Motivation-focused Treatment for Eating Disorders: A Sequential Trial of Enhanced Cognitive Behaviour Therapy with and without Preceding Motivation-Focused Therapy

ArticleinEuropean Eating Disorders Review 20(3):232-9 · May 2012with13 Reads
Impact Factor: 2.46 · DOI: 10.1002/erv.1131 · Source: PubMed


    To evaluate the effectiveness of a motivation-focused intervention prior to individual cognitive behavioural eating disorder treatment.
    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.
    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.
    In this sample, MFT + CBT-E was not associated with superior treatment outcome when compared with CBT-E as usual.