A randomised 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
JON ARCELUS ALONSO Jon.Arcelus@nottingham.ac.uk
Clinical Professor in Mental Health & Transgender Health
Ross D. Crosby
Michelle La Puma
Andreea I. Heriseanu
Objective: To compare the efficacy of the compuLsive Exercise Activity theraPy (LEAP) programme integrated with manualised cognitive behavioural therapy for anorexia nervosa (CBT-AN) compared to CBT-AN alone.
Method: Seventy-eight adults were randomised to CBT-AN, delivered with or without 8 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 towards exercise and general improvements in BMI and eating disorder psychopathology in people with AN.
Hay, P., Touyz, S., Arcelus, J., Pike, K., Attia, E., Crosby, R. D., …Meyer, C. (2018). A randomised controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): a new approach to compulsive exercise in anorexia nervosa. International Journal of Eating Disorders, 51(8), 999-1004. doi:10.1002/eat.22920
|Journal Article Type||Article|
|Acceptance Date||Jun 11, 2018|
|Online Publication Date||Jul 26, 2018|
|Publication Date||Aug 1, 2018|
|Deposit Date||Jun 13, 2018|
|Publicly Available Date||Jul 27, 2019|
|Journal||International Journal of Eating Disorders|
|Peer Reviewed||Peer Reviewed|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf|
|Additional Information||This is the peer reviewed version of the article, which has been published in final form at https://onlinelibrary.w.../abs/10.1002/eat.22920. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.|
Leap paper IJED Accepted.pdf
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf
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