{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T14:21:49Z","timestamp":1761920509779,"version":"3.40.5"},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T00:00:00Z","timestamp":1535760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>According to Self\u2010Determination Theory, when motivation to reach an objective is fully internal, it is said to be \u201cautonomous\u201d; when driven by external incentives, it is said to be \u201ccontrolled\u201d. Previous research has indicated that autonomously motivated individuals show better response to treatments for eating disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>In individuals undergoing different intensities of outpatient treatment for an eating disorder, we sought to assess associations between autonomous and controlled motivations and response to treatment on the one hand, and likelihood of dropping out of treatment, on the other.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Seven hundred seventy adults meeting DSM\u20105 criteria for an eating disorder (216 with Anorexia Nervosa, 282 with Bulimia Nervosa, and 272 with Other Specified Feeding or Eating Disorder) were included in this study. Before an interval of outpatient treatment, individuals completed the Eating Disorder Examination Questionnaire and the Autonomous and Controlled Motivations for Treatment Questionnaire. Participants completed the Eating Disorder Examination Questionnaire again at one or two subsequent timepoints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After controlling for diagnosis, treatment intensity, and number of previous treatments, analyses showed that higher autonomous motivation was associated with better response on eating\u2010disorder overall symptoms and lower likelihood of dropping out of treatment. In contrast, controlled motivation was not associated with response to treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our results suggest that autonomous motivation has trans\u2010diagnostic influence upon response to various intensities of treatment for an eating disorder. In support of an autonomy supportive approach to treatment, findings link autonomous motivation with more favorable outcome.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22901","type":"journal-article","created":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T12:49:06Z","timestamp":1535806146000},"page":"1194-1200","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Prognostic value of autonomous and controlled motivation in outpatient eating\u2010disorder treatment"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0701-4643","authenticated-orcid":false,"given":"Jeanne","family":"Sansfa\u00e7on","sequence":"first","affiliation":[{"name":"Department of Psychiatry McGill University  Montr\u00e9al Canada"},{"name":"Eating Disorders Program Douglas Mental Health Institute  Montr\u00e9al Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lise","family":"Gauvin","sequence":"additional","affiliation":[{"name":"D\u00e9partement de m\u00e9decine sociale et pr\u00e9ventive Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Canada"},{"name":"CHUM Research Center  Montr\u00e9al Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9milie","family":"Fletcher","sequence":"additional","affiliation":[{"name":"Eating Disorders Program Douglas Mental Health Institute  Montr\u00e9al Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana\u00eblle","family":"Cottier","sequence":"additional","affiliation":[{"name":"Department of Psychiatry McGill University  Montr\u00e9al Canada"},{"name":"Eating Disorders Program Douglas Mental Health Institute  Montr\u00e9al Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika","family":"Rossi","sequence":"additional","affiliation":[{"name":"Eating Disorders Program Douglas Mental Health Institute  Montr\u00e9al Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Kahan","sequence":"additional","affiliation":[{"name":"Eating Disorders Program Douglas Mental Health Institute  Montr\u00e9al Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mimi","family":"Isra\u00ebl","sequence":"additional","affiliation":[{"name":"Department of Psychiatry McGill University  Montr\u00e9al Canada"},{"name":"Eating Disorders Program Douglas Mental Health Institute  Montr\u00e9al Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Steiger","sequence":"additional","affiliation":[{"name":"Department of Psychiatry McGill University  Montr\u00e9al Canada"},{"name":"Eating Disorders Program Douglas Mental Health Institute  Montr\u00e9al Canada"},{"name":"Department of Psychology Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al (UQAM)  Montr\u00e9al Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-017-0172-5"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2004.00360.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20513"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12062"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.1045"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22156"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.1026"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15327965PLI1104_01"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.06.008"},{"volume-title":"Cognitive behavior therapy and eating disorders","year":"2008","author":"Fairburn C. 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