Specialist psychotherapy with emotion for anorexia in Kent and Sussex: An intervention development and non-randomised single arm feasibility trial.
Journal article
Oldershaw, Anna, Basra, Randeep Singh, Lavender, Tony and Startup, Helen 2023. Specialist psychotherapy with emotion for anorexia in Kent and Sussex: An intervention development and non-randomised single arm feasibility trial. European Eating Disorders Review. 32 (2), pp. 215-229. https://doi.org/10.1002/erv.3034
| Authors | Oldershaw, Anna, Basra, Randeep Singh, Lavender, Tony and Startup, Helen |
|---|---|
| Abstract | Anorexia 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. Phase 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. SPEAKS 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. A randomised controlled trial is indicated. Therapist training and guidebook adjustments to improve model adherence are suggested. [Abstract copyright: © 2023 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.] |
| Keywords | SPEAKS; Emotion; Anorexia; Schema; Therapy |
| Year | 2023 |
| Journal | European Eating Disorders Review |
| Journal citation | 32 (2), pp. 215-229 |
| Publisher | Wiley |
| ISSN | 1099-0968 |
| Digital Object Identifier (DOI) | https://doi.org/10.1002/erv.3034 |
| Official URL | https://onlinelibrary.wiley.com/doi/full/10.1002/erv.3034 |
| Funder | National Institute for Health and Care Research |
| Publication dates | |
| Online | 10 Oct 2023 |
| Publication process dates | |
| Deposited | 25 Oct 2023 |
| Accepted | 16 Sep 2023 |
| Publisher's version | License File Access Level Open |
| Output status | Published |
Permalink -
https://repository.canterbury.ac.uk/item/9628x/specialist-psychotherapy-with-emotion-for-anorexia-in-kent-and-sussex-an-intervention-development-and-non-randomised-single-arm-feasibility-trial
Download files
Publisher's version
| Euro Eating Disorders Rev - 2023 - Oldershaw - Specialist psychotherapy with emotion for anorexia in Kent and Sussex An.pdf | ||
| License: CC BY 4.0 | ||
| File access level: Open | ||
105
total views116
total downloads3
views this month1
downloads this month
Export as
Related outputs
“It's OK for me to cry”: client and therapist perspectives on change processes in SPEAKS therapy for anorexia nervosa
Papastavrou Brooks, C., Rennick, Abigail, Singh Basra, R., Lavender, T., Startup, H. and Oldershaw, A. 2025. “It's OK for me to cry”: client and therapist perspectives on change processes in SPEAKS therapy for anorexia nervosa. Journal of Clinical Psychology. https://doi.org/10.1002/jclp.23769Acceptability of Specialist Psychotherapy with Emotion for Anorexia in Kent and Sussex (SPEAKS): A novel intervention for anorexia nervosa.
Rennick, A., Papastavrou Brooks, C., Singh Basra, R., Startup, H., Lavender, T. and Oldershaw, A. 2024. Acceptability of Specialist Psychotherapy with Emotion for Anorexia in Kent and Sussex (SPEAKS): A novel intervention for anorexia nervosa. The International journal of eating disorders. https://doi.org/10.1002/eat.24139‘The relentless nature of whiteness’: Black psychologists' experiences of racial microaggressions in cross‐cultural supervision
Ebubedike, N., Callanan, Margie and Oldershaw, Anna 2024. ‘The relentless nature of whiteness’: Black psychologists' experiences of racial microaggressions in cross‐cultural supervision. Clinical Psychology & Psychotherapy. 31 (3). https://doi.org/10.1002/cpp.3011Editorial: Eating disorders and emotion regulation, looking at the spectrum from overcontrolling to dysregulation.
Meneguzzo, Paolo, Oldershaw, Anna Victoria, Monaco, Francesco and Giel, Katrin 2022. Editorial: Eating disorders and emotion regulation, looking at the spectrum from overcontrolling to dysregulation. Frontiers in Psychiatry. 13, p. 976500. https://doi.org/10.3389/fpsyt.2022.976500Seeing through the façade of Anorexia: A grounded theory of emotional change processes associated with recovery from Anorexia Nervosa
Drinkwater, Danielle, Holttum, Sue, Lavender, Tony, Startup, Helen and Oldershaw, Anna 2022. Seeing through the façade of Anorexia: A grounded theory of emotional change processes associated with recovery from Anorexia Nervosa. Frontiers in Psychiatry. 13, p. 868586. https://doi.org/10.3389/fpsyt.2022.868586Quality of life of mentally retarded adults transferred from large institutions to new small units
Hemming, H., Lavender, T. and Pill, R. 1981. Quality of life of mentally retarded adults transferred from large institutions to new small units. American Journal of Mental Deficency. 86 (2), pp. 157-169.Assuring quality in mental health services: the QUARTZ system
Clifford, P., Leiper, R., Lavender, T. and Pilling, S. 1989. Assuring quality in mental health services: the QUARTZ system. London Free Association Press.Community Care in Practice:Services for the Continuing Care Client
Lavender, T. and Holloway, F. Lavender, T. and Holloway, F. (ed.) 1988. Community Care in Practice:Services for the Continuing Care Client. Chichester Wiley.Hearing voices network groups: experiences of eight voice hearers and the connection to group processes and recovery
Lavender, T., Payne, T. and Allen, J. 2017. Hearing voices network groups: experiences of eight voice hearers and the connection to group processes and recovery. Psychosis. 9 (3), pp. 205-215. https://doi.org/10.1080/17522439.2017.1300183Training and staff retention: national issues and findings from the Canterbury Christ Church University (Salomons Centre for Applied Psychology) clinical psychology training programme
Lavender, T. and Chatfield, S. 2016. Training and staff retention: national issues and findings from the Canterbury Christ Church University (Salomons Centre for Applied Psychology) clinical psychology training programme. Clinical Psychology Forum (Extended Online Edition). 286, pp. 31-38.Exploring compulsory admission experiences of adults with psychosis in the UK using Grounded Theory
Loft, N. and Lavender, T. 2015. Exploring compulsory admission experiences of adults with psychosis in the UK using Grounded Theory. Journal of Mental Health. https://doi.org/10.3109/09638237.2015.1101415An investigation of the mediating factors in the relationship between early childhood adversity and borderline personality characteristics in forensic inpatients
Varnaseri, H., Lavender, T. and Lockerbie, L. 2016. An investigation of the mediating factors in the relationship between early childhood adversity and borderline personality characteristics in forensic inpatients. Journal of Forensic Practice. 18 (1), pp. 17-30. https://doi.org/10.1108/JFP-02-2015-0016New ways of working for applied psychologists in health and social care: final report of the New Roles Project Group
Lavender, T. and Taylor, J. 2007. New ways of working for applied psychologists in health and social care: final report of the New Roles Project Group. Leicester, UK British Psychological Society.New ways of working for applied psychologists in health and social care: the end of the beginning: summary report
Lavender, T. and Hope, R. 2007. New ways of working for applied psychologists in health and social care: the end of the beginning: summary report. Leicester, UK British Psychological Society.English survey of applied psychologists in health and social care and in the probation and prison service
Lavender, T., Gray, I. and Richardson, A. 2005. English survey of applied psychologists in health and social care and in the probation and prison service. Leicester British Psychological Society.Developing a training programme for primary care mental health workers
Lavender, T. and Macdonald, K. 2003. Developing a training programme for primary care mental health workers. Journal of Primary Care Mental Health & Education. 7 (1), pp. 12-16.Dissertations
Lavender, T. 2004. Dissertations. Clinical Psychology: Training, Research and Development. 3 (1), pp. 4-8.Carers' expressed emotion, appraisal of behavioural problems and stress in children attending schools for learning disabilities
Lam, D., Giles, A. and Lavender, T. 2003. Carers' expressed emotion, appraisal of behavioural problems and stress in children attending schools for learning disabilities. Journal of Intellectual Disability Research. 47 (6), pp. 456-463. https://doi.org/10.1046/j.1365-2788.2003.00512.xTrainee clinical psychologists' adaptation and professional functioning: a longitudinal study
Kuyken, W., Peters, E., Power, M. and Lavender, T. 2003. Trainee clinical psychologists' adaptation and professional functioning: a longitudinal study. Clinical Psychology & Psychotherapy. 10 (1), pp. 41-54. https://doi.org/10.1002/cpp.350Clinical psychology development: the early years and progress
Lavender, T., Hall, J. and Llewelyn, S. 2003. Clinical psychology development: the early years and progress. Clinical Psychology: Training, Research and Development. 1 (1), pp. 3-15.Redressing the balance: the place, history and future of reflective practice in clinical training
Lavender, T. 2003. Redressing the balance: the place, history and future of reflective practice in clinical training. Clinical Psychology. 27, pp. 11-15.A history of clinical psychology in Britain: some impressions and reflections
Hall, J., Lavender, T. and Llewelyn, S. 2003. A history of clinical psychology in Britain: some impressions and reflections. History and Philosophy of Psychology. 4 (2), pp. 32-48.The end of the beginning: the history and future for clinical psychology
Lavender, T. 2009. The end of the beginning: the history and future for clinical psychology.New ways of working for applied psychologists - an overview
Lavender, T. and Hope, R. 2008. New ways of working for applied psychologists - an overview.The development of clinical psychology past and future perspectives: Monte Shapiro's legacy
Lavender, T. 2011. The development of clinical psychology past and future perspectives: Monte Shapiro's legacy.The benefits of partnerships with universities
Lavender, T. 2010. The benefits of partnerships with universities.