Motivation to recover for adolescent and adult eating disorder patients in residential treatment

By Jamie Manwaring, PhD

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.

This study assessed how motivation to recover impacts eating disorder (ED) symptoms at discharge for adolescents and adults in inpatient/residential treatment at ERC.  Two hundred and three adolescent and 395 adult patients with an 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 (BMI) at baseline and discharge.  Motivation to recover as assessed by DBS subscales was a more reliable predictor of outcomes at discharge for both ED and comorbid psychopathology in adults than adolescents.  Findings suggest that motivation to recover may be an important predictor of outcome for adult patients in inpatient/residential treatment, but does not appear to be associated with outcomes for adolescent patients, highlighting the importance of family involvement for adolescents who may not be motivated for recovery. 

Written by

Jamie Manwaring, PhD

Dr. Manwaring earned her doctorate in psychology from Washington University in St. Louis, where she published peer-reviewed research in the field of eating and weight disorders. Since joining Eating…
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Dan V. Blalock, PhD

Dan Blalock is a health services researcher in the Health Services Research & Development Center of Innovation at the Durham Veterans Affairs Medical Center, Assistant Consulting Professor in the…
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Daniel Le Grange, PhD, FAED

Daniel Le Grange, PhD, holds a Distinguished Professorship at the University of California, San Francisco (UCSF), where he is Benioff UCSF Professor in Children’s Health in the Department of…
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Alan Duffy, MS

Alan Duffy is Patient Experience & Research Manager at Eating Recovery Center and Pathlight Mood & Anxiety Center in Denver, Colorado and a trained professional who specializes in the…
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Susan McClanahan, PhD, CEDS

Susan McClanahan, Ph.D., CEDS is the current Chairman of the ERC Pathlight Advisory Board and the Founder of Pathlight Behavioral Health Centers. Dr. McClanahan is a licensed clinical psychologist…
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Craig Johnson, PhD, CEDS, FAED

Dr. Johnson has been a leader in the field of Eating Disorders for over 40 years. Currently he is a Senior Consultant at ERC, where he previously held the positions of Chief Clinical Officer, Chief…
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Philip S. Mehler, MD, FACP, FAED, CEDS

Dr. Philip Mehler, prior to joining Eating Recovery Center, served as the Medical Director of Denver Health and Hospital Authority a position he held up until his retirement in 2014. Dr. Mehler began…
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Millie Plotkin, MLS

Millie Plotkin, MLS, is Informationist for Eating Recovery Center, and creator of the Eating Disorders Information Gateway. After earning her Masters of Library Science from Catholic University in…
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Renee D. Rienecke, PhD, FAED

Renee D. Rienecke, PhD, FAED, is a clinical psychologist and Director of Research for Eating Recovery Center/Pathlight Mood and Anxiety Centers and Adjunct Associate Professor in the Department of…

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