Effectiveness of the Maudsley Model of Anorexia Nervosa Treatment for Adults: A systematic review

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-07-03 DOI:10.1002/erv.3122

Sheila Fernández García, Yolanda Quiles Marcos

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Abstract

Background

Maudsley Model of Anorexia nervosa (AN) Treatment for Adults (MANTRA) is recommended by NICE for the treatment of adults with AN. However, despite this fact, the approach remains relatively understudied. The aim of this study was to systematically update the research evidence regarding the use of the MANTRA in the treatment of Eating Disorders (ED).

Method

The databases used were Web of Science, Scopus, and PsycInfo, including studies up to 31 May 2023. PRISMA guidelines were followed, and Cochrane tools were used to assess the risk of bias. The search focused on identifying published articles that discussed the usefulness of MANTRA as a component of treatment for ED, following PICO criteria.

Results

Nine studies spanning the period from 2011 to 2023 were included. Findings suggested that MANTRA was effective in improving body mass index (BMI), eating symptomatology and emotional state. There were generally no significant differences compared to other treatment conditions. Limitations to interpreting this systematic review include the methodological quality of included studies and the elevated risk of bias.

Conclusions

This review was the first to examine the effectiveness of MANTRA. The results indicate that MANTRA has shown effectiveness similar to other treatments for adults AN patients in addressing key clinical variables. It has been used in different populations (adolescents, males, inpatients) and formats (group, online) However, more research is needed to determine its effectiveness.

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莫兹利成人厌食症治疗模式的有效性：系统回顾。

背景：莫兹利成人厌食症治疗模式（MANTRA）被 NICE 推荐用于治疗成人厌食症。然而，尽管如此，对该方法的研究仍然相对不足。本研究旨在系统地更新有关使用 MANTRA 治疗进食障碍（ED）的研究证据：所使用的数据库为 Web of Science、Scopus 和 PsycInfo，包括截至 2023 年 5 月 31 日的研究。检索遵循 PRISMA 准则，并使用 Cochrane 工具评估偏倚风险。检索的重点是按照 PICO 标准，识别讨论 MANTRA 作为 ED 治疗组成部分的有用性的已发表文章：结果：共纳入九项研究，时间跨度为 2011 年至 2023 年。研究结果表明，MANTRA 能有效改善体重指数（BMI）、进食症状和情绪状态。与其他治疗条件相比，总体上没有明显差异。本系统综述的局限性包括纳入研究的方法质量和偏倚风险较高：本综述首次研究了 MANTRA 的有效性。结果表明，MANTRA在解决关键临床变量方面的有效性与其他治疗方法类似。MANTRA 已在不同人群（青少年、男性、住院病人）和形式（小组、在线）中使用过，但要确定其有效性，还需要进行更多的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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