Meaningful Associations Between Motivation for Treatment and Interpersonal Needs Within a Residential Sample of Women With Eating Disorders

IF 4.7 2区医学 Q1 NUTRITION & DIETETICS

International Journal of Eating Disorders Pub Date : 2024-09-23 DOI:10.1002/eat.24294

Marley G. Billman Miller, Ayla N. Gioia, Rachel E. Frietchen, William Grunewald, Lindsay Bodell, April R. Smith

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引用次数: 0

Abstract

Objective

Perceived burdensomeness (PB) and thwarted belongingness (TB), two proximal risk factors for suicide, may rise during residential eating disorder (ED) treatment when patients are separated from support and face exorbitant costs of care. In this setting, fostering motivation for treatment is challenging, and low motivation for treatment may exacerbate feelings of PB and TB. Simultaneously, PB and TB could reduce motivation for treatment, though no studies have explored this relationship longitudinally. Accordingly, this study examined associations between interpersonal needs (TB, PB) and motivation for treatment across the first 6 weeks of residential ED treatment.

Methods

Participants (n = 98) completed the Interpersonal Needs Questionnaire (INQ) and rated treatment motivation weekly. Pearson bivariate correlations examined the relationship between motivation and interpersonal needs at each timepoint. Two autoregressive cross-lagged panel models (AR-CLPMs) tested reciprocal relationships between these constructs longitudinally across the first 6 weeks of treatment.

Results

Motivation was significantly negatively correlated with PB and TB at all timepoints. In AR-CLPM 1, Week 2 Motivation predicted Weeks 3 PB, then Week 3 PB predicted Week 4 Motivation. In AR-CLPM 2, Week 2 TB predicted Week 3 Motivation, but Motivation did not predict TB at any timepoint.

Discussion

This study is the first to examine longitudinal relations between interpersonal needs and treatment motivation in residential ED care. PB and TB may influence one's motivation for treatment, although motivation and PB had a stronger reciprocal relationship than motivation and TB. Interpersonal needs should be addressed early in residential treatment to mitigate negative cycling.

Abstract Image

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在饮食失调症女性住院样本中，治疗动机与人际需求之间的意义关联。

目的：感知负担（PB）和归属感受挫（TB）是导致自杀的两个近端风险因素，在住院饮食失调症（ED）治疗期间，当患者与支持者分离并面临高昂的护理费用时，这两个因素可能会上升。在这种情况下，培养治疗动机具有挑战性，而治疗动机不足可能会加剧归属感和自杀风险。同时，PB 和 TB 可能会降低治疗的积极性，但目前还没有研究对这种关系进行纵向探讨。因此，本研究对ED住院治疗头6周的人际需求（TB、PB）和治疗动机之间的关系进行了研究：参与者（n = 98）填写了人际需求问卷（INQ），并每周对治疗动机进行评分。皮尔逊双变量相关性检验了每个时间点治疗动机与人际需求之间的关系。两个自回归交叉滞后面板模型（AR-CLPMs）在治疗的前 6 周纵向检验了这些结构之间的相互关系：结果：在所有时间点上，动机都与 PB 和 TB 呈明显负相关。在 AR-CLPM 1 中，第 2 周的动机预测第 3 周的 PB，然后第 3 周的 PB 预测第 4 周的动机。在 AR-CLPM 2 中，第 2 周的 TB 预测了第 3 周的动机，但在任何时间点，动机都不能预测 TB：本研究首次考察了ED住院治疗中人际需求与治疗动机之间的纵向关系。PB和TB可能会影响一个人的治疗动机，但动机和PB之间的相互关系要强于动机和TB之间的相互关系。应在住院治疗的早期解决人际需求问题，以减轻负循环。

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来源期刊

International Journal of Eating Disorders 医学-精神病学

CiteScore

10.00

自引率

12.70%

发文量

204

审稿时长

4-8 weeks

期刊介绍： Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.