{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:19:40Z","timestamp":1790770780270,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,7,26]],"date-time":"2018-07-26T00:00:00Z","timestamp":1532563200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["634922"],"award-info":[{"award-number":["634922"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the efficacy of the compuLsive Exercise Activity theraPy (LEAP) programme integrated with manualized cognitive behavioral therapy for anorexia nervosa (CBT\u2010AN) compared to CBT\u2010AN alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Seventy\u2010eight adults were randomized to CBT\u2010AN, delivered with or without eight embedded sessions of LEAP, for a total of 34 individual outpatient sessions. Participants were assessed at baseline, the end of the first phase of CBT\u2010AN (which included LEAP), mid\u2010therapy, end of therapy, and at 3 and 6 months follow\u2010up. Linear mixed effects modelling was used for comparing trajectories over time by group in primary outcomes of pathological exercise cognitions and secondary outcomes of exercise frequency, BMI, eating disorder (ED) symptoms, AN stage of change, anxiety\/depression, and health related quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were significant improvements over time in all outcomes. There were no significant differences between treatment groups in primary outcome measures. Fidelity and end\u2010of\u2010treatment participant satisfaction were satisfactory across both conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>CBT\u2010AN and LEAP added to CBT\u2010AN resulted in improved attitudes and beliefs toward exercise and general improvements in BMI and ED psychopathology in people with AN.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22920","type":"journal-article","created":{"date-parts":[[2018,7,27]],"date-time":"2018-07-27T06:30:55Z","timestamp":1532673055000},"page":"999-1004","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":61,"title":["A randomized controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): A new approach to compulsive exercise in anorexia nervosa"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0296-6856","authenticated-orcid":false,"given":"Phillipa","family":"Hay","sequence":"first","affiliation":[{"name":"Discipline of Mental Health, Translational Health Research Institute (THRI), School of Medicine Western Sydney University  Campbelltown Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Touyz","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, School of Psychology University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Arcelus","sequence":"additional","affiliation":[{"name":"Faculty of Medicine &amp; Health Sciences, Institute of Mental Health University of Nottingham  Nottingham United Kingdom"},{"name":"Department of Psychiatry, Leicestershire Adult Eating Disorders Service, Leicestershire Partnership NHS Trust, Bennion Centre Glenfield Hospital  Leicester United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4584-4250","authenticated-orcid":false,"given":"Kathleen","family":"Pike","sequence":"additional","affiliation":[{"name":"Division of Behavioral Health Services and Policy Research Columbia University  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Attia","sequence":"additional","affiliation":[{"name":"Department of Psychiatry College of Physicians and Surgeons of Columbia University  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross D.","family":"Crosby","sequence":"additional","affiliation":[{"name":"Neuropsychiatric Research Institute, Fargo, University of North Dakota School of Medicine and Health Sciences  Fargo North Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sloane","family":"Madden","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Eating Disorders Service at the Sydney Children's Hospitals Network  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackie","family":"Wales","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Leicestershire Adult Eating Disorders Service, Leicestershire Partnership NHS Trust, Bennion Centre Glenfield Hospital  Leicester United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"La Puma","sequence":"additional","affiliation":[{"name":"Jeffery &amp; Ree Clinical Psychologists  Subiaco Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreea I.","family":"Heriseanu","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, School of Psychology University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Eating Disorders Service at the Sydney Children's Hospitals Network  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Meyer","sequence":"additional","affiliation":[{"name":"Discipline of Behavioural Psychology, WMG and Warwick Medical School University of Warwick  Coventry United Kingdom"},{"name":"Discipline of Psychology University Hospitals Coventry and Warwickshire NHS Trust  Coventry United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2001.tb00310.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000000912"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00844722"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700029044"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20200"},{"key":"e_1_2_6_8_1","first-page":"265","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. 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