Motivation to Change, Coping, and Self-Esteem in Adolescent Anorexia Nervosa

July 11, 2016 updated by: University of Zurich
By use of several questionaires, this study aimed at an investigation of the changes in motivation, symptoms, self-esteem and coping style in adolescent patients with anorexia nervosa.. The psychometric properties of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ) and its relation to coping style and self-esteem were assessed. After a treatment period of nine months, clinical AN diagnosis and the body mass index (BMI) were re-assessed. Besides construct validity of the ANSOCQ, its predictive validity in terms of predicting the outcome of AN was assessed.

Study Overview

Status

Completed

Detailed Description

N=92 adolescents referred to an eating disorders clinic meeting criteria for anorexia nervosa (AN) gave written informed consent to participate in this study and completed the ANSOCQ, the Eating Disorder Inventory (EDI-2), the Eating Attitudes Test (EAT), the Body Image Questionnaire (BIQ), two questionnaires measuring Self-Related Cognitions (SRC) and the Coping Across Situations Questionnaire (CASQ). After a treatment period of nine months, clinical AN diagnosis and the body mass index (BMI) were re-assessed. Exploratory factor analysis and logistic regressions were performed.

Study Type

Observational

Enrollment (Actual)

92

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

12 years to 19 years (Child, Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

N=92 adolescents referred to our eating disorders clinic meeting criteria for anorexia nervosa (AN).

Description

Inclusion Criteria:

  • Consecutive cohort of patients aged 12-19 years with a certified diagnosis of anorexia nervosa

Exclusion Criteria:

  • none

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Stages of Change
Time Frame: 9 months
The ANSOCQ measuring readiness to change in patients with anorexia nervosa.
9 months
Eating-Disorder inventory
Time Frame: 9 months
91 item self-report measure assessing symptoms and attitudes related to eating disorders. It consists of 11 subscales (drive for thinness, bulimia, body dissatisfaction, effectiveness, interpersonal distrust, interoceptive awareness, asceticism, perfectionism, social insecurity, maturity fears and impulse regulation)
9 months
Rosenberg Self-esteem Scale
Time Frame: 9 months
10 item self-report scale measure assessing self-esteem.
9 months
German Coping Across Situations Questionnaire
Time Frame: 9 months
Questionnaire assessing coping behavior in four problem areas (school, parents, peers and the opposite sex). 20 items in each area.
9 months
Body Mass Index
Time Frame: 9 months
Rating of weight in relation of a persons height
9 months
Body-Image-Questionnaire
Time Frame: 9 months
A self-report measure assessing different aspects of body perception based on the model of semantic differentials.
9 months
Eating Attitudes Test
Time Frame: 9 months
40 item self-report measure assessing eating attitudes and symptoms related to eating disorders. It consists of 3 subscales (dieting, bulimia and oral control).
9 months
Questionnaire for the assessment of dispositional self-awareness
Time Frame: 9 months
Measure assessing private self-awareness (meta-cognitions regarding the private self) and public self-awareness (perception of oneself in presence of others).
9 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Hans-Christoph Steinhausen, Department of Child and Adolescent Psychiatry and Psychotherapy

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2010

Primary Completion (Actual)

December 1, 2014

Study Completion (Actual)

December 1, 2014

Study Registration Dates

First Submitted

July 4, 2016

First Submitted That Met QC Criteria

July 11, 2016

First Posted (Estimate)

July 12, 2016

Study Record Updates

Last Update Posted (Estimate)

July 12, 2016

Last Update Submitted That Met QC Criteria

July 11, 2016

Last Verified

July 1, 2016

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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