Affiliation:
1. Salomons Institute for Applied Psychology Tunbridge Wells UK
2. Kent and Medway All Age Eating Disorders Service North East London NHS Foundation Trust (NELFT) Maidstone UK
3. Schema Therapy School UK Ltd London UK
Abstract
AbstractObjectiveAnorexia nervosa (AN) is a serious eating disorder treated using psychological interventions, yet outcomes remain limited. Emotional difficulties are recognised as a treatment target. This research programme developed and evaluated feasibility of an emotion‐focused therapy for adults with AN.MethodsPhase One intervention development utilised ‘intervention mapping’. Qualitative research drew on lived experience highlighting objectives for change. Empirical evidence was synthesised into hypotheses of core emotional difficulties and an associated model of change. Relevant psychotherapeutic theory‐based change methods were integrated to form the Specialist Psychotherapy with Emotion for Anorexia in Kent and Sussex (SPEAKS) intervention, guidebook and clinician training package. Phase Two tested SPEAKS in a single‐arm, multisite feasibility trial across two specialist services, utilising prespecified progression criteria, and embedded process evaluation.ResultsSPEAKS was 9–12 months (40 sessions) of weekly individual psychotherapy, drawing on a range of psychotherapeutic modalities, predominantly Emotion Focused Therapy and Schema Therapy. Forty‐six participants consented to feasibility trial participation; 42 entered the trial and 34 completed. Thirteen of 16 feasibility criteria were met at green level and three at amber, highlighting areas for improving model adherence.ConclusionsA randomised controlled trial is indicated. Therapist training and guidebook adjustments to improve model adherence are suggested.
Funder
National Institute for Health and Care Research
Subject
Psychiatry and Mental health,Clinical Psychology
Cited by
1 articles.
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