Nordbø Ragnfrid H S, Gulliksen Kjersti S, Espeset Ester M S, Skårderud Finn, Geller Josie, Holte Arne
Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway.
Int J Eat Disord. 2008 Nov;41(7):635-42. doi: 10.1002/eat.20547.
Motivational approaches to anorexia nervosa (AN) have mainly concerned motivational quality and quantity. We investigated the content of patients' wish to recover.
Eighteen women, aged 18-39, with AN were interviewed in depth using a phenomenological study design. Interviews were tape-recorded, transcribed, and analyzed using the QSR-N*Vivo software program.
Four motivational content areas characterized informants' wishes to recover: "Sense of vitality" (e.g., joy, concentration, spontaneity, energy); "Sense of autonomy" (e.g., choosing to recover, new methods of mastery, self-determination); "Sense of insight" (e.g., awareness, seeing nuances, limitation of goals, self-knowledge); and "Negative consequences" (e.g., loss of future, costs to own children, feeling sick or thin, social costs, physical costs).
Our sample of AN patients' motivation to recover may be described using three dimensions: content, quality, and quantity, and may also include motives with no behavioral intention. Sustained therapeutic success may rest upon the therapist's ability to identify and ally with the patient's motives to recover.
神经性厌食症（AN）的动机疗法主要关注动机的质量和数量。我们调查了患者康复愿望的内容。
采用现象学研究设计，对18名年龄在18 - 39岁的神经性厌食症女性患者进行了深入访谈。访谈进行录音、转录，并使用QSR - N*Vivo软件程序进行分析。
四个动机内容领域表征了被调查者的康复愿望：“活力感”（如喜悦、专注、自发性、精力）；“自主感”（如选择康复、新的掌控方法、自我决定）；“洞察力”（如意识、看到细微差别、目标的局限性、自我认知）；以及“负面后果”（如失去未来、对自己孩子的代价、感觉不适或消瘦、社会代价、身体代价）。
我们样本中神经性厌食症患者的康复动机可用三个维度来描述：内容、质量和数量，并且可能还包括没有行为意图的动机。持续的治疗成功可能取决于治疗师识别并与患者康复动机结盟的能力。
