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

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 activ...

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Autores: Hay, Phillipa, Mohsin, Mohammed, Liu, Liquan, Touyz, Stephen, Meyer, Caroline, Arcelus, Jon, Madden, Sloane, Attia, Evelyn, Pike, Kathleen M., Conti, Janet
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2023
País:España
Recursos:Universidad de Barcelona
Repositório:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/208426
Acesso em linha:https://hdl.handle.net/2445/208426
Access Level:Acceso aberto
Palavra-chave:Anorèxia nerviosa
Exercici terapèutic
Anorexia nervosa
Exercise therapy
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spelling Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia NervosaHay, PhillipaMohsin, MohammedLiu, LiquanTouyz, StephenMeyer, CarolineArcelus, JonMadden, SloaneAttia, EvelynPike, Kathleen M.Conti, JanetAnorèxia nerviosaExercici terapèuticAnorexia nervosaExercise therapyAnorexia 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.MDPI AG2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/208426Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3390/bs13080651Behavioral Sciences, 2023, vol. 13, num. 8https://doi.org/10.3390/bs13080651cc by (c) Hay, Phillipa et al., 2023http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2084262026-05-27T06:46:51Z
dc.title.none.fl_str_mv Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa
title Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa
spellingShingle Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa
Hay, Phillipa
Anorèxia nerviosa
Exercici terapèutic
Anorexia nervosa
Exercise therapy
title_short Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa
title_full Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa
title_fullStr Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa
title_full_unstemmed Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa
title_sort Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa
dc.creator.none.fl_str_mv Hay, Phillipa
Mohsin, Mohammed
Liu, Liquan
Touyz, Stephen
Meyer, Caroline
Arcelus, Jon
Madden, Sloane
Attia, Evelyn
Pike, Kathleen M.
Conti, Janet
author Hay, Phillipa
author_facet Hay, Phillipa
Mohsin, Mohammed
Liu, Liquan
Touyz, Stephen
Meyer, Caroline
Arcelus, Jon
Madden, Sloane
Attia, Evelyn
Pike, Kathleen M.
Conti, Janet
author_role author
author2 Mohsin, Mohammed
Liu, Liquan
Touyz, Stephen
Meyer, Caroline
Arcelus, Jon
Madden, Sloane
Attia, Evelyn
Pike, Kathleen M.
Conti, Janet
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Anorèxia nerviosa
Exercici terapèutic
Anorexia nervosa
Exercise therapy
topic Anorèxia nerviosa
Exercici terapèutic
Anorexia nervosa
Exercise therapy
description 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.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/208426
url https://hdl.handle.net/2445/208426
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3390/bs13080651
Behavioral Sciences, 2023, vol. 13, num. 8
https://doi.org/10.3390/bs13080651
dc.rights.none.fl_str_mv cc by (c) Hay, Phillipa et al., 2023
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Hay, Phillipa et al., 2023
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI AG
publisher.none.fl_str_mv MDPI AG
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.300719

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