2026-04-14T02:39:23Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/2084262025-12-05T12:21:13Zcom_2072_1057col_2072_478916col_2072_478917

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 Anorèxia nerviosa Exercici terapèutic Anorexia nervosa Exercise therapy 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. 2024-03-05T12:55:32Z 2024-03-05T12:55:32Z 2023-08-03 2023-09-18T07:52:59Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2076-328X https://hdl.handle.net/2445/208426 37622791 eng Reproducció del document publicat a: https://doi.org/10.3390/bs13080651 Behavioral Sciences, 2023, vol. 13, num. 8 https://doi.org/10.3390/bs13080651 cc by (c) Hay, Phillipa et al., 2023 http://creativecommons.org/licenses/by/3.0/es/ info:eu-repo/semantics/openAccess 24 p. application/pdf MDPI AG Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))