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Expanding the concept of motivation to change: The content of patients' wish to recover from anorexia nervosa
OBJECTIVE:: Motivational approaches to anorexia nervosa (AN) have mainly concerned motivational quality and quantity. We investigated the content of patients' wish to recover. METHOD:: Eighteen women, aged 18-39, with AN were interviewed in depth using a phenomenological study design. Interview...
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| Published in: | The International journal of eating disorders 2008-11, Vol.41 (7), p.635-642 |
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| cites | cdi_FETCH-LOGICAL-c4777-bc46e27a873e5e308808af3b04f20edaab613086d332083ae8dbe71a8371d9b33 |
| container_end_page | 642 |
| container_issue | 7 |
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| container_title | The International journal of eating disorders |
| container_volume | 41 |
| creator | Nordbø, Ragnfrid H.S Gulliksen, Kjersti S Espeset, Ester M.S Skårderud, Finn Geller, Josie Holte, Arne |
| description | OBJECTIVE:: Motivational approaches to anorexia nervosa (AN) have mainly concerned motivational quality and quantity. We investigated the content of patients' wish to recover. METHOD:: 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. RESULTS:: 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). CONCLUSION:: 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. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008 |
| doi_str_mv | 10.1002/eat.20547 |
| format | article |
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We investigated the content of patients' wish to recover. METHOD:: 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. RESULTS:: 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). CONCLUSION:: 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. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008</description><identifier>ISSN: 0276-3478</identifier><identifier>EISSN: 1098-108X</identifier><identifier>DOI: 10.1002/eat.20547</identifier><identifier>PMID: 18528876</identifier><identifier>CODEN: INDIDJ</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Anorexia ; Anorexia nervosa ; Anorexia Nervosa - psychology ; Anorexia Nervosa - rehabilitation ; Awareness ; behavior change ; Biological and medical sciences ; body image ; Eating behavior disorders ; eating disorder ; Eating disorders ; emotions ; experience ; Female ; Health behavior ; Humans ; Intention ; Medical sciences ; Motivation ; Narration ; Norway ; objectives ; patients ; Personal Autonomy ; Professional-Patient Relations ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; qualitative ; recovery ; Self Concept ; self-efficacy ; self-esteem ; Studies ; treatment ; women</subject><ispartof>The International journal of eating disorders, 2008-11, Vol.41 (7), p.635-642</ispartof><rights>Copyright © 2008 Wiley Periodicals, Inc.</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Wiley Periodicals Inc. Nov 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4777-bc46e27a873e5e308808af3b04f20edaab613086d332083ae8dbe71a8371d9b33</citedby><cites>FETCH-LOGICAL-c4777-bc46e27a873e5e308808af3b04f20edaab613086d332083ae8dbe71a8371d9b33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20796886$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18528876$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nordbø, Ragnfrid H.S</creatorcontrib><creatorcontrib>Gulliksen, Kjersti S</creatorcontrib><creatorcontrib>Espeset, Ester M.S</creatorcontrib><creatorcontrib>Skårderud, Finn</creatorcontrib><creatorcontrib>Geller, Josie</creatorcontrib><creatorcontrib>Holte, Arne</creatorcontrib><title>Expanding the concept of motivation to change: The content of patients' wish to recover from anorexia nervosa</title><title>The International journal of eating disorders</title><addtitle>Int. J. Eat. Disord</addtitle><description>OBJECTIVE:: Motivational approaches to anorexia nervosa (AN) have mainly concerned motivational quality and quantity. We investigated the content of patients' wish to recover. METHOD:: 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. RESULTS:: 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). CONCLUSION:: 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. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anorexia</subject><subject>Anorexia nervosa</subject><subject>Anorexia Nervosa - psychology</subject><subject>Anorexia Nervosa - rehabilitation</subject><subject>Awareness</subject><subject>behavior change</subject><subject>Biological and medical sciences</subject><subject>body image</subject><subject>Eating behavior disorders</subject><subject>eating disorder</subject><subject>Eating disorders</subject><subject>emotions</subject><subject>experience</subject><subject>Female</subject><subject>Health behavior</subject><subject>Humans</subject><subject>Intention</subject><subject>Medical sciences</subject><subject>Motivation</subject><subject>Narration</subject><subject>Norway</subject><subject>objectives</subject><subject>patients</subject><subject>Personal Autonomy</subject><subject>Professional-Patient Relations</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>qualitative</subject><subject>recovery</subject><subject>Self Concept</subject><subject>self-efficacy</subject><subject>self-esteem</subject><subject>Studies</subject><subject>treatment</subject><subject>women</subject><issn>0276-3478</issn><issn>1098-108X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNp10d1v0zAQAPAIgVg3eOAfAAtpIB6y-SOOXd6mqduACiToBG_WJbm0GYkd7LTr_nvcpQwJiSefrN996C5JXjB6wijlpwjDCacyU4-SCaNTnTKqfzxOJpSrPBWZ0gfJYQg3lNJcUPk0OWBacq1VPkm62bYHWzV2SYYVktLZEvuBuJp0bmg2MDTOksGRcgV2ie_JYkQD2nvURxDD8JbcNmG1gx5Lt0FPau86AtZ53DZALPqNC_AseVJDG_D5_j1Kri9mi_OrdP7l8sP52TwtM6VUWpRZjlyBVgIlCqo11VCLgmY1p1gBFDmLv3klBKdaAOqqQMVAC8WqaSHEUfJmrNt792uNYTBdE0psW7Do1sHkUyWkpDLC1__AG7f2Ns5mOGNMZJncoXcjKr0LwWNtet904O8Mo2Z3ABMPYO4PEO3LfcF10WH1V-43HsHxHkAooa092LIJD45TNc213rnT0d02Ld79v6OZnS3-tE7HjCYMuH3IAP_T5Eooab5_vjT86mM2Z18_mYvoX42-Bmdg6eMU1984jZtlUuZMC_Ebdza0dw</recordid><startdate>200811</startdate><enddate>200811</enddate><creator>Nordbø, Ragnfrid H.S</creator><creator>Gulliksen, Kjersti S</creator><creator>Espeset, Ester M.S</creator><creator>Skårderud, Finn</creator><creator>Geller, Josie</creator><creator>Holte, Arne</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>FBQ</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200811</creationdate><title>Expanding the concept of motivation to change: The content of patients' wish to recover from anorexia nervosa</title><author>Nordbø, Ragnfrid H.S ; Gulliksen, Kjersti S ; Espeset, Ester M.S ; Skårderud, Finn ; Geller, Josie ; Holte, Arne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4777-bc46e27a873e5e308808af3b04f20edaab613086d332083ae8dbe71a8371d9b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Anorexia</topic><topic>Anorexia nervosa</topic><topic>Anorexia Nervosa - psychology</topic><topic>Anorexia Nervosa - rehabilitation</topic><topic>Awareness</topic><topic>behavior change</topic><topic>Biological and medical sciences</topic><topic>body image</topic><topic>Eating behavior disorders</topic><topic>eating disorder</topic><topic>Eating disorders</topic><topic>emotions</topic><topic>experience</topic><topic>Female</topic><topic>Health behavior</topic><topic>Humans</topic><topic>Intention</topic><topic>Medical sciences</topic><topic>Motivation</topic><topic>Narration</topic><topic>Norway</topic><topic>objectives</topic><topic>patients</topic><topic>Personal Autonomy</topic><topic>Professional-Patient Relations</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>qualitative</topic><topic>recovery</topic><topic>Self Concept</topic><topic>self-efficacy</topic><topic>self-esteem</topic><topic>Studies</topic><topic>treatment</topic><topic>women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nordbø, Ragnfrid H.S</creatorcontrib><creatorcontrib>Gulliksen, Kjersti S</creatorcontrib><creatorcontrib>Espeset, Ester M.S</creatorcontrib><creatorcontrib>Skårderud, Finn</creatorcontrib><creatorcontrib>Geller, Josie</creatorcontrib><creatorcontrib>Holte, Arne</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The International journal of eating disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nordbø, Ragnfrid H.S</au><au>Gulliksen, Kjersti S</au><au>Espeset, Ester M.S</au><au>Skårderud, Finn</au><au>Geller, Josie</au><au>Holte, Arne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Expanding the concept of motivation to change: The content of patients' wish to recover from anorexia nervosa</atitle><jtitle>The International journal of eating disorders</jtitle><addtitle>Int. J. Eat. Disord</addtitle><date>2008-11</date><risdate>2008</risdate><volume>41</volume><issue>7</issue><spage>635</spage><epage>642</epage><pages>635-642</pages><issn>0276-3478</issn><eissn>1098-108X</eissn><coden>INDIDJ</coden><abstract>OBJECTIVE:: Motivational approaches to anorexia nervosa (AN) have mainly concerned motivational quality and quantity. We investigated the content of patients' wish to recover. METHOD:: 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. RESULTS:: 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). CONCLUSION:: 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. © 2008 by Wiley Periodicals, Inc. 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| ispartof | The International journal of eating disorders, 2008-11, Vol.41 (7), p.635-642 |
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| subjects | Adolescent Adult Adult and adolescent clinical studies Anorexia Anorexia nervosa Anorexia Nervosa - psychology Anorexia Nervosa - rehabilitation Awareness behavior change Biological and medical sciences body image Eating behavior disorders eating disorder Eating disorders emotions experience Female Health behavior Humans Intention Medical sciences Motivation Narration Norway objectives patients Personal Autonomy Professional-Patient Relations Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry qualitative recovery Self Concept self-efficacy self-esteem Studies treatment women |
| title | Expanding the concept of motivation to change: The content of patients' wish to recover from anorexia nervosa |
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