Evidence map›Paper›PMID 34130755›Full record

ArticleJournal of eating disorders2021

The Maudsley Anorexia Nervosa Treatment for Adults (MANTRA): a feasibility case series of an integrated group based approach.

Helen Startup, Mary Franklin-Smith, William Barber, Nicola Gilbert, Yael Brown, Danielle Glennon, Akira Fukutomi, Ulrike Schmidt

Open access · goldAbstract read
In one paragraph

Article in Journal of eating disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Alexithymia and Emotion Recognition Over the Treatment Course in Adolescents and Emerging Adults With Anorexia Nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Helen StartupSussex Partnership NHS Foundation Trust, Sussex Eating Disorders Service, Brighton, UK. helen.startup@sussexpartnership.nhs.uk.ORCID http://orcid.org/0000-0003-3439-8304
Mary Franklin-SmithLeeds Partnership NHS Foundation Trust, CONNECT: The West Yorkshire Adult Eating Disorder Service, Leeds, UK.
William BarberSussex Partnership NHS Foundation Trust, Sussex Eating Disorders Service, Brighton, UK.
Nicola GilbertSussex Partnership NHS Foundation Trust, Sussex Eating Disorders Service, Brighton, UK.
Yael BrownSouth London and Maudsley NHS Foundation Trust, Eating Disorders Outpatient Service, London, UK.
Danielle GlennonSouth London and Maudsley NHS Foundation Trust, Eating Disorders Outpatient Service, London, UK.
Akira FukutomiSouth London and Maudsley NHS Foundation Trust, Eating Disorders Outpatient Service, London, UK.
Ulrike SchmidtDepartment of Psychological Medicine, King's College London, Institute of Psychiatry, London, UK.
South London and Maudsley NHS Foundation Trust · GBSussex Partnership NHS Foundation Trust · GBKing's College London · GBLeeds and York Partnership NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with Anorexia Nervosa (AN) typically struggle in social and emotional contexts. An Integrated Group Based approach for the delivery of MANTRA - The Maudsley Anorexia Nervosa Treatment for Adults - extends current NICE recommended therapy by augmenting treatment with opportunities for experiential practice in a group context. A feasibility case series, delivered across three NHS community services is presented.

methodsThe design was a case series of four Integrated Group MANTRA treatments delivered across three NHS sites (N = 29). Feasibility data of: retention, acceptability and effectiveness; alongside the qualitative capture of participant experiences of treatment is presented.

resultsPrimary outcomes suggest treatment acceptability. Participants committed to treatment with only 2 dropouts. There was significant change with medium effect sizes for eating disorder cognitions and symptoms (as measured by the global score on EDEQ) and BMI. Core themes emerging from qualitative analysis captured the value of the relational aspect of the treatment, the incorporation of experiential methods, and the opportunity to draw on the support of the group members to reduce shame and stigma.

conclusionsAn Integrated Group based MANTRA approach is a feasible and effective alternative intervention for community Eating Disorder services.

Indexed as

Anorexia nervosaEating disordersEmotion regulationGroup treatment

Identifiers

PMID34130755
PMCPMC8207787
OpenAlexW3134791658

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.