Feasibility Study Combining Art Therapy or Cognitive Remediation Therapy with Family‐based Treatment for Adolescent Anorexia Nervosa
Open accessAbstract
Adolescents with anorexia nervosa who have obsessive–compulsive (OC) features respond poorly to family‐based treatment (FBT). This study evaluated the feasibility of combining FBT with either cognitive remediation therapy (CRT) or art therapy (AT) to improve treatment response in this at‐risk group. Thirty adolescents with anorexia nervosa and OC features were randomized to 15 sessions of FBT + CRT or AT. Recruitment rate was 1 per month, and treatment attrition was 16.6% with no differences between groups. Suitability, expectancy and therapeutic relationships were acceptable for both combinations. Correlations between changes in OC traits and changes in cognitive inefficiencies were found for both combinations. Moderate changes in cognitive inefficiencies were found in both groups but were larger in the FBT + AT combination. This study suggests that an RCT for poor responders to FBT because of OC traits combining FBT with either CRT or AT is feasible to conduct. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
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- Authors
- Lock, J., Fitzpatrick, K. K., Agras, W. S., Weinbach, N., & Jo, B.
- Affiliations
- Stanford Medicine (US)
- Corresponding author
- Lock, James
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2017-11-20
- Volume
- 26
- Issue
- 1
- Pages
- 62-68
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- PMC
- PMC5732028
- OpenAlex
- W2770222197
- Cited by
- 67
- References
- 50
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 12 · 2023: 7 · 2022: 9 · 2021: 10 · 2020: 4 · 2019: 8 · 2018: 5
- FWCI
- 5.75
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (5R34MH10128103)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- adolescent anorexia nervosa, family-based treatment, art therapy, cognitive remediation, obsessive-compulsive traits, treatment feasibility, treatment discontinuation, eating disorders
- MeSH terms
- Cognitive Remediation, Adolescent, Anorexia Nervosa, Art Therapy, Combined Modality Therapy, Compulsive Behavior, Family Therapy, Feasibility Studies, Female, Humans, Male, Obsessive Behavior, Treatment Outcome
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