Motivation-Enhancing Psychotherapy for Inpatients With Anorexia Nervosa (MANNA): A Randomized Controlled Pilot Study
Patients with anorexia nervosa (AN) are frequently characterized by an unstable readiness to change and high ambivalence toward treatment. Enhancing readiness to behavioral change therefore plays an essential role for adherence to treatment especially for severely ill patients treated in inpatient s...
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Frontiers Media S.A.
2021-02-01
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doaj-37e0bea8a6bf40dbb2c650279d9b32152021-02-01T04:58:52ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-02-011210.3389/fpsyt.2021.632660632660Motivation-Enhancing Psychotherapy for Inpatients With Anorexia Nervosa (MANNA): A Randomized Controlled Pilot StudyKatrin Ziser0Nadine Rheindorf1Katharina Keifenheim2Sandra Becker3Gaby Resmark4Gaby Resmark5Katrin E. Giel6Katrin E. Giel7Eva-Maria Skoda8Martin Teufel9Stephan Zipfel10Stephan Zipfel11Florian Junne12Florian Junne13Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, GermanyClinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University Duisburg-Essen, Essen, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, GermanyCentre of Excellence for Eating Disorders, University of Tuebingen, Tuebingen, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, GermanyCentre of Excellence for Eating Disorders, University of Tuebingen, Tuebingen, GermanyClinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University Duisburg-Essen, Essen, GermanyClinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University Duisburg-Essen, Essen, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, GermanyCentre of Excellence for Eating Disorders, University of Tuebingen, Tuebingen, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, GermanyCentre of Excellence for Eating Disorders, University of Tuebingen, Tuebingen, GermanyPatients with anorexia nervosa (AN) are frequently characterized by an unstable readiness to change and high ambivalence toward treatment. Enhancing readiness to behavioral change therefore plays an essential role for adherence to treatment especially for severely ill patients treated in inpatient settings. Therefore, a novel 10 week program for the individual psychotherapy sessions was designed using elements from motivational interviewing to be applied within the multidisciplinary inpatient treatment for patients with AN. In a randomized controlled pilot trial, N = 22 patients with AN received either the new intervention or treatment as usual in one of two recruiting university hospitals. Readiness to change, eating disorder pathology, therapeutic alliance as well as acceptance and feasibility of the new intervention were measured from patients and therapists in week 1, 5, and 10 of inpatient treatment. Results confirm acceptance and feasibility of the MANNA intervention as evaluated by patients as well as therapists. Patients receiving the new intervention completed their inpatient treatment significantly more often on regular terms than patients receiving treatment as usual. No differences between the groups could be found concerning therapeutic alliance during and at the end of treatment and readiness to change. Absolute numbers of BMI increase indicate a larger increase in the intervention group albeit not significant in this pilot study sample. Limitations of the study such as the small sample size as well as possible adaptions and advancements of the intervention that need to be examined in a larger clinical trial of efficacy are discussed. This phase II study is registered with the German Clinical Trials Register (DRKS) under the trial number DRKS00015639.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.632660/fullanorexia nervosainpatient treatmentpsychotherapyreadiness to changeambivalencetherapeutic alliance |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Katrin Ziser Nadine Rheindorf Katharina Keifenheim Sandra Becker Gaby Resmark Gaby Resmark Katrin E. Giel Katrin E. Giel Eva-Maria Skoda Martin Teufel Stephan Zipfel Stephan Zipfel Florian Junne Florian Junne |
spellingShingle |
Katrin Ziser Nadine Rheindorf Katharina Keifenheim Sandra Becker Gaby Resmark Gaby Resmark Katrin E. Giel Katrin E. Giel Eva-Maria Skoda Martin Teufel Stephan Zipfel Stephan Zipfel Florian Junne Florian Junne Motivation-Enhancing Psychotherapy for Inpatients With Anorexia Nervosa (MANNA): A Randomized Controlled Pilot Study Frontiers in Psychiatry anorexia nervosa inpatient treatment psychotherapy readiness to change ambivalence therapeutic alliance |
author_facet |
Katrin Ziser Nadine Rheindorf Katharina Keifenheim Sandra Becker Gaby Resmark Gaby Resmark Katrin E. Giel Katrin E. Giel Eva-Maria Skoda Martin Teufel Stephan Zipfel Stephan Zipfel Florian Junne Florian Junne |
author_sort |
Katrin Ziser |
title |
Motivation-Enhancing Psychotherapy for Inpatients With Anorexia Nervosa (MANNA): A Randomized Controlled Pilot Study |
title_short |
Motivation-Enhancing Psychotherapy for Inpatients With Anorexia Nervosa (MANNA): A Randomized Controlled Pilot Study |
title_full |
Motivation-Enhancing Psychotherapy for Inpatients With Anorexia Nervosa (MANNA): A Randomized Controlled Pilot Study |
title_fullStr |
Motivation-Enhancing Psychotherapy for Inpatients With Anorexia Nervosa (MANNA): A Randomized Controlled Pilot Study |
title_full_unstemmed |
Motivation-Enhancing Psychotherapy for Inpatients With Anorexia Nervosa (MANNA): A Randomized Controlled Pilot Study |
title_sort |
motivation-enhancing psychotherapy for inpatients with anorexia nervosa (manna): a randomized controlled pilot study |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychiatry |
issn |
1664-0640 |
publishDate |
2021-02-01 |
description |
Patients with anorexia nervosa (AN) are frequently characterized by an unstable readiness to change and high ambivalence toward treatment. Enhancing readiness to behavioral change therefore plays an essential role for adherence to treatment especially for severely ill patients treated in inpatient settings. Therefore, a novel 10 week program for the individual psychotherapy sessions was designed using elements from motivational interviewing to be applied within the multidisciplinary inpatient treatment for patients with AN. In a randomized controlled pilot trial, N = 22 patients with AN received either the new intervention or treatment as usual in one of two recruiting university hospitals. Readiness to change, eating disorder pathology, therapeutic alliance as well as acceptance and feasibility of the new intervention were measured from patients and therapists in week 1, 5, and 10 of inpatient treatment. Results confirm acceptance and feasibility of the MANNA intervention as evaluated by patients as well as therapists. Patients receiving the new intervention completed their inpatient treatment significantly more often on regular terms than patients receiving treatment as usual. No differences between the groups could be found concerning therapeutic alliance during and at the end of treatment and readiness to change. Absolute numbers of BMI increase indicate a larger increase in the intervention group albeit not significant in this pilot study sample. Limitations of the study such as the small sample size as well as possible adaptions and advancements of the intervention that need to be examined in a larger clinical trial of efficacy are discussed. This phase II study is registered with the German Clinical Trials Register (DRKS) under the trial number DRKS00015639. |
topic |
anorexia nervosa inpatient treatment psychotherapy readiness to change ambivalence therapeutic alliance |
url |
https://www.frontiersin.org/articles/10.3389/fpsyt.2021.632660/full |
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