Group motivational enhancement therapy as an adjunct to inpatient treatment for eating disorders: a preliminary study.
Difficulties in fostering eating disorder (ED) patients' motivations to overcome their illness are widely considered to be a major hurdle in the course of successful treatment. However, no previous study has assessed the use of interventions specifically designed to target poor motivation amongst patients with illnesses that are severe enough to warrant hospitalisation.


OBJECTIVE
A brief Motivational Enhancement Therapy (MET) group programme for inpatient ED sufferers was developed and evaluated.


METHODS
Forty two consecutive inpatients were sequentially allocated to treatment groups. Twenty three inpatients completed a four session MET group programme in addition to routine hospital care. A control group of 19 participants completed treatment as usual (TAU).


RESULTS
Despite an absence of significant differences between the MET and the TAU groups on the overall formal outcome measures, there were nevertheless differences between the groups. Specifically, the MET groups appeared to foster longer term motivation and engagement, and to promote treatment continuation.


CONCLUSIONS
The results tentatively suggest that MET could be valuable for the treatment of inpatient eating disorder patients and further research is warranted.
School of Psychology, University of Sydney, Australia.
Helen Y
HY
Dean
Stephen W
SW
Touyz
Elizabeth
E
Rieger
Christopher E
CE
Thornton
D000293:Adolescent; D000328:Adult; D001315:Australia; D001068:Feeding and Eating Disorders / Q000523:psychology* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data; D009042:Motivation; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000379:methods / Q000706:statistics & numerical data; D011615:Psychotherapy, Group / Q000379:methods*; D016896:Treatment Outcome