MANTRA jako protokół leczenia jadłowstrętu psychicznego u dorosłych: model poznawczo-interpersonalny, struktura terapii i dane empiryczne
Izabela Pawłowska
Uniwersytet SWPS, Katedra Psychologii Klinicznej i Zdrowiahttps://orcid.org/0000-0001-5351-2016
Kamila Grochowska-Kramek
Uniwersytet SWPShttps://orcid.org/0009-0008-4684-8396
Abstract
Aim: This paper provides a concise overview of MANTRA (Maudsley Anorexia Nervosa Treatment for Adults) as a manualised psychotherapy for adults with anorexia nervosa (AN) and offers a critical synthesis of its theoretical foundations and available empirical evidence.
Theses: MANTRA is grounded in the cognitive-interpersonal maintenance model of AN, which conceptualises the disorder as being perpetuated by interacting factors, including a characteristic cognitive style (e.g., rigidity and an over-focus on detail), difficulties in emotion identification and regulation, interpersonal patterns that increase social withdrawal, and positive beliefs about symptom functions alongside illness-related identity processes. The protocol combines cognitive-behavioural techniques with a motivational stance and interpersonal interventions, with optional involvement of carers/supporters.
Conclusion: MANTRA represents a theoretically coherent and empirically evaluated treatment option for outpatient adult AN. Randomised controlled evidence indicates clinically relevant improvements in weight and eating-disorder psychopathology that are typically comparable to other specialist active treatments, with favourable acceptability. At the same time, current evidence does not support claims of superiority over alternative first-line approaches; future research should clarify moderators of outcome, mechanisms of change, and implementation strategies across care settings.
Keywords: anorexia nervosa; psychotherapy; MANTRA; cognitive-interpersonal model; SSCM; CBT-E
Keywords:
anoreksja nervosa, psychoterapia, MANTRA, model poznawczo-interpersonalny, SSCM, CBT-EReferences
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Uniwersytet SWPS, Katedra Psychologii Klinicznej i Zdrowia
https://orcid.org/0000-0001-5351-2016
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