Harrison, A; Stavri, P; Ormond, L; McEnemy, F; Akyol, D; Qureshi, A; Al-Khairulla, H; (2018) Cognitive remediation therapy for adolescent inpatients with severe and complex anorexia nervosa: A treatment trial. European Eating Disorders Review , 26 (3) pp. 230-240. 10.1002/erv.2584.

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Abstract

Cognitive remediation therapy (CRT) is a low‐intensity treatment adjunct forindividuals with severe and complex anorexia nervosa (AN) with difficultiesin globally oriented, flexible thinking. Previously trialled in adults, this studyinvestigated whether individual and group CRT was a feasible, acceptable,and beneficial treatment for 125 adolescent inpatients with severe and com-plex AN. Seventy patients (mean age = 15.22,SD= 1.44) received 10 sessionsof individual CRT, and 55 patients (mean age = 14.89,SD= 1.74) received 10sessions of group CRT. In individual CRT, 1 patient (1.43%) dropped out, andthere were medium‐sized improvements in bigger picture thinking and set‐shifting, small to large‐sized improvements in switching‐related initiationand inhibition skills, and large‐sized improvements in motivation to recover.Group CRT had higher dropout (9.09%;n= 5) and produced small‐sizedimprovements in global information processing and medium‐sized improve-ments in self‐reported cognitive flexibility and high acceptability ratings. Datasuggest that a randomised controlled trial for adolescents with AN iswarranted.

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