The structure of motivation: Assessing readiness to change dimensions and their predictive value with the network validation of the Italian version of the Anorexia Nervosa Stages of Change Questionnarie.

Autor: Martini M; Eating Disorders Center, Department of Neuroscience 'Rita Levi Montalcini', University of Turin, Turin, Italy., Longo P; Eating Disorders Center, Department of Neuroscience 'Rita Levi Montalcini', University of Turin, Turin, Italy., Toppino F; Eating Disorders Center, Department of Neuroscience 'Rita Levi Montalcini', University of Turin, Turin, Italy., De Bacco C; Eating Disorders Center, Department of Neuroscience 'Rita Levi Montalcini', University of Turin, Turin, Italy., Preti A; Eating Disorders Center, Department of Neuroscience 'Rita Levi Montalcini', University of Turin, Turin, Italy., Abbate-Daga G; Eating Disorders Center, Department of Neuroscience 'Rita Levi Montalcini', University of Turin, Turin, Italy., Panero M; Eating Disorders Center, Department of Neuroscience 'Rita Levi Montalcini', University of Turin, Turin, Italy.
Jazyk: angličtina
Zdroj: European eating disorders review : the journal of the Eating Disorders Association [Eur Eat Disord Rev] 2024 Sep 04. Date of Electronic Publication: 2024 Sep 04.
DOI: 10.1002/erv.3133
Abstrakt: Objective: Motivation to change is an important predictor for treatment outcomes in individuals with anorexia nervosa (AN), however, the existence and clinical relevance of distinct motivational dimensions are understudied. This study aimed to structurally validate the AN Stage of Change Questionnaire (ANSOCQ) in the Italian adult AN population to identify separate motivational dimensions and their association with clinical variables and outcomes.
Method: Inpatients and outpatients with AN (N = 300) completed the ANSOCQ and measures assessing eating and depressive psychopathology. Unique Variable Analysis and Exploratory Graph Analysis were employed to identify dimensions in the network structure of ANSOCQ. Cross-sectional associations with clinical variables were assessed in the whole sample. Predictive value on weight and psychopathology was assessed in inpatients.
Results: Two dimensions were identified, one comprising items relative to weight gain, and the second items regarding attitudes towards eating, body, and emotional problems. Feelings associated with eating resulted as most central in the network. Higher scores in the first dimension and ANSOCQ total predicted weight gain during hospitalisation. No significant predictors emerged for changes in eating psychopathology.
Discussion: These findings confirm the robust psychometric properties of ANSOCQ and provide support for the use of its subdimensions in clinical practice.
(© 2024 Eating Disorders Association and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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