Assessing motivation to change in bulimia nervosa: the bulimia nervosa stages of change questionnaire
Open accessAbstract
Objective: To assess motivation to change in adolescent patients with bulimia nervosa through the Bulimia Nervosa Stages of Change Questionnaire (BNSOCQ), an instrument adapted from the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ) already validated in anorexic patients. Method: Subjects were 30 bulimia nervosa patients (mean age = 16.3 years) who were receiving treatment at an eating disorders unit. The evaluation instruments were: the BNSOCQ, the Eating Disorders Inventory (EDI‐2) and the Beck Depression Inventory (BDI). The BNSOCQ was re‐administered 1 week later to evaluate test‐retest reliability. Results: The BNSOCQ demonstrated good internal consistency (Cronbach's alpha = 0.94) and one week test‐retest reliability (Pearson's r = 0.93). Negative significant correlations were found between the BNSOCQ and several EDI‐2 scales (Pearson's r between −0.51 and −0.84) and the BDI (r = −0.74). Conclusion: The study provides initial support for the reliability and validity of the BNSOCQ as a self‐report instrument for assessing motivation to change in adolescents with bulimia nervosa. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association.
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The Bulimia Nervosa Stages of Change Questionnaire validation study conducted in Spain demonstrated good internal consistency with Cronbach's alpha of 0.94 and one-week test-retest reliability of 0.93.
“In turn, the validation study of the BNSOCQ, which was conducted in Spain, demonstrated good internal consistency with Cronbach’s alpha of 0.94 and one-week test-retest reliability of 0.93 [42].”
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Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032 · see citing works
In search of how people change: Applications to addictive behaviors.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992) · American Psychologist · doi:10.1037/0003-066x.47.9.1102 · Cited by 8,596 · see citing works
Transtheoretical therapy: Toward a more integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1982) · Psychotherapy: Theory, Research & Practice · doi:10.1037/h0088437 · Cited by 3,922 · see citing works
DiClemente, C. C., Prochaska, J. O., Fairhurst, S., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.59.2.295 · Cited by 2,402 · see citing works
DiClemente, C. C., Prochaska, J. O., Fairhurst, S., et al. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.2.295 · Cited by 1,838 · see citing works
Measuring processes of change: Applications to the cessation of smoking.
Prochaska, J. O., Velicer, W. F., DiClemente, C. C., & Fava, J. L. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.56.4.520 · Cited by 1,108 · see citing works
Measuring processes of change: Applications to the cessation of smoking.
Prochaska, J. O., Velicer, W. F., DiClemente, C. C., et al. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.4.520 · Cited by 842 · see citing works
ROLLNICK, S., HEATHER, N., GOLD, R., & HALL, W. (1992) · British Journal of Addiction · doi:10.1111/j.1360-0443.1992.tb02720.x · Cited by 818 · see citing works
Enhancing motivation for change in treatment-resistant eating disorders
Vitousek, K. M., Watson, S., & Wilson, G. T. (1998) · Clinical Psychology Review · doi:10.1016/s0272-7358(98)00012-9 · Cited by 721 · see citing works
Stages of change in psychotherapy: A follow-up report.
McConnaughy, E. A., DiClemente, C. C., Prochaska, J. O., & Velicer, W. F. (1989) · Psychotherapy · doi:10.1037/h0085468 · Cited by 555 · see citing works
Prochaska, J. O., Norcross, J. C., Fowler, J. L., Follick, M. J., & Abrams, D. B. (1992) · Addictive Behaviors · doi:10.1016/0306-4603(92)90051-v · Cited by 406 · see citing works
Powell, J. E. (1988) · Behaviour Research and Therapy · doi:10.1016/0005-7967(88)90020-4 · Cited by 323 · see citing works
Treasure, J. L., Katzman, M. A., Schmidt, U. H., Troop, N. A., Todd, G., & de Silva, P. (1999) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00149-1 · Cited by 245 · see citing works
Geller, J., Cockell, S. J., & Drab, D. L. (2001) · Psychological Assessment · doi:10.1037/1040-3590.13.2.189 · Cited by 199 · see citing works
Wilson, G. T., & Schlam, T. R. (2004) · Clinical Psychology Review · doi:10.1016/j.cpr.2004.03.003 · Cited by 182 · see citing works
Rieger, E., Touyz, S. W., & Beumont, P. J. V. (2002) · International Journal of Eating Disorders · doi:10.1002/eat.10056 · Cited by 179 · see citing works
Self-citationPretreatment motivational enhancement therapy for eating disorders: A pilot study
Feld, R., Woodside, D. B., Kaplan, A. S., Olmsted, M. P., & Carter, J. C. (2001) · International Journal of Eating Disorders · doi:10.1002/eat.1035 · Cited by 158 · see citing works
A Practical Guide to the Use of Motivational Interviewing in Anorexia Nervosa
Treasure, J. L., & Ward, A. (1997) · European Eating Disorders Review · doi:10.1002/(sici)1099-0968(199706)5:2 · Cited by 148 · see citing works
Kalarchian, M. A., Wilson, G. T., Brolin, R. E., & Bradley, L. (2000) · International Journal of Eating Disorders · doi:10.1002/1098-108x(200012)28:4 · Cited by 137 · see citing works
Self-citationPerfectionism dimensions in children and adolescents with anorexia nervosa
Castro, J., Gila, A., Gual, P. L., Lahortiga‐Ramos, F., Saura, B., & Toro, J. (2004) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2003.11.094 · Cited by 129 · see citing works
Self-citationBulimia nervosa: Friend or foe? The pros and cons of bulimia nervosa
Serpell, L., & Treasure, J. L. (2002) · International Journal of Eating Disorders · doi:10.1002/eat.10076 · Cited by 127 · see citing works
Perfectionism dimensions in children and adolescents with anorexia nervosa
CASTRO, J., GILA, A., GUAL, P., LAHORTIGA, F., SAURA, B., & TORO, J. (2004) · Journal of Adolescent Health · doi:10.1016/s1054-139x(04)00052-7 · Cited by 126 · see citing works
Self-citationCore Beliefs in Anorexic and Bulimic Women
Leung, N., Waller, G., & Thomas, G. V. (1999) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199912000-00005 · Cited by 122 · see citing works
Halmi, K. A., Agras, W. S., Mitchell, J., Wilson, G. T., Crow, S., Bryson, S. W., & Kraemer, H. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.12.1105 · Cited by 99 · see citing works
Treasure, J. L., & Schmidt, U. H. (2001) · European Eating Disorders Review · doi:10.1002/erv.390 · Cited by 92 · see citing works
To change or not to change—‘How’ is the question?
Ward, A., Troop, N. A., Todd, G., & Treasure, J. L. (1996) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1996.tb01858.x · Cited by 82 · see citing works
Application of Prochaska's transtheoretical model of change to patients with eating disorders
Hasler, G., Delsignore, A., Milos, G. F., Buddeberg, C., & Schnyder, U. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00562-2 · Cited by 70 · see citing works
Stage of change as a predictor of response to psychotherapy for bulimia nervosa
Wolk, S. L., & Devlin, M. J. (2001) · International Journal of Eating Disorders · doi:10.1002/eat.1058 · Cited by 56 · see citing works
Readiness to recover in adolescent anorexia nervosa: prediction of hospital admission
Ametller, L., Castro, J., Serrano, E., Martínez, E., & Toro, J. (2005) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00360.x · Cited by 54 · see citing works
Self-citationAssessing readiness to change binge eating and compensatory behaviors
Dunn, E. C., Neighbors, C., & Larimer, M. E. (2003) · Eating Behaviors · doi:10.1016/s1471-0153(03)00023-0 · Cited by 48 · see citing works
Alexithymia, type A behaviour and bulimia nervosa
Sureda, B., Valdés, M., Jódar, I., & de Pablo, J. (1999) · European Eating Disorders Review · doi:10.1002/(sici)1099-0968(199908)7:4 · Cited by 22 · see citing works
The Role of Core Beliefs in the Specific Cognitions of Bulimic Patients
Góngora, V. C., Derksen, J. J. L., & van der Staak, C. P. F. (2004) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000120889.01611.2f · Cited by 19 · see citing works
Validity of a measure of readiness to recover in Spanish adolescent patients with anorexia nervosa
Serrano, E., Castro, J., Ametller, L., Martínez, E., & Toro, J. (2004) · Psychology and Psychotherapy: Theory, Research and Practice · doi:10.1348/147608304322874272 · Cited by 19 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 4
- Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-Second edition manual. Sydney: The Psychological Corporation.
- Geller, J., & Drab, D. L. (1999). The readiness and motivation interview: A symptom specific measure of readiness to change in the eating disorders. European Eating Disorders Review, 7, 259-278.
- Rieger, E., Touyz, S., Schotte, D., Beaumont, P., Russell, J., Clarke, S., Kohn, M., & Griffiths, R. (2000). Develop- ment of an instrument to assess readiness to recover in anorexia nervosa. International Journal of Eating Dis- orders, 28, 387-396.
- Rieger, E. (2000). The development of an instrument to assess readiness to recover in anorexia nervosa. University of Sydney, Australia, Unpublished doctoral thesis.
Cited by
Sorted by citations
Dray, J., & Wade, T. D. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.06.005 · Cited by 87 · see citing works
Bettmann, J. E., Russell, K. C., & Parry, K. J. (2012) · Journal of Child and Family Studies · doi:10.1007/s10826-012-9665-2 · Cited by 58 · see citing works
Motivation to change in the eating disorders: A systematic review
Clausen, L., Lübeck, M., & Jones, A. (2013) · International Journal of Eating Disorders · doi:10.1002/eat.22156 · Cited by 56 · see citing works
Hötzel, K., von Brachel, R., Schmidt, U., Rieger, E., Kosfelder, J., Hechler, T., Schulte, D., & Vocks, S. (2014) · Psychological Medicine · doi:10.1017/s0033291713002481 · Cited by 55 · see citing works
Self-citationAssessing motivation to change in eating disorders: a systematic review
Hoetzel, K., von Brachel, R., Schlossmacher, L., & Vocks, S. (2013) · Journal of Eating Disorders · doi:10.1186/2050-2974-1-38 · Cited by 42 · see citing works
Improving motivation to change amongst individuals with eating disorders: A systematic review
Denison-Day, J., Appleton, K., Newell, C., & Muir, S. (2018) · International Journal of Eating Disorders · doi:10.1002/eat.22945 · Cited by 38 · see citing works
Wagner, G., Penelo, E., Nobis, G., Mayrhofer, A., Wanner, C., Schau, J., Spitzer, M., Gwinner, P., Trofaier, M., Imgart, H., et al. (2014) · European Eating Disorders Review · doi:10.1002/erv.2336 · Cited by 39 · see citing works
Motivation to change in adolescents with bulimia nervosa mediates clinical change after treatment
Castro‐Fornieles, J., Bigorra, A., Martinez‐Mallen, E., González, L., Moreno, E., Font, E., & Toro, J. (2010) · European Eating Disorders Review · doi:10.1002/erv.1045 · Cited by 37 · see citing works
Self-citationExperiential acceptance, motivation for recovery, and treatment outcome in eating disorders
Espel‐Huynh, H., Goldstein, S. P., Manasse, S. M., & Juarascio, A. S. (2015) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-015-0235-7 · Cited by 28 · see citing works
Scoping Review on the Concept of Patient Motivation and Practical Tools to Assess it
Hosseini, F. Z., Alavi, N. M., Mohammadi, E., & Sadat, Z. (2021) · Iranian Journal of Nursing and Midwifery Research · doi:10.4103/ijnmr.ijnmr_15_20 · Cited by 24 · see citing works
A Readiness Ruler for Assessing Motivation to Change in People with Eating Disorders
St‐Hilaire, A., Axelrod, K., Geller, J., Antunes, J. M., & Steiger, H. (2017) · European Eating Disorders Review · doi:10.1002/erv.2533 · Cited by 21 · see citing works
Starzomska, M., & Tadeusiewicz, R. (2016) · PubMed · Cited by 18 · see citing works
Anastasiadou, D., Lupiañez-Villanueva, F., Faulí, C., Arcal Cunillera, J., & Serrano-Troncoso, E. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1664-4 · Cited by 16 · see citing works
“Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ) [41] and the Bulimia Nervosa Stages of Change Questionnaire [42] will be used to measure patients’ readiness to recover behaviours and attitudes related to their eating disorder.”
MethodRobinson, L., Flynn, M., & Cooper, M. J. (2024) · International Journal of Eating Disorders · doi:10.1002/eat.24178 · Cited by 17 · see citing works
Högdahl, L., Levallius, J., Björck, C., Norring, C. E. A., & Birgegård, A. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.07.002 · Cited by 15 · see citing works
Wenig, V., & Janetzke, H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191811334 · Cited by 12 · see citing works
Perceptions of Carer Burden: Differences Between Individuals With an Eating Disorder and Their Carer
Coomber, K., & King, R. M. (2012) · Eating Disorders · doi:10.1080/10640266.2013.741966 · Cited by 10 · see citing works
Moreira, P., Moreira, F., Cunha, D., & Inman, R. A. (2018) · International Journal of School & Educational Psychology · doi:10.1080/21683603.2018.1530158 · Cited by 10 · see citing works
Okumuş, F. E. E. (2021) · Journal of EMDR Practice and Research · doi:10.1891/emdr-d-21-00012 · Cited by 9 · see citing works
Crane, C., Hotton, M., Shelemy, L., & Knowles, R. J. (2024) · Cognitive Therapy and Research · doi:10.1007/s10608-024-10504-x · Cited by 8 · see citing works
Junne, F., Ziser, K., Mander, J., Martus, P., Denzer, C., Reinehr, T., Wabitsch, M., Wiegand, S., Renner, T. J., Giel, K. E., et al. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-012711 · Cited by 8 · see citing works
Sansfaçon, J., Steiger, H., Gauvin, L. I., Fletcher, É., & Israël, M. (2017) · Journal of Eating Disorders · doi:10.1186/s40337-017-0147-1 · Cited by 7 · see citing works
Vocks, S., Schweiger, U., Hilbert, A., Hagenah, U., & Tuschen‐Caffier, B. (2019) · Springer eBooks · doi:10.1007/978-3-662-59606-7_2 · Cited by 5 · see citing works
Behaviour of Children of Holocaust Survivors in France Regarding Food
Halioua, B., Sulimovic, L., Corcos, M., Bantman, P., Vaislic, M., Rimmer, R., TAIEB, C., Ejnes, R., Dassa, S., & Shadili, G. (2025) · European Eating Disorders Review · doi:10.1002/erv.3187 · Cited by 4 · see citing works
Kitson, C. (2012) · doi:10.1002/9781118328910.ch6 · Cited by 3 · see citing works
Exploring why individuals acquire the motivation to mitigate climate change
Lampkin, S. R. (2010) · UEA Digital Repository (University of East Anglia) · Cited by 3 · see citing works
Hambleton, A. L., Hanstock, T. L., Simeone, R., & Sperling, M. (2019) · Clinical Case Studies · doi:10.1177/1534650119886653 · Cited by 2 · see citing works
Davey, M. R. (2012) · UC Research Repository (University of Canterbury) · doi:10.26021/9309 · Cited by 2 · see citing works
Schweiger, U., Salbach‐Andrae, H., Hagenah, U., & Tuschen‐Caffier, B. (2011) · Springer eBooks · doi:10.1007/978-3-642-21442-4_2 · Cited by 1 · see citing works
Caring for individuals with an eating disorder
Coomber, K. (2010) · Cited by 1 · see citing works
Blockgren, A. E. M. (2007) · Duo Research Archive (University of Oslo)
Was passiert nach dem letzten Klick?
von Brachel, R., Windgassen, A., Hötzel, K., Hirschfeld, G. H. F., & Vocks, S. (2016) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000349
Legenbauer, T., & Vocks, S. (2014) · Springer eBooks · doi:10.1007/978-3-642-20385-5_7
(2007) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/gco.0b013e3282f0ffad
- Authors
- Martinez, E., Castro, J., Bigorra, A., Morer, A., Calvo, R., Vila, M., Toro, J., & Rieger, E.
- Affiliations
- Hospital Clínic de Barcelona (ES)
- Corresponding author
- Castro, Josefina
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2006-08-14
- Volume
- 15
- Issue
- 1
- Pages
- 13-23
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W2150260654
- Cited by
- 34
- References
- 32
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2021: 2 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 1 · 2014: 2 · 2013: 3 · 2012: 5
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- bulimia nervosa, motivation for change, stages of change, adolescents, eating disorders, test-retest reliability, internal consistency, Eating Disorder Inventory, depression
- MeSH terms
- Adolescent, Bulimia, Female, Humans, Male, Motivation, Psychological Tests, Surveys and Questionnaires, Reproducibility of Results
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