Effectiveness of cognitive remediation and emotion skills training (CREST) for anorexia nervosa in group format: a naturalistic pilot study
Abstract
OBJECTIVE: This study aims to evaluate a novel and brief skills-based therapy for inpatients with anorexia nervosa, which addressed 'cold' and 'hot' cognitions in group format. METHOD: Adult inpatients with anorexia nervosa participated in the cognitive remediation and emotion skills training groups. Participants who attended all group sessions completed patient satisfaction and self-report questionnaires. RESULTS: Analysis of the data showed that social anhedonia (measured by the Revised Social Anhedonia Scale) decreased significantly between pre- and post-interventions, with small effect size (d=0.39). Motivation (perceived 'importance to change' and 'ability to change') was found to have increased with small effect sizes (d=0.23 and d=0.16), but these changes did not reach statistical significance. The cognitive remediation and emotion skills training group had positive feedback from both the patients and therapists delivering this structured intervention. CONCLUSION: Improved strategies are needed both in supporting inpatients to tolerate the group therapy setting and in helping them to develop the skills necessary for participation. Further larger-scale research in this area is needed to consolidate these findings.
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Social anhedonia has been reported to reduce following an intervention comprising cognitive remediation and emotion skills training in adults with anorexia.
“Social anhedonia has been reported to reduce following an intervention comprising cognitive remediation and emotion skills training in adults with anorexia (103, 104).”
From A transdiagnostic perspective on social anhedonia (2019) · cites this paper as [104]
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- Authors
- Tchanturia, K., Doris, E., & Fleming, C.
- Affiliations
- Ilia State University (GE)
- South London and Maudsley NHS Foundation Trust (GB)
- Corresponding author
- Tchanturia, Kate
- ORCID
- Tchanturia, Kate
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2014-03-11
- Volume
- 22
- Issue
- 3
- Pages
- 200-205
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W2117538820
- Cited by
- 77
- References
- 38
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 6 · 2023: 6 · 2022: 4 · 2021: 4 · 2020: 7 · 2019: 4 · 2018: 6 · 2017: 11 · 2016: 7 · 2015: 10 · 2014: 7
- FWCI
- 13.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- South London and Maudsley NHS Foundation Trust
- National Institute for Health and Care Research
- Core Research for Evolutional Science and Technology
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- anorexia nervosa, cognitive remediation, group therapy, inpatient care, social anhedonia, motivation, patient satisfaction
- MeSH terms
- Adult, Anorexia Nervosa, Attitude of Health Personnel, Behavior Therapy, Cognition, Emotions, Female, Follow-Up Studies, Humans, Inpatients, Motivation, Pilot Projects, Psychotherapy, Group, Surveys and Questionnaires, Treatment Outcome, Patient Satisfaction, Qualitative Research
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