Abstract
REASON FOR THE STUDY: Little is known about how motivation to change evolves over the course of an eating disorder. The present study compared ‘stage of change’ and motivation, confidence and readiness to change in two groups of patients with bulimia nervosa (BN), adolescents with a short duration of illness and adults with a long duration of illness. METHOD: Patients completed the Severity of eating disorder symptomatology scale, Hospital Anxiety and Depression Scale and measures of stage of change and motivation, readiness and confidence to change their bulimic symptomatology at pre-treatment.MAIN FINDINGS: Short- and long duration groups did not differ in illness severity, comorbidity, stage of change, motivation, readiness, and confidence to change. There were, however, some differences between groups in terms of the relationship between motivational measures, illness severity, duration and comorbidity. CONCLUSIONS: There seem to be more similarities than differences between adolescents with short duration of illness and those with well-established BN in terms of their motivation to change.
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References
Treasure J., Schmidt U.: Motivational Interviewing in Eating Disorders. In: Arkowitz H., Westra H. (Eds.), Motivational Interviewing. Routledge Publishers. In press.
Turnbull S.J., Schmidt U., Troop N.A., Tiller J.A., Todd G., Treasure J.L.: Predictors of outcome for two treatments for bulimia nervosa: Short and long term. Int. J. Eat. Dis., 21, 17–22, 1997.
Hasler G., Delsignore A., Milos G. Buddeberg C., Schnyder U.: Application of Prochaska’s transtheoretical model of change to patients with eating disorders. J. Psychosom. Res., 57, 67–72, 2004.
Schmidt U., Lee S., Beecham J., Perkins S., Treasure J., Yi I., Robinson P., Murphy R., Keville S., Johnson-Sabine E., Jenkins M., Frost S., Dodge E., Berelowitz M., Eisler I.: A randomized controlled evaluation of the cost effectiveness of cognitive-behavioural guided selfcare versus family therapy for adolescent bulimia nervosa in a catchment area-based population. Am. J. Psychyatry, 164, 591–598, 2007.
Schmidt U., Landau S., Pombo-Carril M.G., Bara-Carril N., Reid Y., Murray K., Treasure J., Katzman M.: Does personalised feedback improve the outcome of cognitive behavioural guided self-care in bulimia nervosa? A preliminary randomised controlled trial. Br. J. Clin. Psychol., 45, 111–121, 2004.
Bauer S., Winn S., Schmidt U., Kordy H.: Construction, scoring, and validation of the Short Evaluation of Eating Disorders (SEED). Eur. Eat. Dis. Rev., 13, 191–200, 2005.
Zigmond A.S., Snaith R.P.: The Hospital Anxiety and Depression Scale, Acta Psychiatr. Scand., 67, 361–370, 1983.
Marcus B.H., Selby V.C., Niaura R.S., Rossi J.S.: Selfefficacy and the stages of exercise behavior change. Res. Q. Exerc. Sport, 63, 60–66, 1992.
Prochaska J.O.: Systems of psychotherapy: A transtheoretical analysis. Homewood, IL, Dorsey Press, 1979.
Rollnick S., Mason P., Butler C.: Health behaviour change: A guide for practitioners. Chapter 3. Churchill Livingstone, UK, 2000.
Steel Z., Jones J., Adcock S., Clancy R., Bridgford-West L., Austin J.: Why the high rate of dropout from individualized cognitive-behavior therapy for bulimia nervosa? Int. J. Eat. Dis., 28, 209–214, 2000.
Serpell L., Treasure J.: Bulimia nervosa: Friend or Foe? The Pros and Cons of Bulimia Nervosa. Int. J. Eat. Dis., 32, 164–170, 2002.
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Perkins, S., Schmidt, U., Eisler, I. et al. Motivation to change in recent onset and long-standing bulimia nervosa: Are there differences?. Eat Weight Disord 12, 61–69 (2007). https://doi.org/10.1007/BF03327580
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DOI: https://doi.org/10.1007/BF03327580