PURPOSE: To assess motivation to change (Mch) of patients with an eating disorder (ED) and its relationship with quality-of-life (QoL) by comparing patient and psychiatrist perceptions. METHOD: Patients (n=358) with an ED completed the disease-specific Health-Related Quality of Life for Eating Disorders (HeRQoLED) questionnaire, the Eating Attitudes Test (EAT-26) and the Short-Form Health Survey (SF-12) at baseline; 273 completed them after 1 year of treatment. The relationship between health-related quality of life (HRQoL) and the Mch stage was assessed using analysis of variance. Chi-square and Kappa statistical analysis assessed congruence in motivational change perception of the patients and psychiatrists. RESULTS: Higher patient-reported Mch was associated with higher HRQoL at the study beginning and end but not using the patient Mch as perceived by the psychiatrist. Initially, the patient and psychiatrist perceptions of Mch differed (kappa coefficient, -0.01); after 1 year they tended to converge (k=0.34). CONCLUSIONS: Higher Mch and higher QoL are positively associated. However, patient and psychiatrist perceptions of Mch and the relationship with QoL differ. After 1 year of treatment, these differences decreased.
PURPOSE: To assess motivation to change (Mch) of patients with an eating disorder (ED) and its relationship with quality-of-life (QoL) by comparing patient and psychiatrist perceptions. METHOD:Patients (n=358) with an ED completed the disease-specific Health-Related Quality of Life for Eating Disorders (HeRQoLED) questionnaire, the Eating Attitudes Test (EAT-26) and the Short-Form Health Survey (SF-12) at baseline; 273 completed them after 1 year of treatment. The relationship between health-related quality of life (HRQoL) and the Mch stage was assessed using analysis of variance. Chi-square and Kappa statistical analysis assessed congruence in motivational change perception of the patients and psychiatrists. RESULTS: Higher patient-reported Mch was associated with higher HRQoL at the study beginning and end but not using the patientMch as perceived by the psychiatrist. Initially, the patient and psychiatrist perceptions of Mch differed (kappa coefficient, -0.01); after 1 year they tended to converge (k=0.34). CONCLUSIONS: Higher Mch and higher QoL are positively associated. However, patient and psychiatrist perceptions of Mch and the relationship with QoL differ. After 1 year of treatment, these differences decreased.
Authors: Brian Cook; Scott Engel; Ross Crosby; Heather Hausenblas; Stephen Wonderlich; James Mitchell Journal: Int J Eat Disord Date: 2013-10-17 Impact factor: 4.861
Authors: Louise Bezzina; Stephen Touyz; Sarah Young; Nasim Foroughi; Stacy Clemes; Caroline Meyer; Jon Arcelus; Sloane Madden; Evelyn Attia; Kathleen M Pike; Phillipa Hay Journal: J Eat Disord Date: 2019-08-23
Authors: Sarah Young; Stephen Touyz; Caroline Meyer; Jon Arcelus; Paul Rhodes; Sloane Madden; Kathleen Pike; Evelyn Attia; Ross D Crosby; Phillipa Hay Journal: J Eat Disord Date: 2018-02-05