Assessing motivation for treatment in eating disorders: psychometric validation of the Italian version of the Autonomous and Controlled Motivation for Treatment Questionnaire (ACMTQ-ITA).
Compliance
Disordered eating
Therapeutic motivation
Therapy readiness
Treatment adherence
Treatment motivation
Journal
Eating and weight disorders : EWD
ISSN: 1590-1262
Titre abrégé: Eat Weight Disord
Pays: Germany
ID NLM: 9707113
Informations de publication
Date de publication:
04 Apr 2024
04 Apr 2024
Historique:
received:
26
07
2023
accepted:
26
03
2024
medline:
4
4
2024
pubmed:
4
4
2024
entrez:
4
4
2024
Statut:
epublish
Résumé
Treatment resistance is a significant challenge in addressing eating disorders (EDs). The Autonomous and Controlled Motivation for Treatment Questionnaire (ACMTQ) has been previously validated in ED populations to assess patients' motivation for treatment. This study aimed to validate the ACMTQ in the Italian language (ACMTQ-ITA) and evaluate its psychometric properties. We recruited a clinical sample of adults aged 18 or older, diagnosed with EDs, proficient in the Italian language, and providing written informed consent. Participants with psychiatric comorbidities such as schizophrenia, bipolar disorder, and substance use disorder were excluded from the study. Validity of the ACMTQ-ITA was assessed using reliability analysis with Cronbach's α and McDonald's ω estimates, and Confirmatory Factor Analysis (CFA). Results from the reliability analysis confirmed the internal consistency of the Autonomous Motivation (AM) factor (α = 0.82, ω = 0.82), the Controlled Motivation (CM) factor (α = 0.76, ω = 0.77), and the ACMTQ-ITA overall score (α = 0.79). The CFA confirmed the two-factor solution (i.e., AM and CM) identified in the original validation of the ACMTQ (Comparative Fit Index = 0.92, Akaike Information Criterion = 3427.26, Bayesian Information Criterion = 3486.82; Root Mean Square Error of Approximation = 0.08, Standardized Root Mean Square Residual = 0.09). The ACMTQ-ITA emerged as a valid and reliable tool for measuring motivation for treatment in individuals with EDs. Its implementation may facilitate the comprehension of treatment motivation, offering valuable clinical insights and implications for health management practices. Level V, descriptive studies.
Identifiants
pubmed: 38573529
doi: 10.1007/s40519-024-01653-9
pii: 10.1007/s40519-024-01653-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
23Informations de copyright
© 2024. The Author(s).
Références
Treasure J, Duarte TA, Schmidt U (2020) Eating disorders. Lancet 395:899–911. https://doi.org/10.1016/S0140-6736(20)30059-3
doi: 10.1016/S0140-6736(20)30059-3
pubmed: 32171414
Howes OD, Thase ME, Pillinger T (2022) Treatment resistance in psychiatry: state of the art and new directions. Mol Psychiatry 27:58–72. https://doi.org/10.1038/s41380-021-01200-3
doi: 10.1038/s41380-021-01200-3
pubmed: 34257409
Dobrescu SR, Dinkler L, Gillberg C et al (2020) Anorexia nervosa: 30-year outcome. Br J Psychiatry 216:97–104. https://doi.org/10.1192/bjp.2019.113
doi: 10.1192/bjp.2019.113
pubmed: 31113504
Nagy H, Paul T, Jain E et al (2023) A clinical overview of anorexia nervosa and overcoming treatment resistance. Avicenna J Med 13:3–14. https://doi.org/10.1055/s-0042-1758859
doi: 10.1055/s-0042-1758859
pubmed: 36969350
Halmi KA (2013) Perplexities of treatment resistence in eating disorders. BMC Psychiatry 13:292. https://doi.org/10.1186/1471-244X-13-292
doi: 10.1186/1471-244X-13-292
pubmed: 24199597
pmcid: 3829659
Fassino S, Pierò A, Tomba E, Abbate-Daga G (2009) Factors associated with dropout from treatment for eating disorders: a comprehensive literature review. BMC Psychiatry 9:67. https://doi.org/10.1186/1471-244X-9-67
doi: 10.1186/1471-244X-9-67
pubmed: 19818137
pmcid: 2765944
Xiao H, Castonguay LG, Hayes JA et al (2023) Reconstructing dropout: building from multiple definitions, therapist effects, and center effects. Psychother Res 33:146–157. https://doi.org/10.1080/10503307.2022.2082897
doi: 10.1080/10503307.2022.2082897
pubmed: 35737892
Wonderlich S, Mitchell JE, Crosby RD et al (2012) Minimizing and treating chronicity in the eating disorders: a clinical overview. Int J Eat Disord 45:467–475. https://doi.org/10.1002/eat.20978
doi: 10.1002/eat.20978
pubmed: 22271525
Hay P, Touyz S (2015) Treatment of patients with severe and enduring eating disorders. Curr Opin Psychiatry 28:473. https://doi.org/10.1097/YCO.0000000000000191
doi: 10.1097/YCO.0000000000000191
pubmed: 26382154
Sala M, Keshishian A, Song S et al (2023) Predictors of relapse in eating disorders: a meta-analysis. J Psychiatr Res 158:281–299. https://doi.org/10.1016/j.jpsychires.2023.01.002
doi: 10.1016/j.jpsychires.2023.01.002
pubmed: 36623362
Geller J, Maiolino N, Samson L, Srikameswaran S (2021) Is experiencing care as collaborative associated with enhanced outcomes in inpatient eating disorders treatment? Eat Disord 29:539–549. https://doi.org/10.1080/10640266.2019.1695452
doi: 10.1080/10640266.2019.1695452
pubmed: 31775584
Mital R, Hay P, Conti JE, Mannan H (2022) Associations between therapy experiences and perceived helpfulness of treatment for people with eating disorders. J Eat Disord 10:80. https://doi.org/10.1186/s40337-022-00601-1
doi: 10.1186/s40337-022-00601-1
pubmed: 35701798
pmcid: 9199215
Kambanis PE, Bottera AR, Mancuso CJ, De Young KP (2022) Motivation to change predicts naturalistic changes in binge eating and purging, but not fasting or driven exercise among individuals with eating disorders. Eat Disord 30:279–301. https://doi.org/10.1080/10640266.2020.1823174
doi: 10.1080/10640266.2020.1823174
pubmed: 33135984
Denison-Day J, Appleton KM, Newell C, Muir S (2018) Improving motivation to change amongst individuals with eating disorders: a systematic review. Int J Eat Disord 51:1033–1050. https://doi.org/10.1002/eat.22945
doi: 10.1002/eat.22945
pubmed: 30189116
Sansfaçon J, Booij L, Gauvin L et al (2020) Pretreatment motivation and therapy outcomes in eating disorders: a systematic review and meta-analysis. Int J Eat Disord 53:1879–1900. https://doi.org/10.1002/eat.23376
doi: 10.1002/eat.23376
pubmed: 32954512
Zuroff DC, Koestner R, Moskowitz DS et al (2007) Autonomous motivation for therapy: a new common factor in brief treatments for depression. Psychother Res 17:137–147. https://doi.org/10.1080/10503300600919380
doi: 10.1080/10503300600919380
Flannery M (2017) Self-determination theory: intrinsic motivation and behavioral change. Oncol Nurs Forum 44:155–156. https://doi.org/10.1188/17.ONF.155-156
doi: 10.1188/17.ONF.155-156
pubmed: 28222078
Sheeran P, Wright CE, Avishai A et al (2021) Does increasing autonomous motivation or perceived competence lead to health behavior change? A meta-analysis. Health Psychol 40:706–716. https://doi.org/10.1037/hea0001111
doi: 10.1037/hea0001111
pubmed: 34881939
Morris LS, Grehl MM, Rutter SB et al (2022) On what motivates us: a detailed review of intrinsic v. extrinsic motivation. Psychol Med 52:1801–1816. https://doi.org/10.1017/S0033291722001611
doi: 10.1017/S0033291722001611
pubmed: 35796023
pmcid: 9340849
Prentice M, Jayawickreme E, Fleeson W (2019) Integrating whole trait theory and self-determination theory. J Pers 87:56–69. https://doi.org/10.1111/jopy.12417
doi: 10.1111/jopy.12417
pubmed: 29999534
Mansour S, Bruce KR, Steiger H et al (2012) Autonomous motivation: a predictor of treatment outcome in bulimia-spectrum eating disorders. Eur Eat Disord Rev 20:e116-122. https://doi.org/10.1002/erv.2154
doi: 10.1002/erv.2154
pubmed: 22311824
Sansfaçon J, Gauvin L, Fletcher É et al (2018) Prognostic value of autonomous and controlled motivation in outpatient eating-disorder treatment. Int J Eat Disord 51:1194–1200. https://doi.org/10.1002/eat.22901
doi: 10.1002/eat.22901
pubmed: 30171769
Fairburn CG, Beglin SJ (1994) Eating Disorder Examination Questionnaire
Cuzzolaro M, Vetrone G, Marano G, Garfinkel PE (2006) The Body Uneasiness Test (BUT): development and validation of a new body image assessment scale. Eat Weight Disord 11:1–13. https://doi.org/10.1007/BF03327738
doi: 10.1007/BF03327738
pubmed: 16801740
Imperatori C, Innamorati M, Lamis DA et al (2018) Body uneasiness is associated with food addiction symptoms: a cross-sectional study. Eur Eat Disord Rev 26:638–644. https://doi.org/10.1002/erv.2640
doi: 10.1002/erv.2640
pubmed: 30225885
Capoccia D, Monaco V, Coccia F et al (2015) Axis II disorders, body image and childhood abuse in bariatric surgery candidates. Clin Ter 166:e248-253. https://doi.org/10.7417/T.2015.1868
doi: 10.7417/T.2015.1868
pubmed: 26378757
Hayes AF, Coutts JJ (2020) use omega rather than Cronbach’s alpha for estimating reliability. But…. Commun Methods Meas 14:1–24. https://doi.org/10.1080/19312458.2020.1718629
doi: 10.1080/19312458.2020.1718629
Manwaring J, Blalock DV, Le Grange D et al (2021) Motivation to recover for adolescent and adult eating disorder patients in residential treatment. Eur Eat Disord Rev 29:622–633. https://doi.org/10.1002/erv.2828
doi: 10.1002/erv.2828
pubmed: 33851492
Stice E, Gau JM, Rohde P, Shaw H (2017) Risk factors that predict future onset of each DSM-5 eating disorder: predictive specificity in high-risk adolescent females. J Abnorm Psychol 126:38–51. https://doi.org/10.1037/abn0000219
doi: 10.1037/abn0000219
pubmed: 27709979
Nechita D-M, Bud S, David D (2021) Shame and eating disorders symptoms: a meta-analysis. Int J Eat Disord 54:1899–1945. https://doi.org/10.1002/eat.23583
doi: 10.1002/eat.23583
pubmed: 34302369
Medalia A, Saperstein A (2011) The role of motivation for treatment success. Schizophr Bull 37:S122–S128. https://doi.org/10.1093/schbul/sbr063
doi: 10.1093/schbul/sbr063
pubmed: 21860041
pmcid: 3160119
Rechel B, Maresso A, Sagan A et al (2018) Organization and financing of public health services in Europe: Country reports. European Observatory on Health Systems and Policies, Copenhagen (Denmark)
Feld R, Woodside DB, Kaplan AS et al (2001) Pretreatment motivational enhancement therapy for eating disorders: a pilot study. Int J Eat Disord 29:393–400. https://doi.org/10.1002/eat.1035
doi: 10.1002/eat.1035
pubmed: 11285576
Vitousek K, Watson S, Wilson GT (1998) Enhancing motivation for change in treatment-resistant eating disorders. Clin Psychol Rev 18:391–420. https://doi.org/10.1016/S0272-7358(98)00012-9
doi: 10.1016/S0272-7358(98)00012-9
pubmed: 9638355
Hosseini F, Alavi NM, Mohammadi E, Sadat Z (2021) Scoping review on the concept of patient motivation and practical tools to assess it. Iran J Nurs Midwifery Res 26:1–10. https://doi.org/10.4103/ijnmr.IJNMR_15_20
doi: 10.4103/ijnmr.IJNMR_15_20
pubmed: 33954092
pmcid: 8074736
Steiger H, Sansfaçon J, Thaler L et al (2017) Autonomy support and autonomous motivation in the outpatient treatment of adults with an eating disorder. Int J Eat Disord 50:1058–1066. https://doi.org/10.1002/eat.22734
doi: 10.1002/eat.22734
pubmed: 28842966
Vansteenkiste M, Soenens B, Vandereycken W (2005) Motivation to change in eating disorder patients: a conceptual clarification on the basis of self-determination theory. Int J Eat Disord 37:207–219. https://doi.org/10.1002/eat.20099
doi: 10.1002/eat.20099
pubmed: 15822077
Abbate-Daga G, Amianto F, Delsedime N et al (2013) Resistance to treatment and change in anorexia nervosa: a clinical overview. BMC Psychiatry 13:294. https://doi.org/10.1186/1471-244X-13-294
doi: 10.1186/1471-244X-13-294
pubmed: 24199620
pmcid: 3879222
Sly R, Morgan JF, Mountford VA, Lacey JH (2013) Predicting premature termination of hospitalised treatment for anorexia nervosa: the roles of therapeutic alliance, motivation, and behaviour change. Eat Behav 14:119–123. https://doi.org/10.1016/j.eatbeh.2013.01.007
doi: 10.1016/j.eatbeh.2013.01.007
pubmed: 23557806
Gregertsen EC, Mandy W, Serpell L (2017) The egosyntonic nature of anorexia: an impediment to recovery in anorexia nervosa treatment. Front Psychol 8:2273
doi: 10.3389/fpsyg.2017.02273
pubmed: 29312100
pmcid: 5743910