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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10451721/ https://www.ncbi.nlm.nih.gov/pubmed/37622791 http://dx.doi.org/10.3390/bs13080651 |
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author | Hay, Phillipa Mohsin, Mohammed Liu, Liquan Touyz, Stephen Meyer, Caroline Arcelus, Jon Madden, Sloane Attia, Evelyn Pike, Kathleen M. Conti, Janet |
author_facet | Hay, Phillipa Mohsin, Mohammed Liu, Liquan Touyz, Stephen Meyer, Caroline Arcelus, Jon Madden, Sloane Attia, Evelyn Pike, Kathleen M. Conti, Janet |
author_sort | Hay, Phillipa |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-10451721 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104517212023-08-26 Impact of LEAP and CBT-AN Therapy on Improving Outcomes in Women with Anorexia Nervosa Hay, Phillipa Mohsin, Mohammed Liu, Liquan Touyz, Stephen Meyer, Caroline Arcelus, Jon Madden, Sloane Attia, Evelyn Pike, Kathleen M. Conti, Janet Behav Sci (Basel) Article 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. MDPI 2023-08-03 /pmc/articles/PMC10451721/ /pubmed/37622791 http://dx.doi.org/10.3390/bs13080651 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/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/). |
spellingShingle | Article Hay, Phillipa Mohsin, Mohammed Liu, Liquan Touyz, Stephen Meyer, Caroline Arcelus, Jon Madden, Sloane Attia, Evelyn Pike, Kathleen M. Conti, Janet 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 |
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_short | 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 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10451721/ https://www.ncbi.nlm.nih.gov/pubmed/37622791 http://dx.doi.org/10.3390/bs13080651 |
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