Skip to main content
Top
Published in: BMC Psychiatry 1/2016

Open Access 01-12-2016 | Research article

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

Authors: Kate Tchanturia, Emma Larsson, James Adamson

Published in: BMC Psychiatry | Issue 1/2016

Login to get access

Abstract

Background

The 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.

Methods

Thirty-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.

Results

Patients 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.

Conclusions

The 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.
Literature
2.
go back to reference Asch M, Esteves J, De Hautecloque D, Bargiacchi A, Le Heuzey MF, Mouren MC, Doyen C. Évaluation d’ un programme de remédiation cognitive au sein d’ un groupe d’ enfants et ¸ ais : étude d’ adolescents anorexiques franc exploratoire Cognitive remediation therapy for children and adolescents. Encéphale. 2014;40(3):240–6. http://doi.org/10.1016/j.encep.2013.10.004.CrossRefPubMed Asch M, Esteves J, De Hautecloque D, Bargiacchi A, Le Heuzey MF, Mouren MC, Doyen C. Évaluation d’ un programme de remédiation cognitive au sein d’ un groupe d’ enfants et ¸ ais : étude d’ adolescents anorexiques franc exploratoire Cognitive remediation therapy for children and adolescents. Encéphale. 2014;40(3):240–6. http://​doi.​org/​10.​1016/​j.​encep.​2013.​10.​004.CrossRefPubMed
3.
go back to reference Cohen J. Statistical Power Analysis for the Behavioral Sciences. Hillsdale: L. Erlbaum Associates; 1988. Cohen J. Statistical Power Analysis for the Behavioral Sciences. Hillsdale: L. Erlbaum Associates; 1988.
9.
go back to reference Lang K, Lopez C, Stahl D, Tchanturia K, Treasure J. Central coherence in eating disorders: An updated systematic review and meta-analysis. The World Journal of Biological Psychiatry: The Official Journal of the World Federation of Societies of Biological Psychiatry. 2014:1–13. http://doi.org/10.3109/15622975.2014.909606. Lang K, Lopez C, Stahl D, Tchanturia K, Treasure J. Central coherence in eating disorders: An updated systematic review and meta-analysis. The World Journal of Biological Psychiatry: The Official Journal of the World Federation of Societies of Biological Psychiatry. 2014:1–13. http://​doi.​org/​10.​3109/​15622975.​2014.​909606.
12.
go back to reference Martin MM, Rubin RB. A new measure of cognitive flexibility. Psychological Reports. 1995;76(2):623–626.CrossRef Martin MM, Rubin RB. A new measure of cognitive flexibility. Psychological Reports. 1995;76(2):623–626.CrossRef
13.
go back to reference Miller WR, Rollnick S. Motivational Interviewing: Preparing People for Change. New York: Guilford Press; 2002. Miller WR, Rollnick S. Motivational Interviewing: Preparing People for Change. New York: Guilford Press; 2002.
15.
go back to reference Pretorius N, Dimmer M, Power E, Eisler I, Simic M, Tchanturia K. Evaluation of a cognitive remediation therapy group for adolescents with anorexia nervosa: Pilot study. European Eating Disorders Review. 2012. http://doi.org/10.1002/erv.2176. Pretorius N, Dimmer M, Power E, Eisler I, Simic M, Tchanturia K. Evaluation of a cognitive remediation therapy group for adolescents with anorexia nervosa: Pilot study. European Eating Disorders Review. 2012. http://​doi.​org/​10.​1002/​erv.​2176.
19.
go back to reference Tchanturia K. Cognitive Remediation Therapy (CRT) for Eating and Weight Disorders. East Sussex: Routledge; 2014. Tchanturia K. Cognitive Remediation Therapy (CRT) for Eating and Weight Disorders. East Sussex: Routledge; 2014.
20.
go back to reference Tchantura K, Baillie C. Recovery/Discovery Orientated Group. In: Tchaturia K, editor. Brief group psychotherapy for Eating Disorders: Inpatient protocols. East Sussex: Routledge; 2015. p. 184–217. Tchantura K, Baillie C. Recovery/Discovery Orientated Group. In: Tchaturia K, editor. Brief group psychotherapy for Eating Disorders: Inpatient protocols. East Sussex: Routledge; 2015. p. 184–217.
23.
go back to reference Tchanturia K, Larsson E, Brown A. Benefits of group cognitive remediation therapy in anorexia nervosa: case series. Neuropsychiatrie: Klinik, Diagnostik, Therapie Und Rehabilitation: Organ Der Gesellschaft Osterreichischer Nervenarzte Und Psychiater. 2016;30(1):42–9. http://doi.org/10.1007/s40211-016-0177-y. Tchanturia K, Larsson E, Brown A. Benefits of group cognitive remediation therapy in anorexia nervosa: case series. Neuropsychiatrie: Klinik, Diagnostik, Therapie Und Rehabilitation: Organ Der Gesellschaft Osterreichischer Nervenarzte Und Psychiater. 2016;30(1):42–9. http://​doi.​org/​10.​1007/​s40211-016-0177-y.
Metadata
Title
How anorexia nervosa patients with high and low autistic traits respond to group Cognitive Remediation Therapy
Authors
Kate Tchanturia
Emma Larsson
James Adamson
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2016
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-016-1044-x

Other articles of this Issue 1/2016

BMC Psychiatry 1/2016 Go to the issue