{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T13:31:04Z","timestamp":1763645464092,"version":"3.45.0"},"reference-count":61,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T00:00:00Z","timestamp":1739577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007502","name":"Stichting tot Steun Vereniging tot Christelijke Verzorging van Geestes- en Zenuwzieken","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007502","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Motivation to change significantly impacts treatment outcomes in eating disorders (EDs). This study investigated patient\u2010related factors associated with motivation to change in adolescents with first\u2010onset anorexia nervosa (AN). Understanding these factors will help tailor interventions to individual needs, enhancing treatment outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Seventy\u2010six female adolescents with first\u2010onset AN completed the Readiness and Motivation Questionnaire (RMQ)\u2014Dutch translation. ED symptoms, body mass index, and comorbidity (depressive, anxiety, obsessive\u2010compulsive, autism spectrum disorder, and attention deficit and hyperactivity disorder symptoms) were analysed using linear regression analyses. As a secondary aim, the association between specific ED behaviours and motivation to change was analysed. This project was preregistered:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/osf.io\/vx9ud\/\">https:\/\/osf.io\/vx9ud\/<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Adolescents with more severe ED symptoms, depressive symptoms, and obsessive\u2010compulsive symptoms, experienced lower motivation to change. The severity of ED symptoms emerged as the most important factor associated with motivation to change, specifically ED symptoms concerning weight and body shape. Additionally, laxative misuse was associated with greater motivation to change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The link between motivation to change and ED symptoms suggests that early treatment can improve outcomes by reducing ED symptoms and facilitating change. Furthermore, addressing depression during treatment might enhance motivation to change.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/erv.3182","type":"journal-article","created":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T12:23:41Z","timestamp":1739622221000},"page":"763-775","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient\u2010Related Factors Influencing Motivation to Change in Adolescents With First\u2010Onset Anorexia Nervosa: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4372-2930","authenticated-orcid":false,"given":"Elisabeth De","family":"Mey","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry University Hospitals Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1096-0375","authenticated-orcid":false,"given":"Marisha N.","family":"Meijer","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry\/Psychology Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0845-1749","authenticated-orcid":false,"given":"Katrien F. M.","family":"Brack\u00e9","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry\/Psychology Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"},{"name":"Department of Radiology and Nuclear Medicine Erasmus MC  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7306-1101","authenticated-orcid":false,"given":"Cathelijne P. M.","family":"Steegers","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry\/Psychology Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4877-282X","authenticated-orcid":false,"given":"Manon H. J.","family":"Hillegers","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry\/Psychology Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7168-963X","authenticated-orcid":false,"given":"Marina","family":"Danckaerts","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry University Hospitals Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0271-1896","authenticated-orcid":false,"given":"Tonya","family":"White","sequence":"additional","affiliation":[{"name":"Section on Social and Cognitive Developmental Neuroscience National Institutes of Mental Health  Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9700-5606","authenticated-orcid":false,"given":"Gwendolyn C.","family":"Dieleman","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry\/Psychology Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,15]]},"reference":[{"volume-title":"Manual for the ASEBA Adult Forms & Profiles","year":"2003","author":"Achenbach T. 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