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Taking the LEAP: study protocol for a randomized, multicentre, naturalistic, efficacy trial of the compuLsive Exercise Activity theraPy (LEAP) - a cognitive behavioral program specifically targeting compulsive exercise in patients with eating disorders
Karolinska Inst, Dept Med Biostat & Epidemiol, Stockholm, Sweden.;Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden.;Stockholm Hlth Care Serv, Stockholm, Sweden..ORCID iD: 0000-0002-3305-4844
Univ Warwick, WMG, Coventry, W Midlands, England.;Univ Warwick, Warwick Med Sch, Coventry, W Midlands, England.;Warwickshire NHS Partnership Trust, Coventry, W Midlands, England..
Karolinska Inst, Dept Med Biostat & Epidemiol, Stockholm, Sweden..
Karolinska Inst, Dept Med Biostat & Epidemiol, Stockholm, Sweden.;Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden.;Stockholm Hlth Care Serv, Stockholm, Sweden..ORCID iD: 0000-0001-9550-3820
2021 (English)In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 21, no 1, article id 369Article in journal (Refereed) Published
Abstract [en]

Background About half of Swedish eating disorder patients report exercising compulsively and compulsive exercise (CE) is prevalent in all diagnoses and both genders. Yet there are no systematic treatments targeting CE in specialist care. This study aims to evaluate the effects of The CompuLsive Exercise Activity TheraPy (LEAP) - a promising group treatment targeting compulsive exercise, in Swedish eating disorder patients. Method One hundred twenty-eight adult females and males suffering from anorexia nervosa, bulimia nervosa or other specified feeding and eating disorders (type 1, 2, or 4) with CE will be recruited via four specialist eating disorder treatment units. Participants will be randomized to receive treatment as usual (control group) or treatment as usual plus LEAP (intervention group). The groups will be assessed on key variables (e.g., BMI, eating disorder symptoms, exercise cognitions and behaviors) at three occasions: initially, after 3 months and after 6 months. Discussion The project takes place in a clinical setting, including both male and female patients with different eating disorder diagnoses with CE, enabling a good indication of the efficacy of LEAP. If our results are positive, LEAP has the potential of benefiting about half of the eating disorder population, with remission and recovery hopefully improving as a result.

Place, publisher, year, edition, pages
BMC , 2021. Vol. 21, no 1, article id 369
Keywords [en]
Compulsive exercise, Eating disorders, Treatment, Efficacy trial
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:gih:diva-7746DOI: 10.1186/s12888-021-03356-2ISI: 000680895500004PubMedID: 34301226OAI: oai:DiVA.org:gih-7746DiVA, id: diva2:1795182
Available from: 2023-09-07 Created: 2023-09-07 Last updated: 2024-01-17

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Forsén Mantilla, Emma

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