Helen Startup1, Mary Franklin-Smith2, William Barber3, Nicola Gilbert3, Yael Brown4, Danielle Glennon4, Akira Fukutomi4, Ulrike Schmidt5. 1. Sussex Partnership NHS Foundation Trust, Sussex Eating Disorders Service, Brighton, UK. helen.startup@sussexpartnership.nhs.uk. 2. Leeds Partnership NHS Foundation Trust, CONNECT: The West Yorkshire Adult Eating Disorder Service, Leeds, UK. 3. Sussex Partnership NHS Foundation Trust, Sussex Eating Disorders Service, Brighton, UK. 4. South London and Maudsley NHS Foundation Trust, Eating Disorders Outpatient Service, London, UK. 5. Department of Psychological Medicine, King's College London, Institute of Psychiatry, London, UK.
Abstract
BACKGROUND: Individuals with Anorexia Nervosa (AN) typically struggle in social and emotional contexts. An Integrated Group Based approach for the delivery of MANTRA - The Maudsley Anorexia Nervosa Treatment for Adults - extends current NICE recommended therapy by augmenting treatment with opportunities for experiential practice in a group context. A feasibility case series, delivered across three NHS community services is presented. METHODS: The design was a case series of four Integrated Group MANTRA treatments delivered across three NHS sites (N = 29). Feasibility data of: retention, acceptability and effectiveness; alongside the qualitative capture of participant experiences of treatment is presented. RESULTS: Primary outcomes suggest treatment acceptability. Participants committed to treatment with only 2 dropouts. There was significant change with medium effect sizes for eating disorder cognitions and symptoms (as measured by the global score on EDEQ) and BMI. Core themes emerging from qualitative analysis captured the value of the relational aspect of the treatment, the incorporation of experiential methods, and the opportunity to draw on the support of the group members to reduce shame and stigma. CONCLUSIONS: An Integrated Group based MANTRA approach is a feasible and effective alternative intervention for community Eating Disorder services.
BACKGROUND: Individuals with Anorexia Nervosa (AN) typically struggle in social and emotional contexts. An Integrated Group Based approach for the delivery of MANTRA - The Maudsley Anorexia Nervosa Treatment for Adults - extends current NICE recommended therapy by augmenting treatment with opportunities for experiential practice in a group context. A feasibility case series, delivered across three NHS community services is presented. METHODS: The design was a case series of four Integrated Group MANTRA treatments delivered across three NHS sites (N = 29). Feasibility data of: retention, acceptability and effectiveness; alongside the qualitative capture of participant experiences of treatment is presented. RESULTS: Primary outcomes suggest treatment acceptability. Participants committed to treatment with only 2 dropouts. There was significant change with medium effect sizes for eating disorder cognitions and symptoms (as measured by the global score on EDEQ) and BMI. Core themes emerging from qualitative analysis captured the value of the relational aspect of the treatment, the incorporation of experiential methods, and the opportunity to draw on the support of the group members to reduce shame and stigma. CONCLUSIONS: An Integrated Group based MANTRA approach is a feasible and effective alternative intervention for community Eating Disorder services.
Entities:
Keywords:
Anorexia nervosa; Eating disorders; Emotion regulation; Group treatment
Authors: Cynthia M Bulik; Nancy D Berkman; Kimberly A Brownley; Jan A Sedway; Kathleen N Lohr Journal: Int J Eat Disord Date: 2007-05 Impact factor: 4.861