影响初发厌食症青少年改变动机的患者相关因素:一项横断面研究。

IF 3.4 2区 心理学 Q1 PSYCHIATRY
Elisabeth De Mey, Marisha N. Meijer, Katrien F. M. Bracké, Cathelijne P. M. Steegers, Manon H. J. Hillegers, Marina Danckaerts, Tonya White, Gwendolyn C. Dieleman
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引用次数: 0

摘要

目的:改变的动机显著影响饮食失调(EDs)的治疗结果。本研究调查了与首发神经性厌食症(AN)青少年改变动机相关的患者相关因素。了解这些因素将有助于根据个人需求定制干预措施,提高治疗效果。方法:76名首发AN的女性青少年完成了RMQ -荷兰语翻译问卷。使用线性回归分析分析ED症状、体重指数和合并症(抑郁、焦虑、强迫症、自闭症谱系障碍、注意缺陷和多动障碍症状)。作为次要目标,分析了特定ED行为与改变动机之间的关系。这个项目是预先注册的:https://osf.io/vx9ud/.Results:有更严重ED症状、抑郁症状和强迫症状的青少年,改变的动机更低。ED症状的严重程度是与改变动机相关的最重要因素,特别是与体重和体型有关的ED症状。此外,滥用泻药与更大的改变动机有关。结论:改变的动机与ED症状之间的联系表明,早期治疗可以通过减少ED症状和促进改变来改善结果。此外,在治疗过程中处理抑郁症可能会增强改变的动机。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient-Related Factors Influencing Motivation to Change in Adolescents With First-Onset Anorexia Nervosa: A Cross-Sectional Study

Objective

Motivation to change significantly impacts treatment outcomes in eating disorders (EDs). This study investigated patient-related factors associated with motivation to change in adolescents with first-onset anorexia nervosa (AN). Understanding these factors will help tailor interventions to individual needs, enhancing treatment outcomes.

Method

Seventy-six female adolescents with first-onset AN completed the Readiness and Motivation Questionnaire (RMQ)—Dutch translation. ED symptoms, body mass index, and comorbidity (depressive, anxiety, obsessive-compulsive, autism spectrum disorder, and attention deficit and hyperactivity disorder symptoms) were analysed using linear regression analyses. As a secondary aim, the association between specific ED behaviours and motivation to change was analysed. This project was preregistered: https://osf.io/vx9ud/.

Results

Adolescents with more severe ED symptoms, depressive symptoms, and obsessive-compulsive symptoms, experienced lower motivation to change. The severity of ED symptoms emerged as the most important factor associated with motivation to change, specifically ED symptoms concerning weight and body shape. Additionally, laxative misuse was associated with greater motivation to change.

Conclusions

The link between motivation to change and ED symptoms suggests that early treatment can improve outcomes by reducing ED symptoms and facilitating change. Furthermore, addressing depression during treatment might enhance motivation to change.

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来源期刊
European Eating Disorders Review
European Eating Disorders Review PSYCHOLOGY, CLINICAL-
CiteScore
8.90
自引率
7.50%
发文量
81
期刊介绍: European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.
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