Motivation to change in eating disorders: clinical and therapeutic implications

Casasnovas, Carolina; Fernández‐Aranda, Fernando; Granero, Roser; Krug, Isabel; Jiménez‐Murcia, Susana; Bulik, Cynthia M.; Vallejo-Ruiloba, J.

doi:10.1002/erv.780

Cited by 56 publications

(52 citation statements)

References 40 publications

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“…15 This finding of greater perceived burdens associated with AN requires further research attention and further supports the multidimensionality of motivation. The assumption, moreover, that egosyntonicity globally undermines all aspects of motivation may be a misleading oversimplification.…”

Section: Discussionmentioning

confidence: 60%

Motivation to change among residential treatment patients with an eating disorder: Assessment of the multidimensionality of motivation and its relation to treatment outcome

Delinsky

Thomas

Germain

et al. 2011

Intl J Eating Disorders

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Section: Discussionmentioning

confidence: 60%

Motivation to change among residential treatment patients with an eating disorder: Assessment of the multidimensionality of motivation and its relation to treatment outcome

Delinsky

Thomas

Germain

et al. 2011

Intl J Eating Disorders

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“…In some studies in adult eating disorder patients, higher motivation to change has been related with age, body mass index and illness duration (Ackard, Croll, Richter, Adlis, & Wonderlich, 2009;Casanovas et al, 2007) Nevertheless, regarding duration of disorder, Perkins et al (2007) did not find differences in motivation to change between recent onset and longstanding bulimia nervosa patients. In adolescent patients with bulimia nervosa (Martínez et al 2007), age and depressive symptomatology were related to motivation to change.…”

Section: Discussionmentioning

confidence: 84%

“…Higher motivation to change in adult eating disorder patients has been related with age (Casanovas, Fernandez-Aranda, Granero, Krug, Jiménez-Murcia, Bulik, 2007), but the association with duration of disorder is not clear (Casanovas et al, 2007;Perkins, Schmidt, Eisler, Treasure, Berelowitz, Dodge, 2007). In adolescent patients with anorexia nervosa (Serrano, Castro, Ametller, Martinez, & Toro, 2004) no significant correlation with age, duration of illness or body mass index was found.…”

Section: Introductionmentioning

confidence: 95%

Motivation to change in adolescents with bulimia nervosa mediates clinical change after treatment

Castro‐Fornieles

Bigorra

Martinez-Mallen

et al. 2010

Euro Eating Disorders Rev

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Several studies have related motivation to change and treatment response in adult patients with bulimia nervosa but there are no longitudinal studies analysing this relationship in adolescents. The objective was to determine whether motivation to change is related to clinical improvement after treatment in adolescent patients with bulimia nervosa. The Bulimia Nervosa Stages of Change Questionnaire, the Eating Disorders Inventory (EDI-2) and the Beck Depression Inventory (BDI) were administered at the beginning of treatment to 40 adolescent patients with bulimia nervosa (DSM-IV) (mean age = 16.2 years). Thirty-one patients were re-assessed after 6 months of treatment. The majority of clinical and psychological variables improved significantly at the second evaluation. There were significant correlations between initial motivation to change and improvement in number of binges and the EDI-2 scales of Bulimia and Interoceptive Awareness. In the stepwise multiple linear regression analysis, which included initial motivation to change and other potential confounding variables such as age, BDI, duration of disorder and body mass index, only motivation to change was selected as a predictor of improvement in number of binges (standardized β coefficient = 0.45; p = 0.012) and of decrease on the Bulimia scale (standardized β coefficient = 0.43; p = 0.029). Regarding improvement in Interoceptive Awareness, only the BDI score was selected as an independent predictor (β coefficient = 0.58; p = 0.002). In conclusion, in adolescent patients receiving treatment for bulimia nervosa, improvement in bulimic symptomatology seems to be especially related to initial motivation to change.

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“…Often the individual will view their low weight as an accomplishment, not an affliction, and have a limited motivation to change (Casasnovas et al, 2007). They may feel they have increasing control over their bodies, especially when they experience symptoms such as amenorrhoea.…”

Section: Eating Disorders Are Classified Into 4 Groups (Royal Collegementioning

confidence: 99%

Uncovering anorexia nervosa in a biofeedback clinic for bowel dysfunction

Chelvanayagam

Duncan

Collins

et al. 2012

Gastrointestinal Nursing

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Biofeedback is a conservative treatment based on behavioural techniques, which can be used in the management of bowel dysfunction. This article reports the results of a retrospective review of the clinical notes of 87 female patients attending a biofeedback service at St Mark's Hospital, Harrow. The initial review was conducted to examine the incidence of polycystic ovary syndrome (PCOS) in patients attending this service. Seven percent were found to have PCOS, which is within the normal range. However, a significant proportion of patients (11.5%) had a current history of anorexia nervosa, a higher rate than in the general population, which prompted further investigation. In this article,

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Motivation to change in eating disorders: clinical and therapeutic implications

Abstract: Compared to BN, AN and EDNOS patients are most resistant to change and the younger these patients are, the less likely they are to be motivated to change their disturbed eating behaviour.

Cited by 56 publications

References 40 publications

Motivation to change among residential treatment patients with an eating disorder: Assessment of the multidimensionality of motivation and its relation to treatment outcome

Motivation to change among residential treatment patients with an eating disorder: Assessment of the multidimensionality of motivation and its relation to treatment outcome

Motivation to change in adolescents with bulimia nervosa mediates clinical change after treatment

Uncovering anorexia nervosa in a biofeedback clinic for bowel dysfunction

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