title: [Cognitive remediation therapy for children and adolescents with anorexia nervosa in France: an exploratory study].
abstract: OBJECTIVE
  Cognitive remediation therapy (CRT) seems to be increasingly interesting in the treatment of anorexia nervosa for adult patients. We attempted to apply this support to a group of young inpatients, initially to assess its feasibility and acceptability, and then to improve its content for therapeutic application and future research.
  
  
  METHODS
  Ten 12- to 17-year-old inpatients with primary DSM-IV diagnosis of anorexia nervosa participated in a 10-week intervention program with a one-hour group session of CRT per week. All 10 patients were assessed before the intervention and those who completed the 10 sessions were assessed after. Assessment included a clinical examination by a psychiatrist, a battery of clinical inventories, and set-shifting tests. Moreover, each patient wrote a letter providing feedback on the intervention for subsequent analysis.
  
  
  RESULTS
  Only two patients completed all 10 sessions, the other eight who were discharged from the hospital in the meantime could not attend the sessions for practical reasons. After the 10 sessions, an improvement in BMI and in measured levels of some psychopathological symptoms was observed in our two patients. Most neuropsychological task performances were improved after cognitive remediation. Feedback from the 10 patients was generally positive.
  
  
  CONCLUSIONS
  This preliminary investigation suggests that cognitive remediation therapy is acceptable and feasible in this population. Replication of these findings requires a larger sample, improvement of the trial design, more sensitive measures, and another training format to avoid loss of so many participants.
authors.affiliation: Service de psychiatrie de l'enfant et de l'adolescent, hôpital Robert-Debré, 48, boulevard Serrurier, 75019 Paris, France. Electronic address: muriel.asch@rdb.aphp.fr.
authors.forename: M
authors.initials: M
authors.lastname: Asch
authors.affiliation: Service de psychiatrie de l'enfant et de l'adolescent, hôpital Robert-Debré, 48, boulevard Serrurier, 75019 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Esteves
authors.affiliation: Service de psychiatrie de l'enfant et de l'adolescent, hôpital Robert-Debré, 48, boulevard Serrurier, 75019 Paris, France.
authors.forename: D
authors.initials: D
authors.lastname: De Hautecloque
authors.affiliation: Service de psychiatrie de l'enfant et de l'adolescent, hôpital Robert-Debré, 48, boulevard Serrurier, 75019 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Bargiacchi
authors.affiliation: Service de psychiatrie de l'enfant et de l'adolescent, hôpital Robert-Debré, 48, boulevard Serrurier, 75019 Paris, France.
authors.forename: M-F
authors.initials: MF
authors.lastname: Le Heuzey
authors.affiliation: Service de psychiatrie de l'enfant et de l'adolescent, hôpital Robert-Debré, 48, boulevard Serrurier, 75019 Paris, France.
authors.forename: M-C
authors.initials: MC
authors.lastname: Mouren
authors.affiliation: Service de psychiatrie de l'enfant et de l'adolescent, hôpital Sainte Anne, Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Doyen
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D001828:Body Image; D015992:Body Mass Index; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D010342:Patient Acceptance of Health Care / Q000523:psychology; D017060:Patient Satisfaction; D010555:Personality Inventory; D011615:Psychotherapy, Group / Q000379:methods*; D012718:Set, Psychology
keywords: Adolescents; Anorexia nervosa; Anorexie mentale; Children and adolescents; Cognitive remediation; Enfants; Group training; Groupe; Remédiation cognitive