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    Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa

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    Author
    Arcelus, Jon
    Keyword
    Anorexia nervosa
    Cognitive behavioural therapy
    Motivation
    Date
    2023
    
    Metadata
    Show full item record
    DOI
    10.3390/bs13080651
    Publisher's URL
    https://www.mdpi.com/2076-328X/13/8/651
    Abstract
    Anorexia nervosa (AN) is a mental health disorder that has serious physical, emotional and social consequences. Whilst cognitive behavioural therapy for AN (CBT-AN) has demonstrated efficacy, there remains a global need to improve AN treatment. Compulsive exercise activity therapy (LEAP) is an active therapy consisting of the addition to CBT-AN of eight specific sessions that focus on exercise and motivation for behavioural change. This paper presents a secondary analysis of 74 female participants in a randomised control trial of LEAP plus CBT-AN versus CBT-AN alone. The main aim of this study was to explore putative predictors and to estimate the magnitude of changes due to LEAP for specific outcome measures. Participants (LEAP: n = 36; CBT-AN: n = 38) were assessed at three successive surveys: baseline, end of therapy, and 6 months post-therapy. The overall effect sizes for changes between baseline to end of therapy and baseline to 6-month follow-up assessment showed large effect sizes (Cohen's d > = 0.80) for mental-health-related quality of life (MHRQoL), weight concern, dietary restraint, eating concern, AN stage change, and psychological distress (all p < 0.05). The results also indicated that several pre-treatment characteristics, including body mass index (BMI), level of eating disorder (ED) symptoms, and MHRQoL are important for identifying whether a treatment is likely to be effective. Future treatment programs should aim to optimise early improvements in BMI, ED symptoms, and MHRQoL.
    Citation
    Hay, P., Mohsin, M., Liu, L., Touyz, S., Meyer, C., Arcelus, J., Madden, S., Attia, E., Pike, K. M. & Conti, J. (2023). Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa. Behavioral sciences 13 (8).
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/17869
    Note
    © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
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