Quality of life and motivation to change in eating disorders. Perception patient–psychiatrist
To assess motivation to change (Mch) of patients with an eating disorder (ED) and its relationship with quality-of-life (QoL) by comparing patient and psychiatrist perceptions. Patients (n=358) with an ED completed the disease-specific Health-Related Quality of Life for Eating Disorders (HeRQoLED) q...
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Veröffentlicht in: | Eating behaviors : an international journal 2012-04, Vol.13 (2), p.131-134 |
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container_title | Eating behaviors : an international journal |
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creator | Muñoz, Pedro Quintana, José María Las Hayas, Carlota Padierna, Angel Aguirre, Urko González-Torres, M. Angel |
description | To assess motivation to change (Mch) of patients with an eating disorder (ED) and its relationship with quality-of-life (QoL) by comparing patient and psychiatrist perceptions.
Patients (n=358) with an ED completed the disease-specific Health-Related Quality of Life for Eating Disorders (HeRQoLED) questionnaire, the Eating Attitudes Test (EAT-26) and the Short-Form Health Survey (SF-12) at baseline; 273 completed them after 1year of treatment. The relationship between health-related quality of life (HRQoL) and the Mch stage was assessed using analysis of variance. Chi-square and Kappa statistical analysis assessed congruence in motivational change perception of the patients and psychiatrists.
Higher patient-reported Mch was associated with higher HRQoL at the study beginning and end but not using the patient Mch as perceived by the psychiatrist. Initially, the patient and psychiatrist perceptions of Mch differed (kappa coefficient, −0.01); after 1year they tended to converge (k=0.34).
Higher Mch and higher QoL are positively associated. However, patient and psychiatrist perceptions of Mch and the relationship with QoL differ. After 1year of treatment, these differences decreased.
► To assess the evolution of the motivation to change stage in eating disorder patients. ► There were differences between patient and psychiatrist perceptions. ► The quality of life improved after 1 year of treatment. ► A higher motivation to change was associated with a lower level of psychopathology. |
doi_str_mv | 10.1016/j.eatbeh.2011.11.008 |
format | Article |
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Patients (n=358) with an ED completed the disease-specific Health-Related Quality of Life for Eating Disorders (HeRQoLED) questionnaire, the Eating Attitudes Test (EAT-26) and the Short-Form Health Survey (SF-12) at baseline; 273 completed them after 1year of treatment. The relationship between health-related quality of life (HRQoL) and the Mch stage was assessed using analysis of variance. Chi-square and Kappa statistical analysis assessed congruence in motivational change perception of the patients and psychiatrists.
Higher patient-reported Mch was associated with higher HRQoL at the study beginning and end but not using the patient Mch as perceived by the psychiatrist. Initially, the patient and psychiatrist perceptions of Mch differed (kappa coefficient, −0.01); after 1year they tended to converge (k=0.34).
Higher Mch and higher QoL are positively associated. However, patient and psychiatrist perceptions of Mch and the relationship with QoL differ. After 1year of treatment, these differences decreased.
► To assess the evolution of the motivation to change stage in eating disorder patients. ► There were differences between patient and psychiatrist perceptions. ► The quality of life improved after 1 year of treatment. ► A higher motivation to change was associated with a lower level of psychopathology.</description><identifier>ISSN: 1471-0153</identifier><identifier>EISSN: 1873-7358</identifier><identifier>DOI: 10.1016/j.eatbeh.2011.11.008</identifier><identifier>PMID: 22365796</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adult ; Adult and adolescent clinical studies ; analysis of variance ; attitudes and opinions ; Biological and medical sciences ; Body Image ; Eating behavior disorders ; Eating disorders ; Feeding and Eating Disorders - psychology ; Feeding and Eating Disorders - therapy ; Female ; Humans ; Male ; Medical sciences ; Miscellaneous ; Motivation ; Motivation to change ; patients ; Psychiatry ; Psychological Tests ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quality of life ; Quality of Life - psychology ; questionnaires ; Self Concept ; surveys ; Surveys and Questionnaires</subject><ispartof>Eating behaviors : an international journal, 2012-04, Vol.13 (2), p.131-134</ispartof><rights>2011 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-d5ebdbd37bb8d042e0c95afbdce7955078a1ec79d51941991fcec0418e5755d73</citedby><cites>FETCH-LOGICAL-c415t-d5ebdbd37bb8d042e0c95afbdce7955078a1ec79d51941991fcec0418e5755d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.eatbeh.2011.11.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25668266$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22365796$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Muñoz, Pedro</creatorcontrib><creatorcontrib>Quintana, José María</creatorcontrib><creatorcontrib>Las Hayas, Carlota</creatorcontrib><creatorcontrib>Padierna, Angel</creatorcontrib><creatorcontrib>Aguirre, Urko</creatorcontrib><creatorcontrib>González-Torres, M. Angel</creatorcontrib><title>Quality of life and motivation to change in eating disorders. Perception patient–psychiatrist</title><title>Eating behaviors : an international journal</title><addtitle>Eat Behav</addtitle><description>To assess motivation to change (Mch) of patients with an eating disorder (ED) and its relationship with quality-of-life (QoL) by comparing patient and psychiatrist perceptions.
Patients (n=358) with an ED completed the disease-specific Health-Related Quality of Life for Eating Disorders (HeRQoLED) questionnaire, the Eating Attitudes Test (EAT-26) and the Short-Form Health Survey (SF-12) at baseline; 273 completed them after 1year of treatment. The relationship between health-related quality of life (HRQoL) and the Mch stage was assessed using analysis of variance. Chi-square and Kappa statistical analysis assessed congruence in motivational change perception of the patients and psychiatrists.
Higher patient-reported Mch was associated with higher HRQoL at the study beginning and end but not using the patient Mch as perceived by the psychiatrist. Initially, the patient and psychiatrist perceptions of Mch differed (kappa coefficient, −0.01); after 1year they tended to converge (k=0.34).
Higher Mch and higher QoL are positively associated. However, patient and psychiatrist perceptions of Mch and the relationship with QoL differ. After 1year of treatment, these differences decreased.
► To assess the evolution of the motivation to change stage in eating disorder patients. ► There were differences between patient and psychiatrist perceptions. ► The quality of life improved after 1 year of treatment. ► A higher motivation to change was associated with a lower level of psychopathology.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>analysis of variance</subject><subject>attitudes and opinions</subject><subject>Biological and medical sciences</subject><subject>Body Image</subject><subject>Eating behavior disorders</subject><subject>Eating disorders</subject><subject>Feeding and Eating Disorders - psychology</subject><subject>Feeding and Eating Disorders - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Motivation</subject><subject>Motivation to change</subject><subject>patients</subject><subject>Psychiatry</subject><subject>Psychological Tests</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>questionnaires</subject><subject>Self Concept</subject><subject>surveys</subject><subject>Surveys and Questionnaires</subject><issn>1471-0153</issn><issn>1873-7358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1q3DAURkVIyOSnb1BabUpXdiXbsqxNIIQ2LQwkJc1ayNL1jAaP5UqawOz6DnnDPEk09STZBS5IoPPpuxyEPlKSU0Lrb6scVGxhmReE0jwNIc0BOqENLzNesuYw3StOM0JZOUOnIaxIignBjtGsKMqacVGfIPl7o3obt9h1uLcdYDUYvHbRPqho3YCjw3qphgVgO-BUaIcFNjY4b8CHHN-C1zD-J8f0CEN8-vc4hq1eWhW9DfEcHXWqD_Bhf56h-x_f_1z9zOY317-uLueZriiLmWHQmtaUvG0bQ6oCiBZMda3RwAVjhDeKgubCMCoqKgTtNGhS0QYYZ8zw8gx9nf4dvfu7gRDl2gYNfa8GcJsgRVEKRnlTJbKaSO1dCB46OXq7Vn4rKZE7s3IlJ7NyZ1amSWZT7NO-YNOuwbyGXlQm4MseUEGrvvNq0Da8cayum6LecZ8nrlNOqkWSJO_vUhMjqYaUZEdcTAQkYQ8WvAw6qdVgrAcdpXH2_V2fAWD6pDo</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>Muñoz, Pedro</creator><creator>Quintana, José María</creator><creator>Las Hayas, Carlota</creator><creator>Padierna, Angel</creator><creator>Aguirre, Urko</creator><creator>González-Torres, M. Angel</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>FBQ</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>7X8</scope></search><sort><creationdate>20120401</creationdate><title>Quality of life and motivation to change in eating disorders. Perception patient–psychiatrist</title><author>Muñoz, Pedro ; Quintana, José María ; Las Hayas, Carlota ; Padierna, Angel ; Aguirre, Urko ; González-Torres, M. Angel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-d5ebdbd37bb8d042e0c95afbdce7955078a1ec79d51941991fcec0418e5755d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>analysis of variance</topic><topic>attitudes and opinions</topic><topic>Biological and medical sciences</topic><topic>Body Image</topic><topic>Eating behavior disorders</topic><topic>Eating disorders</topic><topic>Feeding and Eating Disorders - psychology</topic><topic>Feeding and Eating Disorders - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Motivation</topic><topic>Motivation to change</topic><topic>patients</topic><topic>Psychiatry</topic><topic>Psychological Tests</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>questionnaires</topic><topic>Self Concept</topic><topic>surveys</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Muñoz, Pedro</creatorcontrib><creatorcontrib>Quintana, José María</creatorcontrib><creatorcontrib>Las Hayas, Carlota</creatorcontrib><creatorcontrib>Padierna, Angel</creatorcontrib><creatorcontrib>Aguirre, Urko</creatorcontrib><creatorcontrib>González-Torres, M. Angel</creatorcontrib><collection>AGRIS</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>MEDLINE - Academic</collection><jtitle>Eating behaviors : an international journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Muñoz, Pedro</au><au>Quintana, José María</au><au>Las Hayas, Carlota</au><au>Padierna, Angel</au><au>Aguirre, Urko</au><au>González-Torres, M. Angel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life and motivation to change in eating disorders. Perception patient–psychiatrist</atitle><jtitle>Eating behaviors : an international journal</jtitle><addtitle>Eat Behav</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>13</volume><issue>2</issue><spage>131</spage><epage>134</epage><pages>131-134</pages><issn>1471-0153</issn><eissn>1873-7358</eissn><abstract>To assess motivation to change (Mch) of patients with an eating disorder (ED) and its relationship with quality-of-life (QoL) by comparing patient and psychiatrist perceptions.
Patients (n=358) with an ED completed the disease-specific Health-Related Quality of Life for Eating Disorders (HeRQoLED) questionnaire, the Eating Attitudes Test (EAT-26) and the Short-Form Health Survey (SF-12) at baseline; 273 completed them after 1year of treatment. The relationship between health-related quality of life (HRQoL) and the Mch stage was assessed using analysis of variance. Chi-square and Kappa statistical analysis assessed congruence in motivational change perception of the patients and psychiatrists.
Higher patient-reported Mch was associated with higher HRQoL at the study beginning and end but not using the patient Mch as perceived by the psychiatrist. Initially, the patient and psychiatrist perceptions of Mch differed (kappa coefficient, −0.01); after 1year they tended to converge (k=0.34).
Higher Mch and higher QoL are positively associated. However, patient and psychiatrist perceptions of Mch and the relationship with QoL differ. After 1year of treatment, these differences decreased.
► To assess the evolution of the motivation to change stage in eating disorder patients. ► There were differences between patient and psychiatrist perceptions. ► The quality of life improved after 1 year of treatment. ► A higher motivation to change was associated with a lower level of psychopathology.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>22365796</pmid><doi>10.1016/j.eatbeh.2011.11.008</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
subjects | Adult Adult and adolescent clinical studies analysis of variance attitudes and opinions Biological and medical sciences Body Image Eating behavior disorders Eating disorders Feeding and Eating Disorders - psychology Feeding and Eating Disorders - therapy Female Humans Male Medical sciences Miscellaneous Motivation Motivation to change patients Psychiatry Psychological Tests Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of life Quality of Life - psychology questionnaires Self Concept surveys Surveys and Questionnaires |
title | Quality of life and motivation to change in eating disorders. Perception patient–psychiatrist |
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