Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/208426
Title: | Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa |
Author: | Hay, Phillipa Mohsin, Mohammed Liu, Liquan Touyz, Stephen Meyer, Caroline Arcelus, Jon Madden, Sloane Attia, Evelyn Pike, Kathleen M. Conti, Janet |
Keywords: | Anorèxia nerviosa Exercici terapèutic Anorexia nervosa Exercise therapy |
Issue Date: | 3-Aug-2023 |
Publisher: | MDPI AG |
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. |
Note: | Reproducció del document publicat a: https://doi.org/10.3390/bs13080651 |
It is part of: | Behavioral Sciences, 2023, vol. 13, num. 8 |
URI: | http://hdl.handle.net/2445/208426 |
Related resource: | https://doi.org/10.3390/bs13080651 |
ISSN: | 2076-328X |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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