Detailed contribution information
| Contribution title | 2730 - Motivation to change and recovery in adolescents with eating disorders |
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| Contribution code | PS03-61 (P) |
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| Form of presentation | Poster |
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| Abstract |
Motivation to change and recovery in adolescents with eating disorders Abstract Introduction and Objectives: One of the greatest advantages of understanding and studying motivation to change/recovery in eating disorders and to identify factors that can promote it, is that it makes it possible to understand those diseases and to choose the best treatment for the patient. The main aims of the current study were to identify the factors that contribute the most to the patient’s motivation to change and recovery (treatment outcome), to describe situations that the patients point out as being crucial for change and to understand if motivation to change can help to explain treatment outcome. Method: A single follow-up study of a Portuguese population of adolescents, aged between 12 – 18 years old, who have been diagnosed with an eating disorder at baseline. Adolescents filled in several self-reported questionnaires. The effects of the evaluated factors (eating disorder symptoms, general psychopathology, self-concept, therapeutic alliance) on the patients’ motivation to change and recovery were identified by conditional logistic regression models. Results: Occurrence of change was shown to be negatively associated with eating disorders symptoms (measured by Eating Disorders Examination Questionnaire). Recovery from eating disorders was positively associated with self-concept and exhibited no significant relationship with the follow-up. Conclusion: The only factors for which a significant evolution along the study period was identified were the occurrence of change in eating disorders behaviours (measured by Anorexia nervosa stages of change questionnaire and Bulimia nervosa stages of change questionnaire) and general psychopathology. The best model to predict Occurrence of change in eating disorders along the 18 months’ period included only the severity of the eating disorder, measured by the EDE-Q. The best predictor of the recovery status along the study period consisted only of the self-concept score. The present study has also identified the motivation to change eating disorder behaviours as having a significantly (p=0.050) positive crude effect on the treatment outcome (existence of recovery). Keywords: eating disorders; anorexia nervosa; bulimia nervosa; motivation to change; self-reported psychopathology. |