饮食失调中的体验性接纳、康复动机与治疗结果。
Experiential acceptance, motivation for recovery, and treatment outcome in eating disorders.
作者信息
Espel Hallie M, Goldstein Stephanie P, Manasse Stephanie M, Juarascio Adrienne S
机构信息
Department of Psychology, Drexel University, Stratton Hall, 3141 Chestnut Street, Suite 119, Philadelphia, PA, 19104, USA.
出版信息
Eat Weight Disord. 2016 Jun;21(2):205-10. doi: 10.1007/s40519-015-0235-7. Epub 2015 Oct 28.
Abstract
PURPOSE
This study sought to test whether the relationship between experiential acceptance (EA) and treatment outcome among eating disorder (ED) patients was mediated by motivation.
METHODS
Upon admission to a residential ED treatment facility, female patients completed measures of EA, motivation, and baseline ED symptom severity (covariate); symptom severity was reassessed at discharge.
RESULTS
Higher levels of baseline EA predicted significantly greater symptom reduction during treatment. Moreover, results from bootstrapped mediation analyses indicated that the relationship between EA and treatment outcome was partially mediated by motivation: increased EA was associated with greater motivation to give up ED behaviors at the beginning of treatment, and this led to greater symptom reduction from admission to discharge.
CONCLUSIONS
Motivation appears to be one mechanism by which EA facilitates improved treatment outcomes in EDs. Further development of interventions that promote EA as a means for improving motivation and subsequent ED treatment response may be warranted.
摘要
目的
本研究旨在检验进食障碍（ED）患者的经验性接纳（EA）与治疗结果之间的关系是否由动机介导。
方法
女性患者入住住院式ED治疗机构时，完成了EA、动机和基线ED症状严重程度（协变量）的测量；出院时重新评估症状严重程度。
结果
较高水平的基线EA预示着治疗期间症状减轻更为显著。此外，自抽样中介分析结果表明，EA与治疗结果之间的关系部分由动机介导：EA增加与治疗开始时放弃ED行为的更大动机相关，这导致从入院到出院症状减轻更多。
结论
动机似乎是EA促进ED治疗结果改善的一种机制。可能有必要进一步开发将促进EA作为提高动机及后续ED治疗反应的手段的干预措施。
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