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 |
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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 |
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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 |
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