Individual and group format adjunct therapy on social emotional skills for adolescent inpatients with severe and complex
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Neuropsychiatr https://doi.org/10.1007/s40211-020-00375-5
Individual and group format adjunct therapy on social emotional skills for adolescent inpatients with severe and complex eating disorders (CREST-A) Amy Harrison
· Pamela Stavri
· Kate Tchanturia
Received: 25 March 2020 / Accepted: 30 October 2020 © Springer-Verlag GmbH Austria, ein Teil von Springer Nature 2020
Summary Background Relatively little is known about which psychological treatment adjuncts might be helpful for supporting people with the most severe and complex forms of anorexia nervosa (AN) with very low weight and malnutrition requiring inpatient admissions, but targeting key perpetuating factors such as social emotional difficulties may be one way to advance knowledge. This pilot feasibility project reports on the development of an adolescent adaptation of Cognitive Remediation and Emotion Skills Training (CREST-A) and explores its acceptability, feasibility and possible benefits. Methods An uncontrolled, repeated measures design was employed with data collected at the start and end of treatment. CREST-A was investigated in two formats: a 10-session individual format delivered to a case series of 12 patients and a 5-session group format delivered to 3 groups of 9 patients. Results Acceptability, measured using a Patient Satisfaction Scale was 7/10 for the individual and 6/10 for the group format. Individual take-up was 100% and group take-up was 34.62%. Drop-out was 8.33% and Dr. A. Harrison () Department of Psychology and Human Development, University College London, 25 Woburn Square, London, WC1H 0AA, UK [email protected] P. Stavri Ellern Mede Service for Eating Disorders, Holcombe Hill, The Ridgeway, Mill Hill, London, NW7 4HX, UK Prof. K. Tchanturia Department of Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, King’s College London, London, UK Department of Psychology, Ilia State University, Tbilisi, Georgia
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29.63% in the individual and group formats respectively. Homework was completed 66.67% and 75% of the time in the individual and group formats respectively. Patients reported medium-sized improvements in components of social emotional functioning measured using the Work and Social Adjustment Scale, the Toronto Alexithymia Scale and the Revised Social Anhedonia Scale in the individual and group formats. Conclusion Future studies employing randomized controlled designs may now be warranted to advance this evidence base of this low intensity treatment adjunct. Keywords Eating disorders · Anorexia nervosa · Bulimia nervosa · Adolescents · Treatment
Ergänzende Einzel- und Gruppentherapie zu sozialen emotionalen Fähigkeiten für stationäre jugendliche Patienten mit schweren und komplexen Essstörungen (CREST-A) Zusammenfassung Grundlagen Es ist relativ wenig darüber bekannt, welche psychologischen Zusatzbehandlungen dabei helfen könnten, Menschen mit den schwersten und komplexesten Formen der Anorexia nervosa (AN) mit sehr geringem Gewicht und Unterernährung, die eine stationäre Aufnahme erfordern, zu
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