Motivation to Change, Coping, and Self-Esteem in Adolescent Anorexia Nervosa

Study Overview
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Brief Summary
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By use of several questionaires, this study aimed at an investigation of the changes in motivation, symptoms, self-esteem and coping style in adolescent patients with anorexia nervosa.. The psychometric properties of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ) and its relation to coping style and self-esteem were assessed. After a treatment period of nine months, clinical AN diagnosis and the body mass index (BMI) were re-assessed. Besides construct validity of the ANSOCQ, its predictive validity in terms of predicting the outcome of AN was assessed.

Detailed Description
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N=92 adolescents referred to an eating disorders clinic meeting criteria for anorexia nervosa (AN) gave written informed consent to participate in this study and completed the ANSOCQ, the Eating Disorder Inventory (EDI-2), the Eating Attitudes Test (EAT), the Body Image Questionnaire (BIQ), two questionnaires measuring Self-Related Cognitions (SRC) and the Coping Across Situations Questionnaire (CASQ). After a treatment period of nine months, clinical AN diagnosis and the body mass index (BMI) were re-assessed. Exploratory factor analysis and logistic regressions were performed.

Official Title
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Motivation to Change, Coping, and Self-Esteem in Adolescent Anorexia Nervosa

Conditions
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Personality Features in Anorexia Nervosa

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Consecutive cohort of patients aged 12-19 years with a certified diagnosis of anorexia nervosa Exclusion Criteria: none

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Stages of Change | The ANSOCQ measuring readiness to change in patients with anorexia nervosa. | 9 months | 
| Eating-Disorder inventory | 91 item self-report measure assessing symptoms and attitudes related to eating disorders. It consists of 11 subscales (drive for thinness, bulimia, body dissatisfaction, effectiveness, interpersonal distrust, interoceptive awareness, asceticism, perfectionism, social insecurity, maturity fears and impulse regulation) | 9 months | 
| Rosenberg Self-esteem Scale | 10 item self-report scale measure assessing self-esteem. | 9 months | 
| German Coping Across Situations Questionnaire | Questionnaire assessing coping behavior in four problem areas (school, parents, peers and the opposite sex). 20 items in each area. | 9 months | 
| Body Mass Index | Rating of weight in relation of a persons height | 9 months | 
| Body-Image-Questionnaire | A self-report measure assessing different aspects of body perception based on the model of semantic differentials. | 9 months | 
| Eating Attitudes Test | 40 item self-report measure assessing eating attitudes and symptoms related to eating disorders. It consists of 3 subscales (dieting, bulimia and oral control). | 9 months | 
| Questionnaire for the assessment of dispositional self-awareness | Measure assessing private self-awareness (meta-cognitions regarding the private self) and public self-awareness (perception of oneself in presence of others). | 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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eating disorders, ANSOCQ, anorexia nervosa