The Anorexia Nervosa Stages of Change Questionnaire and the Bulimia Nervosa Stages of Change Questionnaire: their psychometric properties in a Turkish sample

Okumuş, F. Elif Ergüney; Berk, Hanife Özlem Sertel; Yücel, Başak; Rieger, Elizabeth

doi:10.5455/apd.288471

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Studies were most commonly excluded due to investigating motivation to change and its association with treatment outcome, for example, (Hillen et al, 2015;Idini et al, 2009;Philipp et al, 2021) rather than prospective or concurrent associations with motivation to change. Second, studies were commonly excluded due to validating measures of motivation to change, without investigating independent associations with motivation, for example, (Erguney Okumus et al, 2018;Morin & Meilleur, 2022;St-Hilaire et al, 2017) including non-English studies such as (Sala & Simon, 2011).…”

Section: Study Characteristicsmentioning

confidence: 99%

Individual differences in motivation to change in individuals with eating disorders: A systematic review

Robinson,

Flynn,

Cooper

2024

Intl J Eating Disorders

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ObjectiveMotivation to change has been suggested to significantly impact treatment outcomes in eating disorders (EDs). This review will investigate factors associated with motivation to change in EDs with the aim of supporting clinicians to be aware and sensitive to factors that might obstruct recovery and to inform motivation‐based interventions.MethodUsing PRISMA guidelines, this article identified 24 studies through database searches meeting eligibility criteria. Only correlates of motivation were identified, limiting the ability of this review to identify causal relationships. Factors that changed alongside changes in motivation were identified from longitudinal studies.ResultsThis review identified factors such as individual characteristics, co‐morbid psychopathology, lack of treatment autonomy and relationships with others to be associated with motivation to change in individuals with EDs. In addition, motivation to change significantly increased alongside self‐esteem and identity re‐negotiation when measured longitudinally.DiscussionMotivational interviewing can typically focus on exploring ambivalence to treatment, identifying goals and values, and increasing self‐efficacy. However, this review identifies individual and relational factors to be particularly significant and may obstruct recovery from an ED. As such, evidence‐based targets have been identified to inform clinicians and motivation‐based interventions.Public significanceKnowledge of factors associated with motivation to change in EDs is important to understand those who may have poorer treatment outcomes. Motivation may be improved by supporting individuals' relationship with others and tailoring interventions according to temperament and personality traits. Utilizing an individual's social support as they enter ED treatment may be effective in maximizing motivation to recover.

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Section: Study Characteristicsmentioning

confidence: 99%

Individual differences in motivation to change in individuals with eating disorders: A systematic review

Robinson,

Flynn,

Cooper

2024

Intl J Eating Disorders

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“…Bulimia Nervosa Stages of Change Questionnaire (Ergüney-Okumuş et al, 2018;Martinez et al, 2007) is a 20-item self-report questionnaire that assesses level of motivation to change for ED symptoms. For each symptom, the participant indicates her/his level of motivation based on the stages-of-change model (Prochaska et al, 2015).…”

Section: Assessmentmentioning

confidence: 99%

Integrating EMDR With Enhanced Cognitive Behavioral Therapy in the Treatment of Bulimia Nervosa: A Single Case Study

Ergüney-Okumuş

2021

J EMDR Prac Res

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Eating disorders (EDs) are complex and treatment-resistant problems. Despite evidence-based methods like enhanced cognitive behavioral therapy (CBT-E), the number of clients who do not respond positively to treatment is also remarkable. Eye movement desensitization and reprocessing (EMDR) therapy has been adapted for EDs. As far as it is known, no case study has been reported in which EMDR was integrated with CBT-E in the treatment of EDs. This study provides a detailed description of the treatment of a participant with bulimia nervosa (BN) who received 20 sessions of CBT-E followed by five sessions of EMDR with a focus on body image. Presenting symptoms were measured on the Eating Attitudes Test-26, Eating Disorder Examination Questionnaire, Eating Disorder Belief Questionnaire, Bulimia Nervosa Stages of Change Questionnaire, and Body Satisfaction Scale. Results showed that the client had important improvements in terms of symptoms (binge-eating, restricting, and preoccupation with weight, shape, and eating) as well as motivation, body satisfaction, and social relations. This single case study provides preliminary evidence for the possible effectiveness of CBT-E plus EMDR in the treatment of BN. It also indicates that EMDR can make unique positive contributions to treatment. In this context, the use of EMDR as an integrative method appeared to increase the effectiveness of treatment results.

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The Anorexia Nervosa Stages of Change Questionnaire and the Bulimia Nervosa Stages of Change Questionnaire: their psychometric properties in a Turkish sample

Cited by 2 publications

References 18 publications

Individual differences in motivation to change in individuals with eating disorders: A systematic review

Individual differences in motivation to change in individuals with eating disorders: A systematic review

Integrating EMDR With Enhanced Cognitive Behavioral Therapy in the Treatment of Bulimia Nervosa: A Single Case Study

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