Motivational Change in an Inpatient Anorexia Nervosa Population and Implications for Treatment

Abstract

Motivation is an important predictor of change in anorexia nervosa and preliminary evidence is provided that motivation can be improved in this population. Further investigations, however, of ways of improving motivation in this population need to be conducted, along with the impact of motivational changes on treatment outcome.

The Efficacy of Motivational Interviewing and Adapted Motivational Interviewing as an Eating Disorder Intervention: A Scoping Review

“…Of the three studies that did not report significant changes, Weiss et al 28 reported no change in either group, and two studies 17,18 reported non-significant increases in readiness to change. Interestingly, Dean et al 18 found that the non-significant increase was only maintained in the treatment group at follow-up.…”

“…Allen et al 11 reported a significant decrease, and Wade et al 17 reported a non-significant decrease, in eating pathology in both treatment and comparison groups (at post-treatment and two-week followup, respectively). Interestingly, the decrease found in the Wade et al 17 study continued in the treatment group whereas it increased in the control group between two-and six-week followup. Bulimia Nervosa: Two studies measured the efficacy of MFT 11 and MET 27 on BN.…”

“…Interestingly, Dean et al 18 found that the non-significant increase was only maintained in the treatment group at follow-up. Similarly, Wade et al 17 reported a non-significant increase in motivation to change at 2-week follow-up, which subsequently decreased at 6-week follow-up for both groups, and remained above baseline for the treatment group only.…”

“…14 Over the past two decades, 16 researchers have advocated for using motivational treatments that focus on enhancing patients' readiness to change. 13,17 Motivational Interviewing (MI) is a therapeutic client-centered approach, where the client finds intrinsic motivation to change by exploring his/her values and goals. 18 Foundationally, MI is built on: showing empathy, recognizing and building discrepancy, avoiding hostility, encouraging selfefficacy, and working through resistance.…”

Responsibility for participation in treatment of anorexia nervosa in female adolescents and young women: Qualitative research

“…Frequently, the incentive to undergo treatment also comes from friends or colleagues. 8,[10][11][12] Another difficulty in running therapy with patients suffering from AN is the their lack of interest in changing, which results from their perception of their personal health as desirable. Girls and young women often reject any change to their weight or eating habits, even though they may have expressed their consent to therapy.…”