{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T06:58:32Z","timestamp":1789714712813,"version":"4.0.1"},"reference-count":60,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,3,3]],"date-time":"2014-03-03T00:00:00Z","timestamp":1393804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Although several studies have established the beneficial effects of self\u2010endorsed forms of motivation for lasting therapeutic change, the way patients with an eating disorder can be encouraged to volitionally pursue change has received less attention. On the basis of Self\u2010Determination Theory, this longitudinal study addressed the role of an autonomy\u2010supportive environment and psychological need satisfaction in fostering self\u2010endorsed motivation for change and subsequent weight gain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Female inpatients (<jats:italic>n<\/jats:italic>\u2009=\u200984) with mainly anorexia nervosa and bulimia nervosa filled out questionnaires at the onset of, during, and at the end of treatment regarding their perceived autonomy support from parents, staff members, and fellow patients, their psychological need satisfaction, and their reasons for undertaking change. Furthermore, the body mass index (BMI) of the patients at the onset and end of treatment was assessed by the staff. Path analyses were used to investigate the relations between these constructs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At the start of treatment, perceived parental autonomy support related positively to self\u2010endorsed motivation through psychological need satisfaction. Perceived staff and fellow patients autonomy support related to changes in self\u2010endorsed motivation over the course of treatment through fostering change in psychological need satisfaction. Finally, relative increases in self\u2010endorsed motivation related to relative increases in BMI throughout treatment in a subgroup of patients with anorexia nervosa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>These results point to the importance of an autonomy\u2010supportive context for facilitating self\u2010endorsed motivation. \u00a9 2014 Wiley Periodicals, Inc. 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