A brief emotion focused intervention for inpatients with anorexia nervosa: A qualitative study

Money, Claire; Genders, Rebecca; Treasure, Janet; Schmidt, Ulrike; Tchanturia, Kate

doi:10.1177/1359105310396395

Cited by 41 publications

(47 citation statements)

References 31 publications

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“…Por último, la imposibilidad de contar con un diseño de tratamiento habitual con y sin CREST-O nos impide ofrecer resultados sobre su efi cacia diferencial. Sin embargo, el paralelismo de lo acontecido con las pacientes con trastornos alimentarios quienes después de su entrenamiento en la CREST mejoraron en fl exibilidad cognitiva, en identifi cación y regulación emocional e incluso en sintomatología alimentaria (Money, Genders et al, 2011), además de que informaron de que las habilidades entrenadas les resultaron de utilidad en su cotidianidad (Money, Davies, y Tchanturia, 2011), nos hace confi ar en el desarrollo de esta iniciativa terapéutica dado que estos resultados son los que hemos encontrado con nuestros pacientes con obesidad. Estos datos, junto con los resultados acerca de su efi cacia, podrían hacer del programa CREST-O una intervención de elección en las fases iniciales del tratamiento (Money, Davies et al, 2011), facilitando que los pacientes se adhiriesen más fácilmente a la intervención habitual sobre la psicopatología alimentaria.…”

Section: Discussionunclassified

Entrenamiento en remediación cognitiva y habilidades emocionales en formato grupal para pacientes con obesidad. Un estudio piloto

Segura

Roncero

Oltra-Cucarella

et al. 2017

RPPC

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Abstract:Cognitive remediation and emotion skills training was initially designed by the Tchanturia group for individual intervention in patients with eating disorders. The purpose of the present study is to present its adaptation to patients with obesity in group format. It is structured in 8 weekly sessions that work on central executive functions, the relation between emotion and thought, and emotion regulation in oneself and others. In addition, we present the preliminary results of its application to a group of 5 participants with morbid obesity to assess its possible effi cacy. The results indicate that, after the intervention, the patients showed improvement in their cognitive and emotional skills, as well as in their behaviors related to eating and weight. This program can be a useful complementary intervention in the initial stages of obesity treatment.Keywords: CREST; cognitive remediation; emotion; eating disorders; obesity.Resumen: El entrenamiento en remediación cognitiva y habilidades emocionales fue diseñado inicialmente por el grupo de Tchanturia para la intervención individual de pacientes con trastornos alimentarios. El objetivo del presente trabajo es exponer su adaptación a pacientes con obesidad en formato grupal. Se estructura en 8 sesiones semanales en las que se trabaja funciones de ejecutivo central, la relación entre emoción y pensamiento, y el manejo emocional en un mismo y en los demás. Además, presentamos los resultados preliminares de su aplicación a un grupo de 5 participantes con obesidad mórbida con el fi n de valorar su posible efi cacia. Los resultados indican que tras la intervención, las pacientes mostraron una mejoría en sus habilidades cognitivas y emocionales, así como en las conductas relacionadas con la alimentación y el peso. Este programa puede ser una intervención útil complemento del tratamiento de la obesidad en sus fases iniciales.

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Section: Discussionunclassified

Entrenamiento en remediación cognitiva y habilidades emocionales en formato grupal para pacientes con obesidad. Un estudio piloto

Segura

Roncero

Oltra-Cucarella

et al. 2017

RPPC

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“…Detailed results tables were reported by Money et al, 167 in which patient responses indicated benefits from the therapy and directions for improvement. In this chapter we will illustrate what the patients had to say about CREST with quotes.…”

Section: Resultsmentioning

confidence: 99%

“…The qualitative components were used to either inform intervention development, 63,65 or as process evaluations of the interventions tested. [158][159][160]167,409 Both approaches have been highly valuable and have added much needed detail to inform the iterative process of intervention development and testing. The school has a responsibility to support students suffering from eating disorders…”

Section: Resultsmentioning

confidence: 99%

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Treatment of anorexia nervosa: a multimethod investigation translating experimental neuroscience into clinical practice

Schmidt

Sharpe

Bartholdy

et al. 2017

Programme Grants Appl Res

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BackgroundAnorexia nervosa (AN) is a severe psychiatric condition and evidence on how to best treat it is limited.ObjectivesThis programme consists of seven integrated work packages (WPs) and aims to develop and test disseminable and cost-effective treatments to optimise management for people with AN across all stages of illness.MethodsWP1a used surveys, focus groups and a pre–post trial to develop and evaluate a training programme for school staff on eating disorders (EDs). WP1b used a randomised controlled trial (RCT) [International Standard Randomised Controlled Trial Number (ISRCTN) 42594993] to evaluate a prevention programme for EDs in schools. WP2a evaluated an inpatient treatment for AN using case reports, interviews and a quasi-experimental trial. WP2b used a RCT (ISRCTN67720902) to evaluate two outpatient psychological therapies for AN. WP3 used a RCT (ISRCTN06149665) to evaluate an intervention for carers of inpatients with AN. WP4 used actimetry, self-report and endocrine assessment to examine physical activity (PA) in AN. WP5 conducted a RCT (ISRCTN18274621) of an e-mail-guided relapse prevention programme for inpatients with AN. WP6 analysed cohort data to examine the effects of maternal EDs on fertility and their children’s diet and growth. WP7a examined clinical case notes to explore how access to specialist ED services affects care pathways and user experiences. Finally, WP7b used data from this programme and the British Cohort Study (1970) to identify the costs of services used by people with AN and to estimate annual costs of AN for England.ResultsWP1a: a brief training programme improved knowledge, attitudes and confidence of school staff in managing EDs in school. WP1b: a teacher-delivered intervention was feasible and improved risk factors for EDs in adolescent girls. WP2a: both psychological therapies improved outcomes in outpatients with AN similarly, but patients preferred one of the treatments. WP2b: the inpatient treatment (Cognitive Remediation and Emotional Skills Training) was acceptable with perceived benefits by patients, but showed no benefits compared with treatment as usual (TAU). WP3: compared with TAU, the carer intervention improved a range of patient and carer outcomes, including carer burden and patient ED symptomatology. WP4: drive to exercise is tied to ED pathology and a desire to improve mood in AN patients. PA was not increased in these patients. WP5: compared with TAU, the e-mail-guided relapse prevention programme resulted in higher body mass index and lower distress in patients at 12 months after discharge. WP6: women with an ED had impaired fertility and their children had altered dietary and growth patterns compared with the children of women without an ED. WP7a: direct access to specialist ED services was associated with higher referral rates, lower admission rates, greater consistency of care and user satisfaction. WP7b: the annual costs of AN in England are estimated at between £45M and £230M for 2011.ConclusionsThis programme has produced evidence to inform future intervention development and has developed interventions that can be disseminated to improve outcomes for individuals with AN. Directions for future research include RCTs with longer-term outcomes and sufficient power to examine mediators and moderators of change.Trial registrationCurrent Controlled Trials ISRCTN42594993, ISRCTN67720902, ISRCTN06149665 and ISRCTN18274621.FundingThis project was funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research programme and will be published in full inProgramme Grants for Applied Research; Vol. 5, No. 16. See the NIHR Journals Library website for further project information.

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“…Nine studies were excluded as these did not focus specifically on CRT for AN [34][35][36][37][38][39][40][41][42], and six publications were excluded as these represented either books or book chapters [43][44][45][46][47][48] rather than peer reviewed papers. Three studies evaluating the combination of cognitive remediation therapy and emotional skills training (CREST) [49][50][51] were excluded from the review as the design of these studies did not allow for assessment of CRT specific contributions. Finally, three theoretical CRT papers lacking clinical data were omitted [28][29][30].…”

Section: Excluded Studiesmentioning

confidence: 99%

A systematic review of cognitive remediation therapy for anorexia nervosa ¿ development, current state and implications for future research and clinical practice

Dahlgren

Rø

2014

J Eat Disord

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Objective: To systematically review studies of cognitive remediation therapy (CRT) for anorexia nervosa (AN), and to discuss findings with references to clinical practice and future research. Method:The literature was reviewed using the PubMed, Web of Science and PsycINFO search terms "cognitive remediation therapy" AND "anorexia nervosa". Papers published online between 2005 and 2013 were selected on the basis of three inclusion criteria: 1) studies of any design focusing on CRT for AN, 2) papers that were written in English or had an available published English translation, and 3) papers published in peer reviewed journals.Results: A total of 45 papers were identified of which 21 were recognized as being relevant for the review. Relevant papers were divided into three different categories 1) single case reports, 2) case series and 3) randomised controlled trials (RCTs). Single case studies and case series yielded strong evidence of feasibility and acceptability of CRT for AN despite great variety in sample compositions. Four RCTs demonstrate that CRT has the potential of enhancing the effectiveness of current treatments, reduce attrition, increase cognitive set-shifting abilities and quality of life, as well as reduce eating disorder psychopathology. Discussion: The number of CRT studies published is growing rapidly, in particular RCTs. Further research is needed to define the primary aim of delivering CRT to patients with eating disorders, and to establish how to best measure the effect of the intervention. Moreover, researchers and clinicians should focus on identifying and assessing specific versus non-specific CRT contributions, and explore long-term effects of the intervention. It is imperative that adolescent RCTs are conducted to evaluate how CRT may be effective as a treatment for this young patient group.

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A brief emotion focused intervention for inpatients with anorexia nervosa: A qualitative study

Cited by 41 publications

References 31 publications

Entrenamiento en remediación cognitiva y habilidades emocionales en formato grupal para pacientes con obesidad. Un estudio piloto

Entrenamiento en remediación cognitiva y habilidades emocionales en formato grupal para pacientes con obesidad. Un estudio piloto

Treatment of anorexia nervosa: a multimethod investigation translating experimental neuroscience into clinical practice

A systematic review of cognitive remediation therapy for anorexia nervosa ¿ development, current state and implications for future research and clinical practice

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