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DOI: 10.1055/s-0032-1321882
Entwicklung und Validierung einer deutschsprachigen Skala zur Erfassung der Veränderungsmotivation bei Essstörungen – The Stages of Change Questionnaire for Eating Disorders (SOCQ-ED)
Development and Validation of a German Questionnaire Assessing Motivation to Change in Eating Disorders – The Stages of Change Questionnaire for Eating Disorders (SOCQ-ED)Publikationsverlauf
eingereicht 18. April 2012
akzeptiert 06. Juli 2012
Publikationsdatum:
17. Dezember 2012 (online)
Zusammenfassung
In der vorliegenden Studie wird die Entwicklung und Validierung des Stages of Change Questionnaire- Eating Disorders (SOCQ-ED) beschrieben, einem deutschsprachigen Messinstrument zur Erfassung der Veränderungsmotivation bei Essstörungen basierend auf dem Transtheoretischen Modell der Veränderung. Der SOCQ-ED wurde aus englischsprachigen Fragebögen entwickelt und erfasst die Veränderungsmotivation separat für die unterschiedlichen Symptombereiche der Anorexia und Bulimia Nervosa. Die psychometrischen Eigenschaften wurden anhand einer Stichprobe von N=63 Frauen mit Anorexia und Bulimia Nervosa bestimmt. Die Test-Retest-Reliabilitäten lagen zwischen rtt=0,42–0,78 (Mdn=0,56), Korrelationen mit dem Fragebogen zur Erfassung der Veränderungsmotivation zwischen r=0,21–0,32 und Korrelationen zu Maßen der Essstörungssymptomatik zwischen r=0,19–0,46. Insgesamt belegen die Ergebnisse eine ausreichende Reliabilität und Validität des SOCQ-ED.
Abstract
The present study describes the development and validation of a German questionnaire assessing motivation to change in individuals with eating disorders (Stages of Change Questionnaire-Eating Disorders, SOCQ-ED). The SOCQ-ED measures stages of change separately for each eating disorder symptom domain. Psychometric properties were assessed in a sample of N=63 women with Anorexia Nervosa or Bulimia Nervosa. Test-retest reliability ranged from rtt=0.42 to 0.78 (Mdn=0.56), correlations with the University of Rhode Island Change Assessment were between r=0.21 and 0.32 and correlations with measurements of eating pathology ranged from r=0.19 to 0.46. The results provide initial support for the reliability and validity of the SOCQ-ED.
Schlüsselwörter
Transtheoretisches Modell - Phasen der Veränderung - Motivation - Diagnostik - Essstörungen-
Literatur
- 1 Mitchell JE, Halmi K, Wilson GT et al. A randomized secondary treatment study of women with bulimia nervosa who fail to respond to CBT. Int J Eat Disord 2002; 32: 271-281
- 2 Pike KM. Long-term course of anorexia nervosa: response, relapse, remission, and recovery. Clin Psychol Rev 1998; 18: 447-475
- 3 Carter JC, McFarlane TL, Bewell C et al. Maintenance treatment for anorexia nervosa: a comparison of cognitive behavior therapy and treatment as usual. Int J Eat Disord 2009; 42: 202-207
- 4 Fairburn CG, Peveler RC, Jones R et al. Predictors of 12-month outcome in bulimia nervosa and the influence of attitudes to shape and weight. J Consult Clin Psychol 1993; 61: 696-698
- 5 Bandini S, Antonelli G, Moretti P et al. Factors affecting dropout in outpatient eating disorder treatment. Eat Weight Disord 2006; 11: 179-184
- 6 Fairburn CG. Evidence-based treatment of anorexia nervosa. Int J Eat Disord 2005; 37 (S1) 26-30
- 7 Wolk SL, Devlin MJ. Stage of change as a predictor of response to psychotherapy for bulimia nervosa. Int J Eat Disord 2001; 30: 96-100
- 8 Geller J, Drab-Hudson DL, Whisenhunt BL et al. Readiness to change dietary restriction predicts outcomes in the eating disorders. Eat Disord 2004; 12: 209-224
- 9 Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot 1997; 12: 38-48
- 10 Treasure J, Katzman M, Schmidt S et al. Engagement and outcome in the treatment of bulimia nervosa: first phase of a sequential design comparing motivation enhancement therapy and cognitive behavioural therapy. Behav Res Ther 1999; 37: 405-418
- 11 Martínez E, Castro J, Bigorra A et al. Assessing motivation to change in bulimia nervosa: the Bulimia Nervosa Stages of Change Questionnaire. Eur Eat Disord Rev 2007; 15: 13-23
- 12 Casasnovas C, Fernández-Aranda F, Granero R et al. Motivation to change in eating disorders: clinical and therapeutic implications. Eur Eat Disord Rev 2007; 15: 449-456
- 13 Rieger E, Touyz S, Schotte D et al. Development of an instrument to assess readiness to recover in anorexia nervosa. Int J Eat Disord 2000; 28: 387-396
- 14 Rieger E, Touyz SW, Beumont PJV. The Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ): information regarding its psychometric properties. Int J Eat Disord 2002; 32: 24-38
- 15 Von Wietersheim J, Hoffmann C. Erhebungsinstrumente zur Veränderungsmotivation von Patientinnen mit Anorexia nervosa im Vergleich. Z Psychosom Med Psychother 2011; 57: 62-76
- 16 Dunn EC, Neighbors C, Larimer M. Assessing readiness to change binge eating and compensatory behaviors. Eat Behav 2003; 4: 305-314
- 17 Perkins S, Schmidt U, Eisler I et al. Motivation to change in recent onset and long-standing bulimia nervosa: are there differences?. Journal of Eat Weight Disord 2007; 12: 61-69
- 18 Milos G, Spindler A, Schnyder U. Instability of eating disorder diagnoses: prospective study. Br J Psychiatry 2005; 187: 573-578
- 19 Gleaves DH, Lowe MR, Green BA et al. Do anorexia and bulimia nervosa occur on a continuum? A taxometric analysis. Behav Ther 2000; 31: 195-219
- 20 Hasler G, Klaghofer R, Buddeberg C. Der Fragebogen zur Erfassung der Veränderungsbereitschaft (FEVER): Testung der deutschen Version der University of Rhode Island Change Assessment Scale (URICA). Psychother Psychosom Med Psychol 2003; 53: 406-411
- 21 Saß H, Wittchen H-U, Zaudig M et al. Diagnostisches und Statistisches Manual Psychischer Störungen – Textrevision (DSM-IV-TR). Göttingen: Hogrefe; 2003
- 22 Paul T, Thiel A. EDI-2: Eating Disorder Inventory-2: Deutsche Version. Göttingen: Hogrefe; 2005
- 23 Hilbert A, Tuschen-Caffier B, Karwautz A et al. Eating Disorder Examination-Questionnaire: Evaluation der deutschsprachigen Übersetzung. Diagnostica 2007; 53: 144-154
- 24 Ackard DM, Croll JK, Richter S et al. A self-report instrument measuring readiness to change disordered eating behaviors: the Eating Disorders Stage of Change. Eat Weight Disord 2009; 14: 66-76
- 25 Thiel A, Paul T. Test-retest reliability of the Eating Disorder Inventory 2. J Psychosom Res 2006; 61: 567-569
- 26 Luce KH, Crowther JH. The reliability of the Eating Disorder Examination – self report questionnaire version (EDE-Q). Int J Eat Disord 1997; 25: 349-351
- 27 Raykov T. Scale reliability, Cronbach’s coefficient alpha, and violations of essential tau-equivalence for fixed congeneric components. Multivariate Behav Res 1997; 32: 239-254
- 28 Nunnally JC. Psychometric theory. New York: McGraw-Hill; 1978
- 29 Cohen J. Statistical power analysis for the behavioral sciences. New Jersey: Lawrence Earlbaum Associates; 1988
- 30 Treasure J, Schmidt U. Ready, willing and able to change: motivational aspects of the assessment and treatment of eating disorders. Eur Eat Disord Rev 2001; 9: 4-18
- 31 Geller J, Brown KE, Zaitsoff SL et al. Assessing readiness for change in adolescents with eating disorders. Psychol Assess 2008; 20: 63-69
- 32 Cash TF, Deagle EA. The nature and extent of body-image disturbances in anorexia nervosa and bulimia nervosa: a meta-analysis. Int J Eat Disord 1997; 22: 107-126
- 33 Blake W, Turnbull S, Treasure J. Stages and processes of change in eating disorders: implications for therapy. Clin Psychol Psychother 1997; 4: 186-191
- 34 Fairburn CG, Cooper Z, Bohn K et al. The severity and status of eating disorder NOS: implications for DSM-V. Behav Res Ther 2007; 45: 1705-1715
- 35 Serpell L, Neiderman M, Haworth E et al. The use of the Pros and Cons of Anorexia Nervosa (P-CAN) Scale with children and adolescents. J Psychosom Res 2003; 54: 567-571
- 36 Geller J, Drab D. The readiness and motivation interview: a symptom-specific measure of readiness for change in the eating disorders. Eur Eat Disord Rev 1999; 7: 259-278
- 37 Miller WR, Rollnick S. Motivational interviewing: preparing people for change. New York: Guilford Press; 2002
- 38 Geller J. What a motivational approach is and what a motivational approach isn’t: reflections and responses. Eur Eat Disord Rev 2002; 10: 155-160