Evidence map›Paper›PMID 39623911›Full record

ArticlePsychology and psychotherapy2025

Therapists' perspectives on the Maudsley model anorexia nervosa treatment for adolescents and young adults (MANTRa): A qualitative interview study.

Michael Zeiler, Petra Sackl-Pammer, Tanja Wittek, Susanne Ohmann, Sonja Werneck-Rohrer, Stefanie Truttmann, Julia Philipp, Gabriele Schöfbeck, Konstantin Kopp, Helene Krauss and 3 more

Abstract read
In one paragraph

Article in Psychology and psychotherapy, 2025. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. 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
  4. Article
  5. Article
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

13 authors.

Michael ZeilerEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-7087-6134
Petra Sackl-PammerEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Tanja WittekEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Susanne OhmannEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Sonja Werneck-RohrerEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Stefanie TruttmannEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Julia PhilippEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Gabriele SchöfbeckEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Konstantin KoppEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Helene KraussEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Ulrike SchmidtInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Andreas KarwautzEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Gudrun WagnerEating Disorder Care and Research Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.

Funding

"Gemeinsame Gesundheitsziele-Pharma Master Agreement" (a cooperation between the Austrian pharmaceutical industry and the Austrian social insurance)-reference number: 99901006800
6 · The paper itself

Abstract

objectivesA rising incidence of eating disorders in the young population and limited effectiveness of available treatment approaches underscore the need for innovative therapies. This study explores therapists' perspectives regarding a promising new manualized psychotherapeutic treatment (MANTRa) for adolescents and young adults with anorexia nervosa (AN).

methodsSemi-structured qualitative interviews were conducted with 10 therapists (nine female) who provided 24-34 sessions of MANTRa per patient. Interview topics included positive and negative experiences with MANTRa in general, with the workbook and other components. Reflexive thematic analysis was used to interpret the data. Furthermore, written notes taken by the therapists after each sessions were analysed.

resultsThe thematic analysis revealed five overarching themes: (1) Variety of therapeutic tools and content elements included in the workbook; (2) Getting the therapeutic process going; (3) Flexibility in use of the workbook; (4) Impact of the scientific and multidisciplinary framework on quality assurance; (5) Formal design of the workbook. Therapists' case formulation letters to the patients were regarded as powerful tools to strengthen therapeutic alliance and promote recovery. In-depth therapists' training, regular supervision and a multi-professional treatment setting were important factors to ensure high treatment quality.

conclusionsThe findings suggest how the MANTRa content (e.g. inclusion of additional therapeutic tools), the therapists' training and the format (e.g. provision of a digital version) can be improved to reach maximum impact. Therapists' formulation letters may be an effective therapeutic tool not only for AN but also across the spectrum of psychiatric disorders in adolescents and young adults.

Indexed as

Anorexia NervosaAttitude of Health PersonnelPsychotherapyAdolescentAdultFemaleHumansInterviews as TopicMaleQualitative ResearchYoung Adultadolescentsanorexia nervosacase formulationcognitive behavioural therapymanualized psychotherapyMaudsley modeltherapeutic alliance

Identifiers

PMID39623911
PMCPMC12065047

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LicenceCC BY-NC-ND
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Registered trials

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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.