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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

Authors

Phillipa Hay

Stephen Touyz

JON ARCELUS ALONSO Jon.Arcelus@nottingham.ac.uk
Clinical Professor in Mental Health & Transgender Health

Kathleen Pike

Evelyn Attia

Ross D. Crosby

Sloane Madden

Jackie Wales

Michelle La Puma

Andreea I. Heriseanu

Sarah Young

Caroline Meyer



Abstract

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.

Citation

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
Print ISSN 0276-3478
Electronic ISSN 1098-108X
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 51
Issue 8
Pages 999-1004
DOI https://doi.org/10.1002/eat.22920
Public URL http://eprints.nottingham.ac.uk/id/eprint/52394
Publisher URL https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.22920
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.

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Copyright Statement
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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