Rituals and preoccupations associated with bulimia nervosa in adolescents: Does motivation to change matter?

Autor: Kathryn R. Kinasz, Lisa Hail, James E. Lock, Lindsey Bruett, Daniel Le Grange, Sarah Forsberg, Sasha Gorrell
Rok vydání: 2019
Předmět:
Male
050103 clinical psychology
Adolescent
6.6 Psychological and behavioural
medicine.medical_treatment
Eating Disorders
obsessive-compulsive
Clinical Sciences
Motivation to change
motivation for change
bulimia nervosa
Article
03 medical and health sciences
0302 clinical medicine
Obsessive compulsive
medicine
Humans
Psychology
0501 psychology and cognitive sciences
Bulimia Nervosa
Child
Nutrition
Motivation
Cognitive Behavioral Therapy
Bulimia nervosa
family-based treatment
05 social sciences
Eating pathology
Evaluation of treatments and therapeutic interventions
Cognition
medicine.disease
Serious Mental Illness
030227 psychiatry
Cognitive behavioral therapy
Psychiatry and Mental health
Eating disorders
Clinical Psychology
Treatment Outcome
Mental Health
Compulsive Behavior
Family Therapy
Female
Obsessive Behavior
Clinical psychology
Zdroj: European eating disorders review : the journal of the Eating Disorders Association, vol 27, iss 3
Eur Eat Disord Rev
Popis: This study evaluated the effects of two treatments for adolescent bulimia nervosa (BN), family-based treatment (FBT-BN), and cognitive behavioral therapy (CBT-A), on both attitudinal and behavioural outcomes at end-of-treatment. These associations were examined specifically relative to motivation for change in obsessive-compulsive (OC) features of eating disorder (ED) symptoms. Adolescents (N=110) were randomly assigned to FBT-BN or CBT-A and completed assessments of eating pathology and OC-ED behaviour. Across both treatments, greater motivation for change in OC-ED behaviour was associated with improved attitudinal features of ED at end-of-treatment. Motivation for change did not demonstrate a direct or interaction effect on BN behavioural outcomes. Results suggest that adolescents with BN who are more motivated to change OC-ED behaviours at the start of treatment, FBT-BN or CBT-A, are more likely to demonstrate improvements in cognitions, but not behaviours associated with EDs, at treatment conclusion.
Databáze: OpenAIRE