Motivation and readiness to change in anorexia nervosa and premature discharge from inpatient treatment.
Published: 2005
Language: eng
Number of pages: 128
Description: This study examines the relationship between motivation to recover from anorexia nervosa (AN) and premature discharge from treatment in patients undergoing a voluntary specialized inpatient program for AN. The trans-theoretical model assessed patients' stage of change and processes of change at week one and week four of intensive treatment, in addition to various other psychometric variables. Results from a survival analysis suggest that, at admission, patients rating themselves in the Contemplation (63%) or Preparation (69%) stage are much more likely to complete treatment than those in Action (38%) (p &lt; .01). However, this relationship reverses after one month, when individuals in Preparation (70%) or Action (76%) are more likely to complete treatment than those in Contemplation (50%) (p &lt; .05). The Helping Relationships process of change distinguished treatment completers from non-completers, with non-completers perceiving a loss of support over the first month of treatment in comparison to completers. Depression, anxiety, and eating disorder intensity did not differentiate groups. These findings have important clinical implications for treatment retention and overall recovery rates in AN, and underscore the importance of supportive relationships in recovery.
Notes: Thesis (M.Sc.)--University of Toronto, 2005.

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Source: Masters Abstracts International, Volume: 44-01, page: 0334.

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