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Emotional difficulties are recognised as a treatment target. This research programme developed and evaluated feasibility of an emotion\u2010focused therapy for adults with AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Phase One intervention development utilised \u2018intervention mapping\u2019. 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\u2010based 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\u2010arm, multisite feasibility trial across two specialist services, utilising prespecified progression criteria, and embedded process evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>SPEAKS was 9\u201312\u00a0months (40 sessions) of weekly individual psychotherapy, drawing on a range of psychotherapeutic modalities, predominantly Emotion Focused Therapy and Schema Therapy. Forty\u2010six 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A randomised controlled trial is indicated. Therapist training and guidebook adjustments to improve model adherence are suggested.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.3034","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T03:38:50Z","timestamp":1697081930000},"page":"215-229","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Specialist psychotherapy with emotion for anorexia in Kent and Sussex: An intervention development and non\u2010randomised single arm feasibility trial"],"prefix":"10.1002","volume":"32","author":[{"given":"Anna","family":"Oldershaw","sequence":"first","affiliation":[{"name":"Salomons Institute for Applied Psychology  Tunbridge Wells UK"},{"name":"Kent and Medway All Age Eating Disorders Service North East London NHS Foundation Trust (NELFT)  Maidstone UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randeep Singh","family":"Basra","sequence":"additional","affiliation":[{"name":"Kent and Medway All Age Eating Disorders Service North East London NHS Foundation Trust (NELFT)  Maidstone UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony","family":"Lavender","sequence":"additional","affiliation":[{"name":"Salomons Institute for Applied Psychology  Tunbridge Wells UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Startup","sequence":"additional","affiliation":[{"name":"Schema Therapy School UK Ltd  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Schema therapy in practice: An introductory guide to the schema mode approach","author":"Arntz A.","year":"2017"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010013537"},{"key":"e_1_2_11_4_1","first-page":"315","volume-title":"The clinical impairment assessment questionnaire (CIA)","author":"Bohn K.","year":"2008"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/13620-004"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22715"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(13)61940\u20106"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291717001349"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/clipsy.9.4.396"},{"key":"e_1_2_11_10_1","article-title":"Developing and evaluating complex interventions: The new medical research council guidance","volume":"337","author":"Craig P.","year":"2008","journal-title":"BMJ"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.09.009"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.23180001"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20956"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.624"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.868586"},{"key":"e_1_2_11_16_1","unstructured":"Dunstan R. 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