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


Journal

European eating disorders review : the journal of the Eating Disorders Association
ISSN: 1099-0968
Titre abrégé: Eur Eat Disord Rev
Pays: England
ID NLM: 9436977

Informations de publication

Date de publication:
05 2019
Historique:
received: 30 09 2018
revised: 19 11 2018
accepted: 11 01 2019
pubmed: 9 2 2019
medline: 1 6 2019
entrez: 9 2 2019
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 30734406
doi: 10.1002/erv.2664
pmc: PMC6447441
mid: NIHMS1007216
doi:

Banques de données

ClinicalTrials.gov
['NCT00879151']

Types de publication

Journal Article Randomized Controlled Trial Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

323-328

Subventions

Organisme : NIMH NIH HHS
ID : T32 MH018261
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH079978
Pays : United States
Organisme : NIMH NIH HHS
ID : MH0118261-33
Pays : United States
Organisme : NIMH NIH HHS
ID : R01-MH-079978
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH118261
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH079979
Pays : United States
Organisme : NIMH NIH HHS
ID : R01-MH-079979
Pays : United States

Informations de copyright

© 2019 John Wiley & Sons, Ltd and Eating Disorders Association.

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Auteurs

Sasha Gorrell (S)

Department of Psychiatry, University of California, San Francisco, CA, USA.

Kathryn Kinasz (K)

Department of Psychiatry, University of California, San Francisco, CA, USA.

Lisa Hail (L)

Department of Psychiatry, University of California, San Francisco, CA, USA.

Lindsey Bruett (L)

Department of Psychiatry, University of California, San Francisco, CA, USA.

Sarah Forsberg (S)

Department of Psychiatry, University of California, San Francisco, CA, USA.

James Lock (J)

Department of Psychiatry, Stanford University, CA, USA.

Daniel Le Grange (D)

Department of Psychiatry, University of California, San Francisco, CA, USA.
Department of Psychiatry, The University of Chicago (Emeritus), IL, USA.

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