivation for change impact post-treatment outcomes in the eating disorders? Protocol for a systematic review with quantitative analysis

et al. 2017

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BackgroundEating Disorders are highly prevalent and widespread mental health problems, with marked risk of chronicity and refractoriness to treatment. Affected individuals are hesitant to change their behaviours and therefore struggle to maintain motivation for therapy. This review aims to produce the first high-quality meta-analysis of the literature on the impact of level of motivation for change on post-treatment outcomes in anorexia nervosa, bulimia nervosa, binge-eating disorder, and other specified feeding or eating disorder (OSFED).MethodsA systematic review will be conducted using Cochrane library, Embase, MEDLINE, and PsychINFO. Research registrars and bibliographies of included articles will be screened, and experts will be contacted. The search strategy consists of terms related to eating disorders, motivation, and outcome. Randomized controlled trials, clinical controlled trials, time series, and before-after studies will be included. Participants will be adolescents and adults who are diagnosed with anorexia nervosa, bulimia nervosa, binge-eating disorder or OSFED and who are entering psychotherapy treatment. The predictor studied is defined as motivation for change at the beginning of treatment. The primary outcome will be an overall change in eating-disorder symptomatology at the end of treatment and at less than, and over 6-month follow-up. Other outcomes of interest include change in restricting, binging, and compensatory behaviours, change in shape, weight and eating concerns, change in psychiatric comorbidities, weight restoration, and dropout rates. Articles will be selected, data will be extracted, and the risk of bias will be assessed by independent reviewers using forms pre-created on Eppi-Reviewer 4 software. Results will be combined using a random-effects model. Studies of all sizes and qualities will be included in the analyses. Heterogeneity will be examined by funnel plot, Cochran’s Q, and I2 statistic. Sensitivity analyses will be performed to account for clinical and methodological differences across studies.DiscussionThis systematic review will help determine the predictive value of motivation for change on treatment outcomes in eating disorders.Trial registrationOur systematic review protocol is registered with the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42016035285). All modifications will be available on the PROSPERO website, along with the dates, a description, and a justification.Electronic supplementary materialThe online version of this article (doi:10.1186/s40337-017-0147-1) contains supplementary material, which is available to authorized users.

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“…Este enfoque se utiliza terapéuticamente con frecuencia (27), obteniendo resultados positivos en distintos tratamientos (28,29).…”

Section: Discussionunclassified

Diagnóstico integral en pacientes obesos mórbidos candidatos a cirugía bariátrica y sugerencias para su tratamiento preoperatorio

et al. 2017

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Objetivo El propósito del estudio fue analizar y describir las características psicológicas, metabólicas, antropométricas y de condición física de obesos candidatos a cirugía bariátrica, para determinar la intervención preoperatoria.Material y Métodos La población está conformada por 24 obesos candidatos a cirugía bariátrica; cinco hombres y 19 mujeres entre 21 y 60 años. La muestra es de tipo no-probabilística, con sujetos elegidos de manera no aleatoria por conveniencia y voluntarios. Se evaluaron variables psicológicas, antropométricas, metabólicas y de condición física.Resultados La edad promedio de los participantes corresponde a 41,0 años. En el estudio se evidencian bajos niveles en alegría empática. Los síntomas ansiosos presentaron un nivel medio: El 62,5 % presentó depresión mínima, el 29,1 % depresión leve, y el 8,4 % depresión modera. El peso corporal tuvo un promedio de 99,1 kilogramos, la talla de 1,6 metros, el Índice de Masa Coporal (IMC) de 39,3, el porcentaje demasa grasa un promedio de 41,1 y el contorno cintura de 118,0 centímetros. Con respecto a los valores plasmáticos (mg/dl) se obtuvo: colesterol total 192,9, colesterol LDL120,0, colesterol HDL 43,3, triglicéridos 182,3, Glicemia a 105,9; y la distancia recorrida en seis minutos fue de 511,9 metros.Conclusiones Los resultados aportan información para determinar mejores estrategias de intervención preoperatorias, cambiando así los estilos de vida de los pacientes;logrando que la pérdida de peso post operatoria se sostenga en el tiempo.

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Is the transtheoretical model and motivational interviewing approach applicable to the treatment of eating disorders? A review

Cited by 78 publications

References 53 publications

Motivation to change, coping, and self-esteem in adolescent anorexia nervosa: a validation study of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ)

Motivation to change, coping, and self-esteem in adolescent anorexia nervosa: a validation study of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ)

Does level of motivation for change impact post-treatment outcomes in the eating disorders? Protocol for a systematic review with quantitative analysis

Diagnóstico integral en pacientes obesos mórbidos candidatos a cirugía bariátrica y sugerencias para su tratamiento preoperatorio

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