title: Motivation-focused treatment for eating disorders: a sequential trial of enhanced cognitive behaviour therapy with and without preceding motivation-focused therapy.
abstract: OBJECTIVE
  To evaluate the effectiveness of a motivation-focused intervention prior to individual cognitive behavioural eating disorder treatment.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  In this sample, MFT + CBT-E was not associated with superior treatment outcome when compared with CBT-E as usual.
authors.affiliation: Centre for Clinical Interventions, Northbridge, Western Australia, Australia. karina.allen@uwa.edu.au
authors.forename: Karina L
authors.initials: KL
authors.lastname: Allen
authors.forename: Anthea
authors.initials: A
authors.lastname: Fursland
authors.forename: Bronwyn
authors.initials: B
authors.lastname: Raykos
authors.forename: Anna
authors.initials: A
authors.lastname: Steele
authors.forename: Hunna
authors.initials: H
authors.lastname: Watson
authors.forename: Susan M
authors.initials: SM
authors.lastname: Byrne
mesh_terms: D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D001068:Feeding and Eating Disorders / Q000523:psychology / Q000628:therapy*; D006801:Humans; D009042:Motivation; D011795:Surveys and Questionnaires; D016896:Treatment Outcome