Zaitsoff Shannon L, Taylor Andrew
The Teen Health Centre, Windsor, Ontario N8X 1K5, Canada.
Eur Eat Disord Rev. 2009 May;17(3):227-33. doi: 10.1002/erv.915.
To examine the association between motivation for change and eating disorder symptom severity, the quality of the parent-adolescent relationship and depressive symptom severity in adolescents with eating disorders.
Fifty-four female adolescents with eating disorders (mean age = 15.8 years, SD = 1.6) participated in this research prior to beginning outpatient treatment. Participants completed the Motivational Stages of Change for Adolescents Recovering from an Eating Disorder, the Eating Disorders Inventory-2, the Relations with Parents scale from the Behavioral Assessment System for Children and Adolescents Self-report and the Child Depression Inventory.
Greater motivation for change was associated with less body dissatisfaction, more adaptive parent-adolescent relationships and fewer depressive symptoms. The association between motivation for change and adolescents' perception of their relationship with their parents remained significant even after controlling for age, body dissatisfaction and depressive symptoms.
Involvement of families in treatment for adolescents with eating disorders may serve to enhance their motivation to recover.
探讨饮食失调青少年的改变动机与饮食失调症状严重程度、亲子关系质量及抑郁症状严重程度之间的关联。
54名患有饮食失调的女性青少年（平均年龄=15.8岁，标准差=1.6）在开始门诊治疗前参与了本研究。参与者完成了《饮食失调青少年康复的动机变化阶段》、《饮食失调量表-2》、《儿童和青少年行为评估系统自陈报告中的亲子关系量表》以及《儿童抑郁量表》。
更强的改变动机与更低的身体不满、更适应性的亲子关系以及更少的抑郁症状相关。即使在控制了年龄、身体不满和抑郁症状后，改变动机与青少年对其与父母关系的认知之间的关联仍然显著。
让家庭参与饮食失调青少年的治疗可能有助于增强他们康复的动机。
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