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


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.

Keywords:
Anorexia nervosa, Autism spectrum disorders, Cognitive flexibility, Central coherence, Group therapy, CRT


Autoři: Kate Tchanturia 1,2,3*;  Emma Larsson 1;  James Adamson 2
Působiště autorů: King’s College London, Division of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, London SE5 8AF, UK. 1;  Eating Disorders Unit, South London and Maudsley NHS Foundation Trust, Beckenham, UK. 2;  Illia State University Tbilisi, Tbilisi, Georgia. 3
Vyšlo v časopise: BMC Psychiatry 2016, 16:334
Kategorie: Research Article
prolekare.web.journal.doi_sk: 10.1186/s12888-016-1044-x

© 2016 The Author(s).

Open access
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
The electronic version of this article is the complete one and can be found online at: http://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-016-1044-x

Souhrn

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.

Keywords:
Anorexia nervosa, Autism spectrum disorders, Cognitive flexibility, Central coherence, Group therapy, CRT


Zdroje

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