Brief Cognitive Analytic Therapy (CAT)-Informed Reformulation for Young People With Eating Disorders: A Case Series

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-04-02 DOI:10.1002/cpp.70043

C. Green, G. Mannion, I. Gill, S. Hartley, B. J. Dunlop, P. J. Taylor

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Abstract

Background

Onset of Eating Disorder (ED) peaks in young people, and interpersonal factors can influence development and maintenance. With increased referrals to ED services, accessible, brief interventions may support early intervention and improve outcomes. Cognitive Analytic Therapy (CAT) is a transdiagnostic relational approach, which can offer benefit for a range of presenting difficulties. This study aimed to assess the feasibility and acceptability of a brief, CAT-informed reformulation for young people with ED.

Design

A case series design recruited eight young people who met inclusion and exclusion criteria to participate in the five-session reformulation intervention.

Method

Recruitment took place from NHS ED services. Feasibility and acceptability were measured via recruitment, retention, qualitative feedback and missing data. Psychological distress, ED severity, personal recovery and motivation to change were assessed at baseline, post-intervention and follow-up. Participants also completed sessional measures of psychological distress and alliance.

Results

Eight eligible participants aged 15–24 years (M = 20.25, SD = 3.58) consented to take part and received the intervention. All participants attended all intervention sessions and completed all assessments. Participants reported positive experiences of the intervention. There was an associated reduction across clinical outcomes, including psychological distress and ED severity.

Conclusions

This case series showed promising results on the feasibility and acceptability of a brief CAT-informed reformulation for young people with ED. However, the study had a small sample size and no comparator control group. Larger scale exploration of a brief CAT-informed reformulation for EDs among young people is warranted.

Clinical Trial Registration

The study was preregistered with clinicaltrials.gov (NCT05746364).

Abstract Image

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简短的认知分析疗法(CAT)-知情的重新配方的年轻人饮食失调：一个案例系列

背景：进食障碍（ED）的发病以年轻人为高峰，人际因素可影响其发展和维持。随着转介到急诊科服务的增加，可获得的、简短的干预措施可能支持早期干预并改善结果。认知分析疗法（CAT）是一种跨诊断的关系方法，它可以为一系列的表现困难提供益处。本研究旨在评估对患有ED的年轻人进行简短的、cat知情的再制定的可行性和可接受性。设计一项病例系列设计招募了8名符合纳入和排除标准的年轻人参加了五期的再制定干预。方法从NHS急诊科招募患者。通过招募、保留、定性反馈和缺失数据来衡量可行性和可接受性。在基线、干预后和随访时评估心理困扰、ED严重程度、个人恢复和改变动机。参与者还完成了心理困扰和联盟的会议测量。结果8名15 ~ 24岁的符合条件的参与者（M = 20.25, SD = 3.58）同意参加并接受干预。所有的参与者都参加了所有的干预课程并完成了所有的评估。参与者报告了积极的干预体验。所有临床结果，包括心理困扰和ED严重程度，都有相关的降低。结论：本病例系列显示了对患有ED的年轻人进行简短的cat通知重新配方的可行性和可接受性。然而，该研究样本量小，没有比较对照组。有必要在年轻人中进行更大规模的探索，为急症患者进行简短的cat知情改造。该研究已在clinicaltrials.gov （NCT05746364）进行预注册。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.