title: Quality of life and motivation to change in eating disorders. Perception patient-psychiatrist.
abstract: OBJECTIVE
  To assess motivation to change (Mch) of patients with an eating disorder (ED) and its relationship with quality-of-life (QoL) by comparing patient and psychiatrist perceptions.
  
  
  METHODS
  Patients (n=358) with an ED completed the disease-specific Health-Related Quality of Life for Eating Disorders (HeRQoLED) questionnaire, the Eating Attitudes Test (EAT-26) and the Short-Form Health Survey (SF-12) at baseline; 273 completed them after 1 year of treatment. The relationship between health-related quality of life (HRQoL) and the Mch stage was assessed using analysis of variance. Chi-square and Kappa statistical analysis assessed congruence in motivational change perception of the patients and psychiatrists.
  
  
  RESULTS
  Higher patient-reported Mch was associated with higher HRQoL at the study beginning and end but not using the patient Mch as perceived by the psychiatrist. Initially, the patient and psychiatrist perceptions of Mch differed (kappa coefficient, -0.01); after 1 year they tended to converge (k=0.34).
  
  
  CONCLUSIONS
  Higher Mch and higher QoL are positively associated. However, patient and psychiatrist perceptions of Mch and the relationship with QoL differ. After 1 year of treatment, these differences decreased.
authors.affiliation: Department of Psychiatry, Ortuella Mental Health Center, Ortuella, Bizkaia, Spain. pedro.munozdominguez@osakidetza.net
authors.forename: Pedro
authors.initials: P
authors.lastname: Muñoz
authors.forename: José María
authors.initials: JM
authors.lastname: Quintana
authors.forename: Carlota
authors.initials: C
authors.lastname: Las Hayas
authors.forename: Angel
authors.initials: A
authors.lastname: Padierna
authors.forename: Urko
authors.initials: U
authors.lastname: Aguirre
authors.forename: M Angel
authors.initials: MA
authors.lastname: González-Torres
mesh_terms: D000328:Adult; D001828:Body Image; D001068:Feeding and Eating Disorders / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D011570:Psychiatry; D011581:Psychological Tests; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D011795:Surveys and Questionnaires