Cognitive Remediation and Emotion Skills Training (CREST) for anorexia nervosa in individual format: self-reported outcomes
Open accessAbstract
BACKGROUND: To evaluate self-reported outcomes after a brief course of skills-based individual therapy for inpatients with anorexia nervosa (AN). METHODS: In this case series study 37 adults with AN participated in cognitive remediation and emotion skills training (CREST) sessions, and completed social anhedonia, alexithymia and motivational measures before and after the intervention. RESULTS: The CREST primary outcome measures were total scores on the Revised Social Anhedonia Scale (RSAS), which decreased significantly (p = 0.03) with an effect size of 0.31, and the Toronto Alexithymia Scale (TAS), which also decreased significantly (p = 0.05) with an effect size of 0.35. The secondary outcome measures focused on motivation: perceived 'importance to change' and 'ability to change'; the second of which increased significantly (p < 0.001) with a medium effect size (d = 0.71). CONCLUSIONS: The individual format of CREST led to a decrease in patients' self-reported social anhedonia, an improvement in the ability to label their emotions, and increased confidence in their ability to change. Considering the limited number of individual sessions, this is a promising preliminary finding which warrants further research.
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Social anhedonia is now serving as a specific treatment target for psychological interventions in eating disorders.
“Whether this is a cause or a consequence of eating disorders is still unclear; however, given its potential impact on recovery, social anhedonia is now serving as a specific treatment target for psychological interventions (103).”
From A transdiagnostic perspective on social anhedonia (2019) · cites this paper as [103]
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 [103]
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References 26 · Cited by 83
Research works printed but not linked: 2
- [1]NICE Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders 2004 London National Institute for Clinical Excellence 23346610
- [18]Lopez C Stahl D Tchanturia K Estimated IQ in anorexia: a systematic review of the literature Annals General Psyc 2010 23 9 40 PMC3016382 21182794
- Authors
- Tchanturia, K., Doris, E., Mountford, V., & Fleming, C.
- Affiliations
- Ilia State University (GE)
- South London and Maudsley NHS Foundation Trust (GB)
- Corresponding author
- Tchanturia, Kate
- ORCID
- Tchanturia, Kate
- Venue
- BMC Psychiatry
- Published
- 2015-03-20
- Volume
- 15
- Issue
- 1
- Pages
- 53-53
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC4377046
- OpenAlex
- W2090951930
- Cited by
- 83
- References
- 26
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 10 · 2023: 6 · 2022: 8 · 2021: 7 · 2020: 10 · 2019: 5 · 2018: 6 · 2017: 12 · 2016: 9 · 2015: 2
- FWCI
- 12.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Funders
- South London and Maudsley NHS Foundation Trust
- Maudsley Charity
- National Institute for Health and Care Research
- King's College London
- Institute of Psychiatry, Psychology and Neuroscience, King’s College London
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- anorexia nervosa, individual psychotherapy, social anhedonia, alexithymia, motivation, inpatient care, emotion regulation, self-reported outcomes
- MeSH terms
- Adolescent, Adult, Affective Symptoms, Anorexia Nervosa, Cognition, Emotions, Hospitalization, Humans, Interpersonal Relations, Middle Aged, Motivation, Psychotherapy, Self Concept, Body Mass Index, Treatment Outcome, Young Adult, Self Report, Anhedonia
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