Developing and evaluating cognitive remediation therapy (CRT) for adolescents with anorexia nervosa: a feasibility study.

Camilla Lindvall Dahlgren, Bryan Lask, Nils-Inge Landrø, Øyvind Rø
Author Information
  1. Camilla Lindvall Dahlgren: Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Norway camilla.lindvall@ous-hf.no.
  2. Bryan Lask: Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Norway Feeding and Eating Disorders Service, Department of Child and Adolescent Mental Health, Great Ormond Street Hospital for Children, London, UK Care UK, London, UK.
  3. Nils-Inge Landrø: Center for the Study of Human Cognition, Department of Psychology, University of Oslo, Norway.
  4. Øyvind Rø: Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Norway.

Abstract

BACKGROUND: Cognitive Remediation Therapy (CRT) aims at improving neuropsychological weaknesses and associated thinking styles in patients with anorexia nervosa (AN). It has only recently been developed for adolescents with AN, and evidence of its applicability for this particular patient group is limited. This study aimed to test the feasibility of individually tailored and delivered CRT for young females with AN.
METHODS: A sample of 20 in- and outpatients (13-18 years) with AN participated in once- or twice weekly individual CRT sessions. The CRT materials used were available in a "CRT Resource Pack." Feasibility was assessed with regards to the recruitment process, the delivery of the intervention, the materials used and clinical experiences.
RESULTS: Overall results indicate that the intervention was feasible with regards to (a) the recruitment of both in- and outpatients, (b) individual tailoring and delivery, (c) the CRT materials adapted to suit young females with AN, and (d) the acceptability for clinicians involved in the study. There were no voluntary dropouts, with 19 of 20 patients completing the entire course of treatment.
CONCLUSIONS: The findings have implications for the refinement of CRT for the youngest AN population, and strengthens our understanding of the core components in the development and evaluation of novel interventions targeting AN. This study will help inform the design of a subsequent randomized controlled trial.

Keywords

MeSH Term

Adolescent
Adolescent Behavior
Anorexia Nervosa
Cognitive Behavioral Therapy
Feasibility Studies
Female
Humans
Treatment Outcome

Word Cloud

Created with Highcharts 10.0.0CRTANstudyanorexiaadolescentsmaterialsCognitivepatientsnervosafeasibilityyoungfemales20in-outpatientsindividualusedregardsrecruitmentdeliveryinterventiontreatmentremediationtherapyBACKGROUND:RemediationTherapyaimsimprovingneuropsychologicalweaknessesassociatedthinkingstylesrecentlydevelopedevidenceapplicabilityparticularpatientgrouplimitedaimedtestindividuallytailoreddeliveredMETHODS:sample13-18yearsparticipatedonce-twiceweeklysessionsavailable"CRTResourcePack"FeasibilityassessedprocessclinicalexperiencesRESULTS:Overallresultsindicatefeasiblebtailoringcadaptedsuitdacceptabilitycliniciansinvolvedvoluntarydropouts19completingentirecourseCONCLUSIONS:findingsimplicationsrefinementyoungestpopulationstrengthensunderstandingcorecomponentsdevelopmentevaluationnovelinterventionstargetingwillhelpinformdesignsubsequentrandomizedcontrolledtrialDevelopingevaluatingcognitivenervosa:neuropsychology

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