Definition
Cognitive remediation therapy (CRT) is an umbrella term for psychological interventions that use a wide range of cognitive training exercises targeting cognitive process and helping individuals with different cognitive inefficiencies. Unlike psychological therapies which focus on content of thinking and symptom reduction from the early stage of treatment, CRT can facilitate reflection on cognitive style, awareness of existing cognitive strategies, and development of alternative ways to approach tasks and problems. CRT can be delivered in individual or group formats, and computerized versions are also available for use in some clinical groups.
Development of CRT for Anorexia Nervosa
CRT is an evidence-based treatment for a range of disorders, for example, brain injury, old age, psychosis, and depression, and more recently case studies have been published on obsessive-compulsive disorder and autism spectrum disorders (for a review, see Tchanturia et al. 2014). CRT for eating...
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Cross-References
Davies, H., & Tchanturia, K. (2005). Cognitive remediation therapy as an intervention for acute anorexia nervosa: A case report. European Review of Eating Disorders, 13, 311–316.
Easter, A., & Tchanturia, K. (2011). Therapists’ experiences of cognitive remediation therapy for anorexia nervosa: Implications for working with adolescents. Clinical Child Psychology and Psychiatry, 16, 233–246.
Whitney, J., Easter, A., & Tchanturia, K. (2008). Service users’ feedback on cognitive training in the treatment of Anorexia Nervosa: A qualitative study. International Journal of Eating Disorders, 41, 542–550.
References and Further Reading
Brockmeyer, T., Ingenerf, K., Walther, S., Wild, B., Hartmann, M., Herzog, W., … Friederich, H. C. (2014). Training cognitive flexibility in patients with anorexia nervosa: a pilot randomized controlled trial of cognitive remediation therapy. Int J Eat Disord, 47(1), 24–31. doi: 10.1002/eat.22206.
Davies, H., & Tchanturia, K. (2005). Cognitive remediation therapy as an intervention for acute anorexia nervosa: A case report. European Review of Eating Disorders, 13, 311–316.
Dingemans, A. E., Danner, U. N., Donker, J. M., Aardoom, J. J., van Meer, F., Tobias, K., van Elburg, A. A., & van Furth, E. F. (2014). The effectiveness of cognitive remediation therapy in patients with a severe and enduring eating disorder: A randomized controlled trial. Psychotherapy and Psychosomatics, 83, 29–36.
Fonville, L., Giampietro, V., Davies, H., Lounes, N., Simmons, A., Williams, S., & Tchanturia, K. (2014). Cognitive remediation, brain function and central coherence: An anorexia nervosa pilot study. The Annals of General Psychiatry, 13, 25.
Lang, K., Lopez, C., Stahl, D., Tchanturia, K., & Treasure, J. (2014). Central coherence in eating disorders: An updated systematic review and meta-analysis. World J Biol Psychiatry, 15(8), 586–598. doi: 10.3109/15622975.2014.909606.
Lang, K., Stahl, D., Espie, J., Treasure, J., & Tchanturia, K. (2014). Set shifting in children and adolescents with anorexia nervosa: an exploratory systematic review and meta-analysis. Int J Eat Disord, 47(4), 394–399. doi: 10.1002/eat.22235.
Lock, J., Agras, S., Fitzpatrick, K., Bryson, S., Booil, J., & Tchanturia, K. (2013). A randomised assessment of novel treatment for anorexia nervosa addressing inefficient cognitive process. International Journal of Eating Disorders, 46, 567–575. doi:10.1002/eat.22134.
Steinglass, J. E., Albano, A. M., Simpson, H. B., Wang, Y., Zou, J., Attia, E., & Walsh, B. T. (2014). Confronting fear using exposure and response prevention for anorexia nervosa: A randomized controlled pilot study. Int J Eat Disord, 47(2), 174–180. doi: 10.1002/eat.22214.
Tchanturia, K., Davies, H., & Campbell, I. C. (2007). Cognitive remediation therapy for patients with anorexia nervosa: preliminary findings. Ann Gen Psychiatry, 6, 14. doi: 10.1186/1744-859X-6-14.
Tchanturia, K., Davies, H., Lopez, C., Schmidt, U., Treasure, J., & Wykes, T. (2008). Neuropsychological task performance before and after cognitive remediation in anorexia nervosa: a pilot case-series. Psychol Med, 38(9), 1371–1373. doi: 10.1017/S0033291708003796.
Tchanturia, K. (2015). Cognitive remediation therapy (CRT) for eating and weight disorders. Sussex: Routledge.
Tchanturia, K., Lounes, N., & Holttum, S. (2014). Cognitive remediation in anorexia nervosa and related conditions: A systematic review. European Eating Disorders Review, 22, 454–462. doi:10.1002/erv.2326.
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Tchanturia, K., Westwood, H. (2015). Cognitive Remediation Therapy for Eating Disorders. In: Wade, T. (eds) Encyclopedia of Feeding and Eating Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-287-087-2_37-1
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DOI: https://doi.org/10.1007/978-981-287-087-2_37-1
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