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A randomized controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): A new approach to compulsive exercise in anorexia nervosa.
Hay, Phillipa; Touyz, Stephen; Arcelus, Jon; Pike, Kathleen; Attia, Evelyn; Crosby, Ross D; Madden, Sloane; Wales, Jackie; La Puma, Michelle; Heriseanu, Andreea I; Young, Sarah; Meyer, Caroline.
Afiliación
  • Hay P; Discipline of Mental Health, Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Campbelltown, Australia.
  • Touyz S; Department of Clinical Psychology, School of Psychology, University of Sydney, Sydney, Australia.
  • Arcelus J; Faculty of Medicine & Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.
  • Pike K; Department of Psychiatry, Leicestershire Adult Eating Disorders Service, Leicestershire Partnership NHS Trust, Bennion Centre, Glenfield Hospital, Leicester, United Kingdom.
  • Attia E; Division of Behavioral Health Services and Policy Research, Columbia University, New York, New York.
  • Crosby RD; Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York, New York.
  • Madden S; Neuropsychiatric Research Institute, Fargo, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota.
  • Wales J; Department of Psychiatry, Eating Disorders Service at the Sydney Children's Hospitals Network, Sydney, Australia.
  • La Puma M; Department of Psychiatry, Leicestershire Adult Eating Disorders Service, Leicestershire Partnership NHS Trust, Bennion Centre, Glenfield Hospital, Leicester, United Kingdom.
  • Heriseanu AI; Jeffery & Ree Clinical Psychologists, Subiaco, Perth Australia.
  • Young S; Department of Clinical Psychology, School of Psychology, University of Sydney, Sydney, Australia.
  • Meyer C; Department of Psychiatry, Eating Disorders Service at the Sydney Children's Hospitals Network, Sydney, Australia.
Int J Eat Disord ; 51(8): 999-1004, 2018 08.
Article en En | MEDLINE | ID: mdl-30051623
OBJECTIVE: To compare the efficacy of the compuLsive Exercise Activity theraPy (LEAP) programme integrated with manualized cognitive behavioral therapy for anorexia nervosa (CBT-AN) compared to CBT-AN alone. METHOD: Seventy-eight adults were randomized to CBT-AN, delivered with or without eight embedded sessions of LEAP, for a total of 34 individual outpatient sessions. Participants were assessed at baseline, the end of the first phase of CBT-AN (which included LEAP), mid-therapy, end of therapy, and at 3 and 6 months follow-up. Linear mixed effects modelling was used for comparing trajectories over time by group in primary outcomes of pathological exercise cognitions and secondary outcomes of exercise frequency, BMI, eating disorder (ED) symptoms, AN stage of change, anxiety/depression, and health related quality of life. RESULTS: There were significant improvements over time in all outcomes. There were no significant differences between treatment groups in primary outcome measures. Fidelity and end-of-treatment participant satisfaction were satisfactory across both conditions. DISCUSSION: CBT-AN and LEAP added to CBT-AN resulted in improved attitudes and beliefs toward exercise and general improvements in BMI and ED psychopathology in people with AN.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Anorexia Nerviosa / Terapia Cognitivo-Conductual / Conducta Compulsiva / Terapia por Ejercicio Tipo de estudio: Clinical_trials / Qualitative_research Aspecto: Patient_preference Límite: Adult / Female / Humans / Male Idioma: En Revista: Int J Eat Disord Año: 2018 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Anorexia Nerviosa / Terapia Cognitivo-Conductual / Conducta Compulsiva / Terapia por Ejercicio Tipo de estudio: Clinical_trials / Qualitative_research Aspecto: Patient_preference Límite: Adult / Female / Humans / Male Idioma: En Revista: Int J Eat Disord Año: 2018 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos