von Wietersheim Jörn, Hoffmann Christina
Klinik für Psychosomatische Medizin und Psychotherapie, Universität Ulm, Am Hochsträß 8, 89081 Ulm.
Z Psychosom Med Psychother. 2011;57(1):62-76. doi: 10.13109/zptm.2011.57.1.62.
The study compares three instruments assessing the readiness to change in patients suffering from anorexia nervosa, and assesses their relationship to clinical data.
Two of the instruments, the "Fragebogen zur Erfassung der eränderungsbereitschaft" (FEVER) and the "Anorexia Nervosa Stages of Change Questionnaire"(ANSOCQ), are questionnaires; the "Readiness and Motivation Interview"(RMI) is a semistructured interview. The sample consisted of 44 anorexia nervosa inpatients.
The data of the three instruments correlate with each other to a medium high degree. Clinical variables such as BMI, bodyweight, and inpatient treatment duration show only a few, and mostly low, correlations. The therapeutic prognoses correlate with the motivation to change to a medium/high degree, whereas low motivation frequently correlates with negative predictions.
The ambivalence of the anorexia nervosa patients shows up mostly on the RMI, which also displays the highest correlations to the clinical data and to the EDI-2 data.
本研究比较了三种评估神经性厌食症患者改变意愿的工具，并评估它们与临床数据的关系。
其中两种工具，即“改变意愿调查问卷”（FEVER）和“神经性厌食症改变阶段问卷”（ANSOCQ），是问卷调查；“准备与动机访谈”（RMI）是半结构化访谈。样本包括44名神经性厌食症住院患者。
这三种工具的数据彼此之间具有中等高度的相关性。临床变量，如体重指数、体重和住院治疗时间，仅显示出少数且大多为低相关性。治疗预后与改变动机呈中等/高度相关，而低动机往往与负面预测相关。
神经性厌食症患者的矛盾心理主要体现在RMI上，RMI与临床数据和EDI-2数据也显示出最高的相关性。
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