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How do we target the factors that maintain anorexia nervosa? A behaviour change taxonomical analysis.
Int Rev Psychiatry. 2019 06; 31(4):403-410.IR

Abstract

All psychological treatments for anorexia nervosa appear to have equal (albeit modest) effects. This may be explained because they target similar processes. Although different psychological treatments have been developed for anorexia nervosa treatment, their taxonomical components have not been compared. This study undertook a taxonomical analysis of behaviour change techniques (BCTs), using the CALO-RE analysis tool, from the manuals of Enhanced Cognitive Behavioural Therapy (CBT-E), Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA), Family Based Therapy (FBT), Specialist Supportive Clinical Management (SSCM), and Focal Psychodynamic Psychotherapy (FPT). The highest number of BCTs were found in FPT (72,5%), and the lowest were in SSCM (30%). The other interventions had a similar range of BCTs which mainly focused on goal planning (FBT (50%), CBT-E (47.5%), MANTRA (42.5%)). Modelling, shaping, and training communication, self-monitoring, and fear arousal were the less commonly used BCTs across manuals. Manualized psychological interventions for people with anorexia nervosa share a substantial number of behaviour change techniques which might explain their similar levels of effectiveness. New strategies may be needed in order to improve outcomes.

Authors+Show Affiliations

a Psychology Department , Federal University of the Triângulo Mineiro (UFTM) , Uberaba , Brazil.b Institute of Psychiatry , Federal University of Rio de Janeiro (IPUB-UFRJ) , Rio de Janeiro , Brazil.c Clinical Sciences Department, Faculty of Medicine and Health Sciences , University of Barcelona , Barcelona , Spain.d Psychology Department, Faculty of Philosophy, Sciences and Letters at Ribeirão Preto , University of São Paulo (FFCLRP-USP) , Ribeirão Preto , Brazil.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31244361

Citation

Leonidas, Carolina, et al. "How Do We Target the Factors That Maintain Anorexia Nervosa? a Behaviour Change Taxonomical Analysis." International Review of Psychiatry (Abingdon, England), vol. 31, no. 4, 2019, pp. 403-410.
Leonidas C, Nazar BP, Munguía L, et al. How do we target the factors that maintain anorexia nervosa? A behaviour change taxonomical analysis. Int Rev Psychiatry. 2019;31(4):403-410.
Leonidas, C., Nazar, B. P., Munguía, L., & Santos, M. A. (2019). How do we target the factors that maintain anorexia nervosa? A behaviour change taxonomical analysis. International Review of Psychiatry (Abingdon, England), 31(4), 403-410. https://doi.org/10.1080/09540261.2019.1624509
Leonidas C, et al. How Do We Target the Factors That Maintain Anorexia Nervosa? a Behaviour Change Taxonomical Analysis. Int Rev Psychiatry. 2019;31(4):403-410. PubMed PMID: 31244361.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - How do we target the factors that maintain anorexia nervosa? A behaviour change taxonomical analysis. AU - Leonidas,Carolina, AU - Nazar,Bruno P, AU - Munguía,Lucero, AU - Santos,Manoel A, Y1 - 2019/06/27/ PY - 2019/6/28/pubmed PY - 2019/6/28/medline PY - 2019/6/28/entrez KW - Taxonomical analysis KW - anorexia nervosa KW - behaviour change techniques KW - eating disorders KW - psychological interventions SP - 403 EP - 410 JF - International review of psychiatry (Abingdon, England) JO - Int Rev Psychiatry VL - 31 IS - 4 N2 - All psychological treatments for anorexia nervosa appear to have equal (albeit modest) effects. This may be explained because they target similar processes. Although different psychological treatments have been developed for anorexia nervosa treatment, their taxonomical components have not been compared. This study undertook a taxonomical analysis of behaviour change techniques (BCTs), using the CALO-RE analysis tool, from the manuals of Enhanced Cognitive Behavioural Therapy (CBT-E), Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA), Family Based Therapy (FBT), Specialist Supportive Clinical Management (SSCM), and Focal Psychodynamic Psychotherapy (FPT). The highest number of BCTs were found in FPT (72,5%), and the lowest were in SSCM (30%). The other interventions had a similar range of BCTs which mainly focused on goal planning (FBT (50%), CBT-E (47.5%), MANTRA (42.5%)). Modelling, shaping, and training communication, self-monitoring, and fear arousal were the less commonly used BCTs across manuals. Manualized psychological interventions for people with anorexia nervosa share a substantial number of behaviour change techniques which might explain their similar levels of effectiveness. New strategies may be needed in order to improve outcomes. SN - 1369-1627 UR - https://www.unboundmedicine.com/medline/citation/31244361/How_do_we_target_the_factors_that_maintain_anorexia_nervosa_A_behaviour_change_taxonomical_analysis L2 - http://www.tandfonline.com/doi/full/10.1080/09540261.2019.1624509 DB - PRIME DP - Unbound Medicine ER -