@article{ref1,
title="Motivational dynamics among eating-disordered patients with and without nonsuicidal self-injury: a self-determination theory approach",
journal="European eating disorders review",
year="2013",
author="Vansteenkiste, Maarten and Claes, Laurence and Soenens, Bart and Verstuyf, Joke",
volume="21",
number="3",
pages="209-214",
abstract="OBJECTIVE: The presence of nonsuicidal self-injury (NSSI) in eating-disordered (ED) patients is considered a complicating factor in treatment with a possibly adverse influence on patients' motivation to change. Using Self-Determination Theory as a guiding framework, we compared ED patients with and without NSSI in terms of their well-being and their motives to undertake psychotherapeutic change. METHOD: Data were collected in a sample of 95 ED patients, including 37 patients displaying at least some type of NSSI. RESULTS: Patients with NSSI, relative to those without, felt more externally pressured to undertake change and reported lower overall well-being. Mean level differences in well-being between both patient groups were fully accounted for by patients' externally pressuring motives for pursuing change. DISCUSSION: In ED patients with NSSI, there is an important link between their more externally driven motivation to change and their lowered psychological well-being. It is discussed how clinicians can approach these patients to pursue change. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.<p /> <p>Language: en</p>",
language="en",
issn="1072-4133",
doi="10.1002/erv.2215",
url="http://dx.doi.org/10.1002/erv.2215"
}