Évaluation d’un programme de remédiation cognitive au sein d’un groupe d’enfants et d’adolescents anorexiques français : étude exploratoire

Asch, M. van; Esteves, Javier Garcia; Hautecloque, D. De; Bargiacchi, A.; Heuzey, M.-F. Le; Mouren, Marie Christine; Doyen, Catherine

doi:10.1016/j.encep.2013.10.004

Cited by 13 publications

(4 citation statements)

References 26 publications

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“…Two CRT studies were excluded as they were written in Polish [31] and French [32], and one additional CRT publication was omitted as it had been published as a meeting abstract rather than in an article format [33]. Nine studies were excluded as these did not focus specifically on CRT for AN [34–42], and six publications were excluded as these represented either books or book chapters [43–48] rather than peer reviewed papers.…”

Section: Resultsmentioning

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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ObjectiveTo systematically review studies of cognitive remediation therapy (CRT) for anorexia nervosa (AN), and to discuss findings with references to clinical practice and future research.MethodThe 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.ResultsA 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.DiscussionThe 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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Section: Resultsmentioning

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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“…Statistical analysis was not conducted, but an improvement on both patients and mothers neuropsychological scores post-intervention was observed. N/A (Asch et al, 2014) [ 2 ] Encephale 10 adolescents (Final: 2). Age range: 12–17.…”

Section: Introductionmentioning

confidence: 99%

How anorexia nervosa patients with high and low autistic traits respond to group Cognitive Remediation Therapy

2016

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BackgroundThe current study aimed to evaluate group Cognitive remediation therapy (CRT) inpatients with Anorexia Nervosa (AN). We aimed to examine the treatment response of group CRT in AN patients with high or low levels of autistic traits.MethodsThirty-five in patients with an AN diagnosis received group CRT intervention for 6 sessions in a national eating disorder unit. All participants completed self-report questionnaires on thinking styles and motivation before and after the intervention.ResultsPatients with low autistic traits had statistically significant medium size effect improvements in self-reported thinking style scales as well as confidence (ability) to change. Patients with high autistic traits showed no statistically significant improvements in any outcome measure.ConclusionsThe brief group format CRT intervention improves self-reported cognitive and motivational aspects in people with AN without autistic traits. For patients with higher autistic traits brief group CRT does not improve self-reported cognitive style or motivation. This finding suggests that brief group format CRT might not be the best suited format for individuals with elevated autistic traits and individual or more tailored CRT should be explored.

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“…The study reported overall positive feedback from qualitative interviews, as well as an improvement on both patients and mothers neuropsychological performance after treatment with small to large effect sizes. In a French study—[20], Asch and colleagues reported improved scores on various neuropsychological assessments after 10 weekly group sessions of CRT for the two remaining inpatients participating in the study. Across the literature evaluating CRT in a group format, there is agreement on the positive feedback received from patients, clinicians and carers [25]; however, more formal evaluation and research is needed.…”

Section: Introductionmentioning

confidence: 99%

Benefits of group cognitive remediation therapy in anorexia nervosa: case series

2016

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SummaryBackgroundCognitive remediation therapy (CRT) is a treatment targeting cognitive difficulties in psychiatric disorders. CRT has been used with patients with severe anorexia nervosa (AN) in individual and group formats. Research of group CRT in AN is limited.MethodsEvaluation of a series of CRT groups delivered in inpatient and intensive daycare services was performed. Participants’ self-reported cognitive flexibility and central coherence, as well as motivation to change were assessed pre- and post-group. Additionally, patients’ evaluative feedback was collected after completion of the group.ResultsThere was a significant improvement in the patients’ self-reported cognitive flexibility and bigger picture thinking, as well as in their self-efficacy to change. The feedback questionnaires highlighted that patients found the sessions useful and reported confidence in using some of the skills and strategies they learnt in the group.ConclusionIn line with evidence from small-scale reports, this larger scale case series study indicates that group CRT leads to increased flexibility and bigger picture thinking, as well as improved confidence in the ability to change for participants. CRT in a group format seems to be a practical and helpful intervention for patients with AN in intensive treatment programmes.

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Évaluation d’un programme de remédiation cognitive au sein d’un groupe d’enfants et d’adolescents anorexiques français : étude exploratoire

Cited by 13 publications

References 26 publications

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

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

How anorexia nervosa patients with high and low autistic traits respond to group Cognitive Remediation Therapy

Benefits of group cognitive remediation therapy in anorexia nervosa: case series

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