Expanding the concept of motivation to change: The content of patients' wish to recover from anorexia nervosa
Article first published online: 4 JUN 2008
Copyright © 2008 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 41, Issue 7, pages 635–642, November 2008
How to Cite
Nordbø, R. H.S., Gulliksen, K. S., Espeset, E. M.S., Skårderud, F., Geller, J. and Holte, A. (2008), Expanding the concept of motivation to change: The content of patients' wish to recover from anorexia nervosa. Int. J. Eat. Disord., 41: 635–642. doi: 10.1002/eat.20547
- Issue published online: 6 OCT 2008
- Article first published online: 4 JUN 2008
- Manuscript Accepted: 26 FEB 2008
- Norwegian Foundation for Health and Rehabilitation and Research Council of Norway
- eating disorder;
Motivational approaches to anorexia nervosa (AN) have mainly concerned motivational quality and quantity. We investigated the content of patients' wish to recover.
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.
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).
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