Motivation to recover for adolescent and adult eating disorder patients in residential treatment
Manwaring J., Blalock D. V., Le Grange D., Duffy A., McClanahan S. F., Johnson C., Mehler P. S., Plotkin M., & Rienecke R. D. (2021). Motivation to recover for adolescent and adult eating disorder patients in residential treatment. European Eating Disorders Review 29 622-633.
Introduction
The Eating Recovery Center Research Team, including Jamie Manwaring, Daniel Le Grange, Dan V. Blalock, Philip S. Mehler, Craig Johnson, Jamie Manwaring, Alan Duffy, Susan McClanahan, Millie Plotkin and Renee D. Rienecke, assessed how baseline motivation to recover impacts eating disorder (ED) and comorbid symptoms at end-of-treatment (EOT) for adolescents and adults in inpatient/residential treatment.. Learn more about our research team here.
Objective
This study aimed to assess how baseline motivation to recover impacts eating disorder (ED) and comorbid symptoms at end-of-treatment (EOT) for adolescents and adults in inpatient/residential treatment.
Method
Two hundred and three adolescent (M = 15.90) and 395 adult (M = 25.45) patients with a Diagnostic Statistical Manual, 5th edition ED diagnosis completed the Decisional Balance Scale (DBS) at baseline, and psychosocial measures (ED symptoms, anxiety, depression, obsessive–compulsive disorder symptoms), and %body mass index (kg/m2; BMI) or median %BMI (for adolescents) at baseline and EOT.
Results
The DBS Avoidance Coping and Burdens subscales at baseline were significantly lower for adolescents than adults (p < 0.001), whereas the DBS Benefits subscale at baseline did not significantly differ between subsamples (p = 0.06). Motivation to recover via DBS subscales was a more reliable predictor of EOT outcomes for both ED and comorbid psychopathology in adults (significant predictor in 19 of 54 total analyses, and 4 significant associations post-Bonferroni correction) than adolescents (significant predictor in 5 of 54 total analyses, and 1 significant association post-Bonferroni correction).
Conclusions
Baseline motivation to recover may be an important predictor of outcome for adult patients in inpatient/residential treatment but does not appear associated with outcomes for adolescent patients.
Read the full study here: https://onlinelibrary.wiley.com/doi/10.1002/erv.2828?af=R
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