A randomized controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): A new approach to compulsive exercise in anorexia nervosa

“…In contrast to the LEAP approach [38], our new intervention integrates elements of exercise-based therapy in a CBT approach. Exercise-based interventions may induce faster behavioral changes than CBT alone through their experiential and emotion-activating nature [75,76].…”

Section: Bmi (Itt)mentioning

confidence: 99%

“…Most of these studies are characterized by methodological shortcomings like small sample size or lack of randomization. However, Hay et al [38] recently conducted a multicenter randomized controlled trial (RCT) in an outpatient setting. They evaluated their new cognitive-behavioral therapy (CBT)-based treatment approach called compuLsive Exercise Activity theraPy (LEAP).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a Specialized Group Intervention for Compulsive Exercise in Inpatients with Anorexia Nervosa: A Randomized Controlled Trial

Dittmer

Voderholzer

Mönch

et al. 2020

Psychother Psychosom

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Introduction: Treatment of compulsive exercise is recognized as a key unmet challenge in the treatment of anorexia nervosa (AN). To address this challenge, we developed the manualized group intervention "healthy exercise behavior" (HEB). This study evaluates the efficacy of HEB for the reduction of compulsive exercise as add-on to routine inpatient treatment (treatment as usual [TAU]) in a randomized controlled trial. Methods: Two hundred and seven adolescent and adult female inpatients with (atypical) AN were randomly allocated to TAU or to additional participation in HEB (TAU + HEB). HEB integrates elements of exercise-based therapy into a cognitive-behavioral approach. Assessments took place at admission, pre-intervention, post-intervention, discharge, and 6 months follow-up. Primary outcome was the severity of compulsive exercise assessed by the Commitment to Exercise Scale between pre-and post-intervention; secondary outcomes were additional aspects of compulsive exercise, assessed by the Compulsive Exercise Test, weight gain, eating disorder and general psychopathology, and emotion regulation. Results: In intention-to-treat analysis for the primary outcome, the TAU + HEB group showed significantly stronger reductions in the severity of compulsive exercise compared to the TAU group (z = -2.81; p = 0.005; effect size [ES] = -0.3). We also found significantly stronger reductions from admission to discharge (z = 2.62; p = 0.009; ES = -0.43), and from admission to follow-up (z = 2.1; p = 0.035; ES = -0.39). Regarding secondary outcomes, we found significant group differences between pre-and post-intervention in additional aspects of compulsive exercise (z = -2.55; p = 0.011; ES = -0.27). We did not find significant differences regarding weight gain, eating disorder and general psychopathology, and emotion regulation. Conclusions: Our intervention proved efficacious in reducing compulsive exercise in inpatients with (atypical) AN.

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“…Men who had participated in an earlier Eating Disorder Treatment Experience survey conducted by an author (P.H.) at Western Sydney University (Hay et al, 2018) and indicated an intention to participate in this research were also invited. Participants fulfilling the selection criteria, that is, who were 18 years and older and had been diagnosed and treated for an ED, were recruited into this study.…”

Section: Procedures and Participantsmentioning

confidence: 99%

“It exists”: An exploratory study of treatment experiences in men with eating disorders

Thapliyal

Conti

Bandara

et al. 2020

Australian Psychologist

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Objective Eating disorders (EDs) in men are often overlooked although they are associated with similar comorbidities and health issues as found in women. The present study is an in‐depth analysis of treatment experiences of eight men who had sought help, were diagnosed with an ED and received ED‐specific treatment. Method Data were generated from an open‐ended interview that explored men's narratives of their experiences of an ED, as well as questions that focused on their help‐seeking behaviours and treatment experiences. Interviews were transcribed and thematically analysed. Results This analysis resulted in four themes. The first theme focused on how men ascribed meaning to the ED experience and how these negotiations shaped their help seeking behaviour. The second theme focused on some of the barriers and expectations of men that they encountered when negotiating treatment for an ED. The third theme encompassed the experiences of men when they received the ED‐specific treatment. The last theme included the positive outcomes of treatment and role of health professionals in treating EDs in men. Conclusion The findings highlight the importance of person‐centred ED treatments for men. Also identified was a need for improved health literacy among health practitioners in the field of EDs, specifically an increased awareness of the development of tailored interventions for men.

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A randomized controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): A new approach to compulsive exercise in anorexia nervosa

Abstract: 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.

Cited by 51 publications

References 18 publications

Validity of Exercise Measures in Adults with Anorexia Nervosa: The EDE, Compulsive Exercise Test and Other Self‐Report Scales

Validity of Exercise Measures in Adults with Anorexia Nervosa: The EDE, Compulsive Exercise Test and Other Self‐Report Scales

Efficacy of a Specialized Group Intervention for Compulsive Exercise in Inpatients with Anorexia Nervosa: A Randomized Controlled Trial

“It exists”: An exploratory study of treatment experiences in men with eating disorders

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