Change in the Motivation to Receive Treatment by Overweight Adolescent Girls in the Course of Counseling

Anastasia Votineva, Zhanna Prokhorova, Vladimir Polyakov, Lyubov Rychkova, Irina Yaroslavtseva

International Journal of Biomedicine. 2020;10(4):448-452.
DOI: 10.21103/Article10(4)_OA23
Originally published December 10, 2020


The purpose of this study was to reveal changes in the motivation to receive treatment by overweight adolescent girls in the course of counseling.
Methods and Results: The study included 2 groups of overweight girls with gynecological disorders  aged between 14 years and 16 years. Group 1 comprised 20 girls admitted to a hospital for the first time; Group 2 consisted of 20 girls who had undergone treatment earlier (were admitted repeatedly). The motivational-personal sphere was studied using the following methods: (1) McClelland’s method for testing social and psychological activity motivators; (2) S.R. Panteleev’s research method of self-attitude; (3) EAT-26; (4) The body satisfaction method by Collins.
The results obtained showed that changing motivation to receive treatment is a complex process implying changes in motivational induction: Achievement Motive, Affiliation Motive, Help Motive, Development Motive, and Cognition Motive. It was also revealed that directly actingtives prevailed over those emerging due to awareness of the treatment’s purpose.
Conclusion: a specially developed counseling process comprising diagnostic, informational, correctional and developmental aspects of working with adolescent girls individually and in groups contributed to changing motivation to receive treatment by overweight adolescent girls.

overweight • adolescent girls • counseling • motivation • personal sphere

1. Zagoruiko MV, Bardymova TP, Rychkova LV. [Obesity in children and adolescents]. Siberian Medical Journal (Irkutsk); 2010;97(6):16-19. [Article in Russian].
2. Rychkova LV, Pogodina AV, Ayurova ZhG, Klimkina JuN.  [Obesity and health-related quality of life in adolescents from ethnic groups of rural areas of Buryatia]. The Bulletion of the Siberian Medicine; 2018;17(3):105-114. [Article in Russian].
3. Darenskaya MA, Gavrilova OA, Rychkova LV, Kravtsova OV, Grebenkina LA, Osipova EV, Kolesnikov SI, Kolesnikova LI. The assessment of oxidative stress intensity in adolescents with obesity by the integral index. International Journal of Biomedicine; 2018;8(1):37-41. doi: 10.21103/Article8(1)_OA5
4. Arina GA, Tkhostov ASh. Theoretical problems of studying the internal aspect of disease. Psychological diagnostics of attitude to disease in case of neuropsychic and somatic pathologies /Edited by М.М. Kabanova. L: Leningrad Publishing House at Bekhterev Psychoneurological Research Institute; 1990. [In Russian].
5. Isaeva LА. Children's diseases. Textbook for medical students. Third revised edition. М., Meditsina; 2002. [In Russian].
6. Luriya RА. Internal picture of diseases and athrogenic diseases. 4th edition. М.: Meditsina; 1977:37-52. [In Russian].
7. Bozhovich LI. Personality and its formation in childhood. SPb.; 2008. [In Russian].
8. Shapiro SА. Motivation. М.: GrossMedia, ROSBUKH; 2008. [In Russian].
9. Ryan RM, Deci EL. Intrinsic and Extrinsic Motivations: Classic Definitions and New Directions. Contemp Educ Psychol. 2000 Jan;25(1):54-67. doi: 10.1006/ceps.1999.1020.
10. Aseev VG. Behavior motivation and personality formation. М.;1976. [In Russian].
11. Ilyin ЕP. Motivation and motives. SPb.: Piter; 2011. [In Russian].
12. Kertis D. [Formulating the patient's problems and goals in short-term dynamic psychotherapy]. The Journal of Practical Psychology and Psychoanalysis. 2008;3.[Article in Russian].
13. Rean АА. Psychology of personality. Socialization, behavior, communication. AST (Moscow), Prime-EUROZNAK (St. Petersburg); 2007. [In Russian].
14. Heckhausen H. The anatome of achievement motivation. SPb; 2001. [In Russian].
15. Kochunas R. Fundamentals of Counseling. М.; 1999. [In Russian].
16. Pintrich PR. An Achievement Goal Theory Perspective on Issues in Motivation Terminology, Theory, and Research. Contemp Educ Psychol. 2000 Jan;25(1):92-104. doi: 10.1006/ceps.1999.1017. 
17. Deci EL, Ryan RM. Handbook of self-determination research. University Rochester Press; 2002.

Download Article
Received October 2, 2020.
Accepted November 20, 2020.
©2020 International Medical Research and Development Corporation.