Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2025
Influence of individual illness perception on readiness to change behavior in patients with anorexia nervosa.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Neu Leonie, Maunz Lucas, Vedova Sophia, Schurr Timo, Mangweth-Matzek Barbara, Sperner-Unterweger Barbara, Holzner Bernhard, Hüfner Katharina
Аннотация
BACKGROUND: Treating patients with anorexia nervosa (AN) is generally prolonged or often ineffective. A key factor influencing treatment is the high level of ambivalence patients feel regarding the necessary behavioral changes. We examined the trajectories of patients' readiness to change throughout their inpatient stay, considering the influence of their illness perceptions.
METHODS: Data from clinical routine monitoring at the Department of Psychosomatic Medicine at Medical University Innsbruck, collected between 2015 and 2024, were analyzed. Monitoring included questionnaires assessing readiness to change (Fragebogen zur Erfassung der Veränderungsbereitschaft [FEVER], biweekly) and the patients' individual perception of illness (Brief Illness Perception Questionnaire [B-IPQ], weekly). Data analysis was conducted using linear mixed models, considering data from 189 adult patients (2321 data points) diagnosed with AN or atypical AN (F 50.0, F 50.1; 94.9% female; average length of hospital stay 5.3 weeks).
RESULTS: Willingness to change shifted during treatment, with lower precontemplation and higher action scores at discharge. In linear mixed-effects models, higher perceived treatment control, illness concern, and consequences were significantly associated with more advanced stages of change.
CONCLUSION: The results indicate that an individual's perception of their illness influences their readiness to change. This underscores the importance of continuously integrating patients' perceptions into treatment and collaboratively addressing their assumptions and beliefs.
METHODS: Data from clinical routine monitoring at the Department of Psychosomatic Medicine at Medical University Innsbruck, collected between 2015 and 2024, were analyzed. Monitoring included questionnaires assessing readiness to change (Fragebogen zur Erfassung der Veränderungsbereitschaft [FEVER], biweekly) and the patients' individual perception of illness (Brief Illness Perception Questionnaire [B-IPQ], weekly). Data analysis was conducted using linear mixed models, considering data from 189 adult patients (2321 data points) diagnosed with AN or atypical AN (F 50.0, F 50.1; 94.9% female; average length of hospital stay 5.3 weeks).
RESULTS: Willingness to change shifted during treatment, with lower precontemplation and higher action scores at discharge. In linear mixed-effects models, higher perceived treatment control, illness concern, and consequences were significantly associated with more advanced stages of change.
CONCLUSION: The results indicate that an individual's perception of their illness influences their readiness to change. This underscores the importance of continuously integrating patients' perceptions into treatment and collaboratively addressing their assumptions and beliefs.