Motivational interventions in the eating disorders: What is the evidence?

International Journal of Eating Disorders - Tập 46 Số 2 - Trang 97-107 - 2013
Lucy Knowles1, Alisa Anokhina, Lucy Serpell
1Research Department of Clinical, Educational and Health Psychology, University College London, United Kingdom. [email protected]

Tóm tắt

AbstractBackground:Eating disorder treatments are plagued by poor engagement and high drop‐out. People who disengage from eating disorder treatment appear poorly motivated to change, and may benefit from adaptations of Motivational Interviewing (AMIs).Objective:To investigate whether the use of interventions specifically designed to enhance motivation in the eating disorders is supported empirically.Method:Literature was reviewed for relevant studies.Results:Eight studies have investigated the efficacy of AMIs. AMIs improve motivation to change bingeing and reduce actual bingeing behavior. There was little support for AMIs for compensatory or restrictive behaviors. There was mixed evidence that AMIs may improve motivation, but little to suggest they are more effective than other approaches.Discussion:The widespread interest in using motivational approaches in the eating disorders is not strongly supported by the literature. The current evidence base does not support the widespread dissemination of motivation‐enhancing interventions in the eating disorders. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)

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Tài liệu tham khảo

10.1002/erv.780

10.1016/S0272-7358(98)00012-9

10.1002/(SICI)1099-0968(200005)8:3<198::AID-ERV356>3.0.CO;2-3

10.1002/(SICI)1098-108X(199903)25:2<177::AID-EAT7>3.0.CO;2-D

Schmidt U, 2006, AN: Valued and visible. A cognitive‐interpersonal maintenance model and its implications for research and practice, Br J Clin Psychol, 45, 349, 10.1348/014466505X53902

10.1002/erv.443

10.1002/erv.390

10.1007/s00787-003-1109-5

Miller WR, 1991, Motivational Interviewing: Preparing People for Change

Beato‐Fernandez L, 2006, Eating Disorders (New Research), 245

Geller J, 2007, Highs and Lows: Canadian Perspectives on Women and Substance Use, 349

Lask B, 2007, Eating Disorders in Childhood and Adolescence, 176

Treasure J, 2008, Motivational Interviewing in the Treatment of Psychological Problems, 194

10.1017/CBO9781139644204

10.1002/1098-108X(198905)8:3<297::AID-EAT2260080305>3.0.CO;2-H

Vandereycken W, 1985, AN: A Clinician's Guide

10.1002/1098-108X(198224)1:2<3::AID-EAT2260010202>3.0.CO;2-J

10.1016/0022-3956(85)90051-2

10.1017/S1352465809005128

Miller WR, 2002, Motivational Interviewing: Preparing People for Change

10.1002/(SICI)1099-0968(199703)5:1<33::AID-ERV164>3.0.CO;2-F

10.1177/030802260306600707

10.1192/apt.10.5.331

10.1002/eat.20502

10.1002/erv.485

Schmidt U, 1997, Clinician's Guide to Getting Better Bit(e) by Bit(e): A Survival Kit for Sufferers of Bulimia Nervosa and Binge Eating Disorders

Treasure J, 1997, Escaping from AN

Fairburn CG, 2008, Cognitive Behaviour Therapy and Eating Disorders

Eivors A, 2005, Hunger for Understanding: A Workbook for Helping Young People to Understand and Overcome AN

Wilson GT, 1993, Clinical Handbook of Psychological Disorders

10.1046/j.1360-0443.2001.961217253.x

10.1146/annurev.clinpsy.1.102803.143833

Burke BL, 2002, Motivational Interviewing: Preparing People for Change, 217

10.1037/0022-006X.71.5.843

10.1891/jcop.18.4.309.64002

10.1046/j.1360-0443.2002.00019.x

Rubak S, 2005, Motivational interviewing: A systematic review and meta‐analysis, Br J General Practice, 55, 305

10.1177/1049731509347850

Lai DTC, 2010, Motivational interviewing for smoking cessation, Cochrane Database Systematic Rev, 1, CD006936

Dean HY, 2007, Innovations and Advances in Cognitive Behavior Therapy, 171

10.1002/erv.851

10.1016/S0005-7967(98)00149-1

10.1097/PSY.0b013e3181ec5373

Pung MA, 2004, Motivational interviewing in the reduction of risk factors for eating disorders: A pilot study, Int J Eat Disord, 35, 396

10.1080/13284200412331304054

10.1080/09638239550037604

Miller WR, 1995, Handbook of Alcoholism Treatment Approaches: Effective Alternatives, 12

10.1002/erv.555

10.1002/eat.1035

10.1037/0893-164X.20.1.44

10.1037/0893-164X.22.3.417

10.1080/00048670802653356

National Institute of Clinical Excellence(2004). Core interventions in the treatment and management of AN bulimia nervosa and related eating disorders. Retrieved December 15 2008 from Available at:http://www.nice.org.uk/nicemedia/pdf/cg009niceguidance.pdf.

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International Journal of Eating Disorders

Tập 46 Số 2

97-107

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