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Motivation to change predicts naturalistic changes in binge eating and purging, but not fasting or driven exercise among individuals with eating disorders.

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  • معلومة اضافية
    • المصدر:
      Publisher: Routledge Country of Publication: United States NLM ID: 9315161 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-530X (Electronic) Linking ISSN: 10640266 NLM ISO Abbreviation: Eat Disord Subsets: MEDLINE
    • بيانات النشر:
      Publication: <2013- > : Philadelphia, PA : Routledge
      Original Publication: New York, NY : Brunner/Mazel Publishers, c1993-
    • الموضوع:
      Binge-Eating Disorder* ; Bulimia* ; Feeding and Eating Disorders*; Fasting ; Humans ; Motivation
    • نبذة مختصرة :
      We examined the naturalistic relations between motivation to change and change in four specific eating disorder (ED) behaviors-binge eating (BE), purging, fasting, and driven exercise-in a community-based sample of individuals with EDs over two consecutive 6-week periods. We conducted cross-lagged generalized estimating equations using the transtheoretical model's four stages of change to predict changes in the ED behaviors 6 weeks later. Individuals reported lower pre-contemplation for behaviors typically associated with more distress (e.g., BE, purging) than they did for behaviors associated with less distress (e.g., fasting and driven exercise). Action predicted decreases in BE and purging frequencies but not fasting or driven exercise frequencies. Naturalistic relations between ED behavior severity/frequency and motivation to change these features can be detected over 6-week intervals; that is, attempts at change in individuals' natural environments can be successful over relatively brief periods of time, especially when individuals experience the motivation to change these features. The process of motivation to change ED behaviors is not linear, and our study highlights the movement between stages of change among individuals with EDs. Future research is needed to examine how much of the observed changes are sustained.
    • الموضوع:
      Date Created: 20201102 Date Completed: 20220608 Latest Revision: 20220608
    • الموضوع:
      20240829
    • الرقم المعرف:
      10.1080/10640266.2020.1823174
    • الرقم المعرف:
      33135984