Rieger E, Touyz S, Schotte D, Beumont P, Russell J, Clarke S, Kohn M, Griffiths R
Department of Psychology, University of Sydney, Sydney, Australia.
Int J Eat Disord. 2000 Dec;28(4):387-96. doi: 10.1002/1098-108x(200012)28:4<387::aid-eat6>3.0.co;2-y.
The degree to which patients with anorexia nervosa demonstrate readiness to recover from their illness has received scant theoretical or empirical attention. Investigating the prevalence and degree of amotivation for recovery in anorexia nervosa, its role in outcome, and the effectiveness of interventions designed to enhance readiness to recover necessitates the existence of a reliable and valid measure of motivational issues relevant to the disorder. The present study aimed to develop and evaluate an instrument for assessing readiness to recover in anorexia nervosa, namely, the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ), a 23-item self-report questionnaire based on Prochaska and DiClemente's stages of change model.
Seventy-one inpatients with anorexia nervosa participated in the study. On several occasions during their admission, participants completed the ANSOCQ as well as questionnaires assessing readiness to recover, anorexic symptomatology, general distress, and social desirability.
The ANSOCQ demonstrated good internal consistency (.90) and 1-week test-retest reliability (.89). Various aspects of validity were also supported, such as significant relationships with other instruments assessing readiness to recover and the prediction of weight gain during different periods of treatment.
The results suggest that the ANSOCQ is a psychometrically sound instrument that may prove useful in investigating the role of readiness to recover in anorexia nervosa.
神经性厌食症患者表现出从疾病中康复意愿的程度在理论或实证研究方面很少受到关注。调查神经性厌食症患者康复动机缺失的患病率和程度、其在治疗结果中的作用，以及旨在增强康复意愿的干预措施的有效性，需要存在一种与该疾病相关的动机问题的可靠且有效的测量方法。本研究旨在开发和评估一种用于评估神经性厌食症患者康复意愿的工具，即神经性厌食症改变阶段问卷（ANSOCQ），这是一份基于普罗查斯卡和迪克莱门特的改变阶段模型的包含23个条目的自陈式问卷。
71名神经性厌食症住院患者参与了该研究。在住院期间的几个时间点，参与者完成了ANSOCQ以及评估康复意愿、厌食症状、一般痛苦和社会期望性的问卷。
ANSOCQ表现出良好的内部一致性（0.90）和1周的重测信度（0.89）。效度的各个方面也得到了支持，例如与其他评估康复意愿的工具存在显著关系，以及对不同治疗阶段体重增加情况的预测。
结果表明，ANSOCQ是一种心理测量学上可靠的工具，可能在研究康复意愿在神经性厌食症中的作用方面有用。
