Evidence map›Paper›PMID 39954247›Full record

ArticleEuropean eating disorders review : the journal of the Eating Disorders Association2025

Patient-Related Factors Influencing Motivation to Change in Adolescents With First-Onset Anorexia Nervosa: A Cross-Sectional Study.

Elisabeth De Mey, Marisha N Meijer, Katrien F M Bracké, Cathelijne P M Steegers, Manon H J Hillegers, Marina Danckaerts, Tonya White, Gwendolyn C Dieleman

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Article in European eating disorders review : the journal of the Eating Disorders Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elisabeth De MeyDepartment of Child and Adolescent Psychiatry, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0009-0001-4372-2930
Marisha N MeijerDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, Rotterdam, the Netherlands.ORCID https://orcid.org/0009-0009-1096-0375
Katrien F M BrackéDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0003-0845-1749
Cathelijne P M SteegersDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0001-7306-1101
Manon H J HillegersDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0003-4877-282X
Marina DanckaertsDepartment of Child and Adolescent Psychiatry, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-7168-963X
Tonya WhiteSection on Social and Cognitive Developmental Neuroscience, National Institutes of Mental Health, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0003-0271-1896
Gwendolyn C DielemanDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0001-9700-5606

Funding

department of Radiology and Nuclear Medicine of the Erasmus University Medical CenterIntramural Research Program from the National Institutes of Mental HealthSophia Foundation for Scientific Research S15-13Sophia Foundation for Scientific Research S22-65Stichting tot Steun Vereniging tot Christelijke Verzorging van Geestes-en Zenuwzieken
6 · The paper itself

Abstract

objectiveMotivation to change significantly impacts treatment outcomes in eating disorders (EDs). This study investigated patient-related factors associated with motivation to change in adolescents with first-onset anorexia nervosa (AN). Understanding these factors will help tailor interventions to individual needs, enhancing treatment outcomes.

methodSeventy-six female adolescents with first-onset AN completed the Readiness and Motivation Questionnaire (RMQ)-Dutch translation. ED symptoms, body mass index, and comorbidity (depressive, anxiety, obsessive-compulsive, autism spectrum disorder, and attention deficit and hyperactivity disorder symptoms) were analysed using linear regression analyses. As a secondary aim, the association between specific ED behaviours and motivation to change was analysed. This project was preregistered: https://osf.io/vx9ud/.

resultsAdolescents with more severe ED symptoms, depressive symptoms, and obsessive-compulsive symptoms, experienced lower motivation to change. The severity of ED symptoms emerged as the most important factor associated with motivation to change, specifically ED symptoms concerning weight and body shape. Additionally, laxative misuse was associated with greater motivation to change.

conclusionsThe link between motivation to change and ED symptoms suggests that early treatment can improve outcomes by reducing ED symptoms and facilitating change. Furthermore, addressing depression during treatment might enhance motivation to change.

Indexed as

Anorexia NervosaMotivationAdolescentCross-Sectional StudiesDepressionFemaleHumansSurveys and Questionnairesadolescentanorexia nervosafirst onsetmotivation to changeRMQ

Identifiers

PMID39954247
PMCPMC12171662

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.