A case series evaluation of the Maudsley Model for treatment of adults with anorexia nervosa.

作者: Tracey D Wade , Janet Treasure , Ulrike Schmidt

DOI: 10.1002/ERV.1078

关键词: Good outcomePsychopathologyPsychiatryMotivational interviewingOutcome (game theory)Intention-to-treat analysisEating disordersAnorexia nervosaPsychologyBody mass index

摘要: Objective Outpatient psychotherapy has been largely unsuccessful in assisting adults with anorexia nervosa (AN) to achieve weight restoration. The aim of the current study was evaluate change and attainment good moderate outcome at 12-month follow-up using Maudsley Model for Treatment Adults AN (MANTRA). Methods Of 33 people assessed, 28 commenced therapy, 23 completed it (82%). Results At post-treatment, seven (30%) met criteria one person outcome. At follow-up, six (26%) achieved outcome, a further five there were significant improvements body mass index, eating psychopathology motivation, large intention treat effect sizes (ES) 0.85, 1.19 1.57, respectively. Those who dropped out therapy significantly more likely binge or purge, this behaviour also associated size (0.71) when examining differences between obtained good/moderate versus poor Also predicting status lower baseline self-esteem ineffectiveness. Conclusion Further evaluation use MANTRA as an outpatient appears justified. Improvements could include early focus on purge behaviour, well modules addressing low ineffectiveness. Copyright © 2011 John Wiley & Sons, Ltd Eating Disorders Association.

参考文章(35)
Kathleen M. Pike, Long-term course of anorexia nervosa Clinical Psychology Review. ,vol. 18, pp. 447- 475 ,(1998) , 10.1016/S0272-7358(98)00014-2
Mortality in anorexia nervosa. American Journal of Psychiatry. ,vol. 152, pp. 1073- 1074 ,(1995) , 10.1176/AJP.152.7.1073
Belinda M Pratt, Susan Woolfenden, Interventions for preventing eating disorders in children and adolescents Cochrane Database of Systematic Reviews. ,vol. 2002, ,(2002) , 10.1002/14651858.CD002891
J. Treasure, T. Murphy, T. Szmukler, G. Todd, K. Gavan, J. Joyce, The experience of caregiving for severe mental illness: a comparison between anorexia nervosa and psychosis. Social Psychiatry and Psychiatric Epidemiology. ,vol. 36, pp. 343- 347 ,(2001) , 10.1007/S001270170039
Valdo Ricca, Giovanni Castellini, Carolina Lo Sauro, Edoardo Mannucci, Claudia Ravaldi, Francesco Rotella, Carlo Faravelli, Cognitive-behavioral therapy for threshold and subthreshold anorexia nervosa: a three-year follow-up study. Psychotherapy and Psychosomatics. ,vol. 79, pp. 238- 248 ,(2010) , 10.1159/000315129
Jonathan Mond, Bryan Rodgers, Phillipa Hay, Ailsa Korten, Cathy Owen, Pierre Beumont, Disability associated with community cases of commonly occurring eating disorders Australian and New Zealand Journal of Public Health. ,vol. 28, pp. 246- 251 ,(2004) , 10.1111/J.1467-842X.2004.TB00703.X
Chris Dare, Ivan Eisler, Gerald Russell, Janet Treasure, Liz Dodge, Psychological therapies for adults with anorexia nervosa: randomised controlled trial of out-patient treatments. British Journal of Psychiatry. ,vol. 178, pp. 216- 221 ,(2001) , 10.1192/BJP.178.3.216
RH Striegel-Moore, L DeBar, GT Wilson, J Dickerson, F Rosselli, N Perrin, F Lynch, HC Kraemer, Health services use in eating disorders Psychological Medicine. ,vol. 38, pp. 1465- 1474 ,(2008) , 10.1017/S0033291707001833
Christopher G. Fairburn, Evidence-Based Treatment of Anorexia Nervosa. International Journal of Eating Disorders. ,vol. 37, ,(2005) , 10.1002/EAT.20112