TY - JOUR PY - 2013// TI - Motivational dynamics among eating-disordered patients with and without nonsuicidal self-injury: a self-determination theory approach JO - European eating disorders review A1 - Vansteenkiste, Maarten A1 - Claes, Laurence A1 - Soenens, Bart A1 - Verstuyf, Joke SP - 209 EP - 214 VL - 21 IS - 3 N2 - 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.

Language: en

LA - en SN - 1072-4133 UR - http://dx.doi.org/10.1002/erv.2215 ID - ref1 ER -