与变化共舞:神经性厌食症治疗过程中改变动机的定性探索

IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Rebekah M. Rankin, J. Conti, S. Touyz, J. Arcelus, C. Meyer, P. Hay
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引用次数: 1

摘要

摘要目的动机在治疗神经性厌食症(AN)中被认为是必不可少的。然而,在这一人群中,动机变化的会话性质和相关变量仅被部分理解。本研究的目的是对神经性厌食症(CBT-an)认知行为治疗期间人们改变动机的会话性质进行探索性调查。方法采用归纳主题分析法对9名参与者的38份治疗记录进行分析,这些记录是作为一项大型多站点随机对照试验的一部分收集的。结果产生了两个上位主题:(i)介于文本之间;以及(ii)动机的节奏。在参与者会话中和会话之间观察到两种同时但不同的动机节奏,动机的变化与身份(再)谈判同时发生。结论研究结果强调了AN患者在会话中动机变化过程的复杂性和多方面性,并支持先前的文献,即独立于治疗的因素可能促进变化的临界点。此外,这项研究提出,综合或双波动机模型可以帮助临床医生了解他们如何更好地促进和支持an患者在治疗期间改变的动机。关键点关于这个话题已经知道的是:增强动机被认为是改善治疗结果的关键。动机被概念化为一个动态过程;然而,它通常是通过在治疗期间的设定点进行定量自我报告来评估的。人们对变革动机的会话动态知之甚少。本主题补充道:会议中的变革动机是一个复杂的、多方面的过程,与个人身份(重新)谈判密切相关。在治疗过程中可能会发生双重动机过程,这些过程受到独立于治疗的因素的影响。神经性厌食症动机综合模型的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dancing with change: a qualitative exploration of in-session motivation to change in the treatment of anorexia nervosa
ABSTRACT Objective Motivation is considered essential in the treatment of anorexia nervosa (AN). However, the in-session nature of, and variables associated with, changes in motivation are only partially understood in this population. The aim of this study was to conduct an exploratory investigation of the in-session nature of motivation to change in people during cognitive behavioural therapy for anorexia nervosa (CBT-AN). Method Thirty-eight therapy-session transcripts from nine participants, collected as part of a larger multi-site randomised control trial, were analysed using inductive thematic analysis. Results Two superordinate themes were generated: (i) betwixt and between; and (ii) rhythms of motivation. Two concurrent yet distinct rhythms of motivation were observed within and across participant sessions, with shifts in motivation occurring alongside identity (re)negotiations. Conclusions Findings highlight the complex and multifaceted nature of the in-session processes of motivational change in persons with AN, and support previous literature suggesting factors independent of treatment may facilitate tipping points of change. Furthermore, this study proposes that an integrated or dual-wave model of motivation may assist clinicians in understanding how they can better facilitate and support motivation for change in clients with AN during treatment. KEY POINTS What is already known about this topic: Enhancing motivation is considered essential for improving treatment outcomes. Motivation is conceptualised as a dynamic process; however, it is typically assessed through quantitative self-report measures at set points during treatment. The in-session dynamics of motivation to change are poorly understood. What this topic adds: In-session motivation to change is a complex, multifaceted process closely associated with individual identity (re)negotiations. There may be dual processes of motivation occurring during treatment that are influenced by factors independent of treatment. A proposal for an integrated model of motivation for anorexia nervosa.
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来源期刊
Australian Psychologist
Australian Psychologist PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
3.70
自引率
5.30%
发文量
32
期刊介绍: The Australian Psychologist is the official applied practice and public policy journal of the Australian Psychological Society. As such, the journal solicits articles covering current issues in psychology, the science and practice of psychology, and psychology"s contribution to public policy, with particular emphasis on the Australian context. Periodically, Australian Psychological Society documents, including but not limited to, position papers, reports of the Society, ethics information, surveys of the membership, announcements, and selected award addresses may appear in the journal.
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