Evolución de la adherencia al tratamiento y motivación al cambio en un programa ambulatorio grupal para pacientes adultas jóvenes con diagnóstico de trastorno de la conducta alimentaria.

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Bibliographic Details
Title:	Evolución de la adherencia al tratamiento y motivación al cambio en un programa ambulatorio grupal para pacientes adultas jóvenes con diagnóstico de trastorno de la conducta alimentaria.
Alternate Title:	Developing Therapeutic Adherence and Motivation to Change in a Group Outpatient Program for Young Adult People with Eating Disorders.
Authors:	VARELA, OLALLA¹, DELGADO, MIRIAM ESTHER PELAYO² ucaesther@gmail.com, ELÍAS, IRENE SÁNCHEZ³, MARESCA, INMACULADA PALANCA⁴
Source:	Revista de la Asociación Española de Neuropsiquiatría. ene-jun2026, Vol. 46 Issue 149, p65-81. 17p.
Subjects:	Patient compliance, Therapeutic alliance, Preparedness, Eating disorders, Dropout rates (Education), Young adults, Group psychotherapy, Outpatients
Abstract (English):	This study presents a preliminary analysis of the evolution of adherence and motivation to change in young adult patients with eating disorders (ED) enrolled in a group outpatient program. Following the introduction of support groups, a significant improvement in adherence was observed, with a reduction in dropout rate (from 72.7% to 13.6%) and an increase in attendance (from 67.5% to 82.7%), as well as a favourable evolution in motivation to change. Group cohesion and therapeutic alliance emerged as relevant factors in these changes. The findings suggest that group interventions may be a viable alternative in outpatient settings to improve therapeutic bonding in patients with ED. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Este estudio presenta un análisis preliminar de la evolución de la adherencia terapéutica y la motivación al cambio en pacientes adultas jóvenes con trastornos de la conducta alimentaria (TCA) incluidas en un programa ambulatorio grupal. Tras la incorporación de grupos de acogida, se observó una mejora significativa en la adherencia terapéutica, con una reducción en la tasa de abandono (del 72,7% al 13,6%) y un aumento en la asistencia (del 67,5% al 82,7%), además de una evolución favorable en la motivación al cambio. La cohesión grupal y la alianza terapéutica emergieron como factores relevantes en estos cambios. Los hallazgos sugieren que las intervenciones grupales pueden ser una alternativa viable en contextos ambulatorios para mejorar la vinculación terapéutica en pacientes con TCA. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	This study presents a preliminary analysis of the evolution of adherence and motivation to change in young adult patients with eating disorders (ED) enrolled in a group outpatient program. Following the introduction of support groups, a significant improvement in adherence was observed, with a reduction in dropout rate (from 72.7% to 13.6%) and an increase in attendance (from 67.5% to 82.7%), as well as a favourable evolution in motivation to change. Group cohesion and therapeutic alliance emerged as relevant factors in these changes. The findings suggest that group interventions may be a viable alternative in outpatient settings to improve therapeutic bonding in patients with ED. [ABSTRACT FROM AUTHOR]
ISSN:	02115735
DOI:	10.4321/S0211-57352026000100004