Enhancing emotional abilities in anorexia nervosa treatment: A rolling-group cognitive remediation and emotional skills training protocol

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2024-06-04 DOI:10.1002/erv.3113

Paolo Meneguzzo, Elisa Bonello, Elena Tenconi, Patrizia Todisco

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引用次数: 0

Abstract

Introduction

Anorexia nervosa (AN) is characterised by limited remission rates and emotional dimensions are often neglected. Cognitive remediation and emotional skills training (CREST) protocol aims to address cognitive and emotional factors. This study evaluates the feasibility and effectiveness of a modified rolling-group CREST protocol in an inpatient setting.

Methods

Quasi-experimental design evaluated CREST protocol in a rehabilitation programme. A total of 116 females diagnosed with AN were included, of whom 63 were included in the CREST protocol and 53 in the standard rehabilitation treatment. Various standardized measures were employed to assess psychopathology. Data collection occurred longitudinally, before and after CREST implementation.

Results

No significant differences emerged between groups regarding changes in specific eating psychopathology. CREST group exhibited significant improvements in emotion regulation (p = 0.002) and social skills (p = 0.014), besides a reduction in alexithymia (p < 0.001) and cognitive rigidity (p = 0.013). Empathic features remained stable. Participants reported positive perceptions of the CREST intervention.

Discussion

The study highlights the potential benefits of integrating emotional training within multidisciplinary intensive treatment for AN. Results emphasise the importance of treatment protocol with more affective and hot-cognition-related interventions, beyond weight-related psychopathology. Implementing a rolling-group CREST protocol in an inpatient setting showed promise in enhancing the emotional abilities of AN patients.

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在厌食症治疗中提高情绪能力：滚动小组认知矫正和情绪技能训练方案。

简介神经性厌食症（AN）的特点是缓解率有限，而情感因素往往被忽视。认知矫正和情绪技能训练（CREST）方案旨在解决认知和情绪因素。本研究评估了改良的滚动组 CREST 方案在住院环境中的可行性和有效性：方法：采用准实验设计对康复计划中的 CREST 方案进行评估。共有116名女性被诊断为自闭症，其中63人接受了CREST方案，53人接受了标准康复治疗。研究采用了多种标准化测量方法来评估心理病理学。数据收集是在CREST实施前后纵向进行的：结果：各组在特定饮食心理病理学方面的变化无明显差异。CREST组在情绪调节（p = 0.002）和社交技能（p = 0.014）方面有明显改善，此外还减少了情感淡漠（p 讨论：本研究强调了将情绪训练纳入自闭症多学科强化治疗的潜在益处。研究结果强调，除了与体重相关的心理病理学之外，治疗方案还必须包含更多与情感和热认知相关的干预措施。在住院环境中实施滚动小组CREST方案有望提高AN患者的情绪能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.