C. Green, G. Mannion, I. Gill, S. Hartley, B. J. Dunlop, P. J. Taylor
{"title":"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","authors":"C. Green, G. Mannion, I. Gill, S. Hartley, B. J. Dunlop, P. J. Taylor","doi":"10.1002/cpp.70043","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A case series design recruited eight young people who met inclusion and exclusion criteria to participate in the five-session reformulation intervention.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Eight eligible participants aged 15–24 years (M = 20.25, <i>SD</i> = 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.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Clinical Trial Registration</h3>\n \n <p>The study was preregistered with clinicaltrials.gov (NCT05746364).</p>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70043","citationCount":"0","resultStr":"{\"title\":\"Brief Cognitive Analytic Therapy (CAT)-Informed Reformulation for Young People With Eating Disorders: A Case Series\",\"authors\":\"C. Green, G. Mannion, I. Gill, S. Hartley, B. J. Dunlop, P. J. Taylor\",\"doi\":\"10.1002/cpp.70043\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>A case series design recruited eight young people who met inclusion and exclusion criteria to participate in the five-session reformulation intervention.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Method</h3>\\n \\n <p>Recruitment took place from NHS ED services. 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Brief Cognitive Analytic Therapy (CAT)-Informed Reformulation for Young People With Eating Disorders: A Case Series
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).
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.
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