{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T23:20:25Z","timestamp":1785540025515,"version":"3.56.0"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2017,6,14]],"date-time":"2017-06-14T00:00:00Z","timestamp":1497398400000},"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":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Across diverse clinical problems, therapists\u2019 autonomy support has been found to increase patients\u2019 autonomous motivation for change. Being self\u2010motivated has, in turn, been linked to superior treatment response. In people undergoing outpatient eating disorder (ED) treatment, we examined associations among ratings of autonomy support received from therapists and other carers, self\u2010reported engagement in therapy, and clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Ninety\u2010seven women with anorexia nervosa, bulimia nervosa, or a related ED provided measures of motivational status and clinical symptoms at the beginning and end of time\u2010limited (12\u201316 weeks) segments of specialized treatment. At mid\u2010treatment, patients also rated the extent to which they perceived their individual therapists, group therapists, group\u2010therapy peers, family members, friends, and romantic partners as being autonomy supportive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, multiple regression analyses indicated autonomy support to moderate (rather than mediate) the link between initial autonomous motivation and later change in autonomous motivation\u2014with results indicating that, independently of ED diagnosis or treatment intensity, greater perceived autonomy support (from therapists and nontherapists alike) coincided with larger increases in autonomous motivation over the course of therapy. In turn, higher autonomous motivation at end\u2010of\u2010therapy coincided with larger reductions in eating symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Findings suggest that the experience of autonomy support (from therapists and nontherapists) is associated with increasing motivation in people undergoing ED treatment, and that becoming self\u2010motivated is linked to better outcomes. Such results indicate that support from therapists, relatives, and peers can favorably influence personal engagement in individuals undergoing ED treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22734","type":"journal-article","created":{"date-parts":[[2017,6,15]],"date-time":"2017-06-15T11:22:07Z","timestamp":1497525727000},"page":"1058-1066","source":"Crossref","is-referenced-by-count":37,"title":["Autonomy support and autonomous motivation in the outpatient treatment of adults with an eating disorder"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4887-7824","authenticated-orcid":false,"given":"Howard","family":"Steiger","sequence":"first","affiliation":[{"name":"Eating Disorders Continuum, Douglas University Institute Verdun Quebec Canada"},{"name":"Psychiatry Department McGill University Verdun Quebec Canada"},{"name":"Research Centre, Douglas University institute Verdun Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanne","family":"Sansfa\u00e7on","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum, Douglas University Institute Verdun Quebec Canada"},{"name":"Psychiatry Department McGill University Verdun Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea","family":"Thaler","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum, Douglas University Institute Verdun Quebec Canada"},{"name":"Psychiatry Department McGill University Verdun Quebec Canada"},{"name":"Research Centre, Douglas University institute Verdun Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niamh","family":"Leonard","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum, Douglas University Institute Verdun Quebec Canada"},{"name":"Research Centre, Douglas University institute Verdun Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana\u00eblle","family":"Cottier","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum, Douglas University Institute Verdun Quebec Canada"},{"name":"Research Centre, Douglas University institute Verdun Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Kahan","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum, Douglas University Institute Verdun Quebec Canada"},{"name":"Research Centre, Douglas University institute Verdun Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilie","family":"Fletcher","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum, Douglas University Institute Verdun Quebec Canada"},{"name":"Research Centre, Douglas University institute Verdun Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Rossi","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum, Douglas University Institute Verdun Quebec Canada"},{"name":"Research Centre, Douglas University institute Verdun Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mimi","family":"Israel","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum, Douglas University Institute Verdun Quebec Canada"},{"name":"Psychiatry Department McGill University Verdun Quebec Canada"},{"name":"Research Centre, Douglas University institute Verdun Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lise","family":"Gauvin","sequence":"additional","affiliation":[{"name":"Centre de recherche du Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al (CRCHUM) Verdun Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,6,14]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423370"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.51.6.1173"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20513"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1891\/0889-8391.26.1.19"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12062"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.1045"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.06.005"},{"key":"e_1_2_5_11_1","volume-title":"Cognitive behaviour therapy and eating disorders","author":"Fairburn C. 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