Feasibility and Preliminary Outcomes of Group-Based Cognitive Remediation and Emotion Skills Training (CREST) for Adult Women With Anorexia Nervosa and Bulimia Nervosa: A Pilot Pre-Post Study.

IF 3.2 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2026-07-01 Epub Date: 2026-03-20 DOI:10.1002/erv.70100

Petr Minařík, Kristýna Wohlinová, Veronika Dostálová, Natálie Bočková, Jiří Suchý, Hana Papežová

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引用次数: 0

Abstract

Introduction: Cognitive and emotional deficits are common in eating disorders (EDs), especially anorexia nervosa (AN) and bulimia nervosa (BN), and can hinder engagement and recovery. This pilot single-group pre-post study examined the feasibility and preliminary outcomes of group-based Cognitive Remediation and Emotion Skills Training (CREST) for adult women with AN/BN in a day care programme setting.

Methods: Fifty seven women enroled; 32 completed the 5-week, 10-session programme. Completers and non-completers were compared to identify predictors of adherence. Emotional functioning was assessed using symptom and trait self-report measures, including the TAS-20, Zung Self-Rating Anxiety Scale, BDI-II, EDE-Q, TEQ, and the Self-Compassion Scale. Feasibility was evaluated based on enrolment, completion rates, and treatment adherence.

Results: Preliminary analyses indicated decreases in anxiety (SAS, p < 0.001) and depression (BDI-II, p < 0.001), alongside higher self-compassion (SCS, p < 0.001). Results should be interpreted cautiously given the absence of a control group and notable attrition; improvements may reflect combined effects of CREST and standard multidisciplinary care. Higher BMI and shorter illness duration were associated with completion; in regression, only more previous hospitalisations remained significant.

Conclusions: Pilot findings suggest that group-based CREST may represent a feasible adjunctive intervention for patients with AN and BN. Further controlled studies are required to disentangle its specific effects from standard care to confirm its effectiveness.

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基于群体的认知修复和情绪技能训练（CREST）对成年女性神经性厌食症和神经性贪食症的可行性和初步效果：一项前期-后期的试点研究。

认知和情绪缺陷在饮食失调（EDs）中很常见，尤其是神经性厌食症（AN）和神经性贪食症（BN），并且会阻碍参与和恢复。本试验单组前后研究考察了在日托项目设置下，基于小组的认知修复和情绪技能培训（CREST）对患有AN/BN的成年女性的可行性和初步结果。方法：纳入57名女性；32人完成了为期5周的10届课程。对完成者和未完成者进行比较，以确定依从性的预测因素。使用症状和特质自我报告量表评估情绪功能，包括TAS-20、Zung焦虑自评量表、BDI-II、ed - q、TEQ和自我同情量表。可行性评估基于入组、完成率和治疗依从性。结果：初步分析表明焦虑减少（SAS, p）。结论：试点研究结果表明，基于组的CREST可能是AN和BN患者可行的辅助干预措施。需要进一步的对照研究将其与标准治疗的具体效果区分开来，以确认其有效性。

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.