The “two main approaches” to the fundamental reality of what science does, as asserted in the OP, depends very much upon an initial assumption about Scientific Realism in relation to all other metaphysical positions in the philosophy of science.
Although Scientific Realism is a popular view of science, it is not the only philosophical approach that explains what science does. Other positions such as Instrumentalism, Epistemological Anarchism, Constructivism, Empirical Falsificationism and more explain scientific activity or elements of scientific activity through different analytical techniques and metaphysics. What stands Scientific Realism apart is the focus on “truth” as an empirical qualifier in the relationship between scientific theory and physical phenomena. It is on the basis of this metaphysical difference that any philosophy not appealing to a doctrine of truth, and instead focuses on development of scientific theory in different ways, is classified as “anti-realist”.
The distinction between realism and anti-realism is really a political distinction, rather than a rational or scientific distinction. By classifying other metaphysical positions as “anti”, Scientific Realism is normalized as something positive against which other positions must be considered. But as often the case, non-realist positions are based, and developed, on other metaphysical prerogatives in their attempts to explain scientific activity. Any comparison between realist and anti-realist position is inappropriate because the doctrine of truth has no metaphysical significance in "anti-realist" theory. (It could even be argued that Scientific Realism’s adherence and demand to view knowledge in terms of truth is essentialist and anti-scientific. But that is a topic for a different debate.)
The assumption that I alluded to which the OP makes is that Scientific Realism is normal, standard, or natural; and incorrectly assumes other positions as hostile, challenging, and adverse, and therefore inherently opposed to realism. For example, the OP states:
“Most of the versions of Anti-Realism make the distinction between believing a theory is true and accepting that it is empirically adequate.”
But if you read the “anti-realists” such as Feyerabend or Kuhn, they make no such distinction, nor explore the difference between realism or anti-realism. Only through a Scientific Realist interpretation of the issues in their work do their respective theses appear to be anti-realist. The perception that numerous alternate positions are anti-realist ultimately requires reading and translating “anti-realist” ideas within the interests of realist metaphysics, especially truth evaluation (e.g. "Is antirealism true?" is a realist, not an anti-realist question). "Anti-realist" positions are respectively based on different metaphysical groundings.