Premium
Motivation‐focused Treatment for Eating Disorders: A Sequential Trial of Enhanced Cognitive Behaviour Therapy with and without Preceding Motivation‐Focused Therapy
Author(s) -
Allen Karina L.,
Fursland Anthea,
Raykos Bronwyn,
Steele Anna,
Watson Hunna,
Byrne Susan M.
Publication year - 2012
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.1131
Subject(s) - eating disorders , psychology , clinical psychology , cognition , cognitive therapy , cognitive behavioral therapy , cognitive behaviour therapy , intervention (counseling) , bulimia nervosa , psychiatry , psychotherapist
Objective To evaluate the effectiveness of a motivation‐focused intervention prior to individual cognitive behavioural eating disorder treatment. Method Enhanced cognitive–behavioural therapy (CBT‐E) in its usual form was compared with CBT‐E preceded by four sessions of motivation‐focused therapy (MFT) (MFT + CBT‐E). Participants were adult outpatients seen at a specialist eating disorder clinic in Western Australia, who met criteria for a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition eating disorder. A sequential trial of CBT‐E as usual ( n = 43) and MFT + CBT‐E ( n = 52) was conducted over a 40‐month period. Results The MFT phase was associated with significant increases in readiness to change. There were no significant between‐group differences in treatment completion rates, and treatment completers in both conditions reported comparable reductions in eating disorder symptoms over time. Conclusion In this sample, MFT + CBT‐E was not associated with superior treatment outcome when compared with CBT‐E as usual. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.