Psychological change mechanisms in anorexia nervosa Treatments: how much do we know?
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Psychological change mechanisms in anorexia nervosa Treatments: how much do we know? / Wollburg, Eileen; Meyer, Björn; Osen, Bernhard; Löwe, Bernd.
In: J CLIN PSYCHOL, Vol. 69, No. 7, 01.07.2013, p. 762-73.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Psychological change mechanisms in anorexia nervosa Treatments: how much do we know?
AU - Wollburg, Eileen
AU - Meyer, Björn
AU - Osen, Bernhard
AU - Löwe, Bernd
N1 - © 2013 Wiley Periodicals, Inc.
PY - 2013/7/1
Y1 - 2013/7/1
N2 - OBJECTIVE: Anorexia nervosa (AN) is a debilitating and often chronic and treatment-resistant disorder. Despite decades of theoretical progress and research, many questions remain with regard to the psychological mechanisms explaining why and how some AN patients respond to treatment whereas others do not. Based on the premise that the broader, noneating disorders psychotherapy research literature, and particularly the common factors literature, can inform AN treatment development efforts, we review a set of selected psychological change mechanisms and describe how they might be relevant in the context of AN treatment response. Specifically, we suggest that a systematic consideration of constructs such as basic psychological needs, expectancies, the therapeutic alliance, experiential avoidance, and patient motivation for change might help illuminate how patients do or do not benefit from AN treatment. We briefly describe an ongoing multicenter trial in which the constructs introduced here are being measured on a weekly basis and are examined as potential mediators of treatment response. The article aims to contribute to the AN literature by introducing a set of potentially important change constructs that we think ought to be studied in greater depth by AN researchers.
AB - OBJECTIVE: Anorexia nervosa (AN) is a debilitating and often chronic and treatment-resistant disorder. Despite decades of theoretical progress and research, many questions remain with regard to the psychological mechanisms explaining why and how some AN patients respond to treatment whereas others do not. Based on the premise that the broader, noneating disorders psychotherapy research literature, and particularly the common factors literature, can inform AN treatment development efforts, we review a set of selected psychological change mechanisms and describe how they might be relevant in the context of AN treatment response. Specifically, we suggest that a systematic consideration of constructs such as basic psychological needs, expectancies, the therapeutic alliance, experiential avoidance, and patient motivation for change might help illuminate how patients do or do not benefit from AN treatment. We briefly describe an ongoing multicenter trial in which the constructs introduced here are being measured on a weekly basis and are examined as potential mediators of treatment response. The article aims to contribute to the AN literature by introducing a set of potentially important change constructs that we think ought to be studied in greater depth by AN researchers.
KW - Anorexia Nervosa
KW - Attitude to Health
KW - Cognition
KW - Humans
KW - Motivation
KW - Psychotherapeutic Processes
U2 - 10.1002/jclp.21945
DO - 10.1002/jclp.21945
M3 - SCORING: Journal article
C2 - 23349069
VL - 69
SP - 762
EP - 773
JO - J CLIN PSYCHOL
JF - J CLIN PSYCHOL
SN - 0021-9762
IS - 7
ER -