A randomised controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): a new approach to compulsive exercise in anorexia nervosa
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 embed...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
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Wiley
2018
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| Online Access: | https://eprints.nottingham.ac.uk/52394/ |
| _version_ | 1848798716138356736 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Hay, Phillipa |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T20:24:11Z |
| format | Article |
| id | nottingham-52394 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T20:24:11Z |
| publishDate | 2018 |
| publisher | Wiley |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-523942020-05-04T19:40:07Z https://eprints.nottingham.ac.uk/52394/ 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 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. Wiley 2018-06-11 Article PeerReviewed 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 and Meyer, Caroline (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 . ISSN 1098-108X (In Press) |
| spellingShingle | 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 A randomised controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): a new approach to compulsive exercise in anorexia nervosa |
| title | A randomised controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): a new approach to compulsive exercise in anorexia nervosa |
| title_full | A randomised controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): a new approach to compulsive exercise in anorexia nervosa |
| title_fullStr | A randomised controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): a new approach to compulsive exercise in anorexia nervosa |
| title_full_unstemmed | A randomised controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): a new approach to compulsive exercise in anorexia nervosa |
| title_short | A randomised controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): a new approach to compulsive exercise in anorexia nervosa |
| title_sort | randomised controlled trial of the compulsive exercise activity therapy (leap): a new approach to compulsive exercise in anorexia nervosa |
| url | https://eprints.nottingham.ac.uk/52394/ |