The Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA): Development, Key Features, and Preliminary Evidence
Abstract
Anorexia nervosa (AN) is a severe mental disorder that affects mainly young females. In adults with a well-established form of the illness, it is hard to treat. In 2006, we proposed a maintenance model of AN, combining intra- and interpersonal factors and we have recently refined this model. The model encompasses four main maintaining factors (a thinking style characterized by rigidity, detail focus, and a fear of making mistakes; an avoidant emotion processing and relational style; positive beliefs about the use of anorexia for the person [pro-anorexia beliefs]; and a response of close others to the illness characterized by high expressed emotion and enabling of and accommodation to the illness). In this article, we describe how the model has been translated into a novel treatment for AN and the preliminary evidence supporting this. Implications for clinical practice and research are discussed.
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Interpersonal difficulties in anorexia nervosa are targeted in recent treatment protocols such as MANTRA and IPT-ED.
“interpersonal difficulties are thought to be so key to AN that these difficulties are targeted in recent treatment protocols (Maudsley Anorexia Nervosa Treatment for Adults; MANTRA, (Schmidt, Wade, & Treasure, 2014, Interpersonal Therapy for Eating Disorders; IPT‐ED; Rieger et al., 2010).”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Schmidt, Wade, & Treasure, 2014
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References 84 · Cited by 159
- Authors
- Schmidt, U., Wade, T. D., & Treasure, J.
- Affiliations
- King's College London (GB)
- Flinders University (AU)
- Venue
- Journal of Cognitive Psychotherapy
- Publisher
- Springer Publishing Company
- Published
- 2014
- Volume
- 28
- Issue
- 1
- Pages
- 48-71
- ISSN
- 0889-8391 (ISSN-L)
- 1938-887X
- OpenAlex
- W2317790977
- Cited by
- 159
- References
- 84
- Citations by year
- 2026: 10 · 2025: 14 · 2024: 24 · 2023: 11 · 2022: 15 · 2021: 15 · 2020: 27 · 2019: 10 · 2018: 3 · 2017: 12 · 2016: 6 · 2015: 10
- FWCI
- 11.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Cognitive Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- anorexia nervosa, mantras, maintenance models, interpersonal factors, expressed emotion, cognitive rigidity, treatment development
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