title: Cognitive Remediation Therapy for Children with Anorexia Nervosa.
abstract: OBJECTIVE
  Evidence-based treatment programs for children with anorexia nervosa (AN) are scarce, while their prognosis is negative and the incidence rate rises. A new therapeutic approach recently received positive attention: cognitive remediation therapy (CRT). This intervention targets inflexibility and the inability to perceive the bigger picture in persons with AN. So far, studies and case reports have focused on either adolescent or adult patients and less on young children with AN. This case report therefore describes and evaluates the implementation of CRT with a child with AN.
  
  
  METHODS
  A 12-year-old girl with severe chronic AN was treated with 10 sessions of CRT. Her clinical and neuropsychological evaluations before, directly after and 7 months after CRT are reported. Additionally, the patient's written and verbal feedbacks are reviewed.
  
  
  RESULTS
  At the 7-month follow-up the patient showed a stable healthy weight and reported a reduced presence of psychopathology. Her neuropsychological performance directly after CRT and after 7 months did not improve.
  
  
  CONCLUSIONS
  The clinical evaluation of our case report suggests that CRT may be a promising add-on therapy in the clinical treatment of young girls with AN.
authors.affiliation: 1 Department of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, Charité - Universitätsmedizin Berlin.
authors.forename: Betteke Maria
authors.initials: BM
authors.lastname: van Noort
authors.affiliation: 1 Department of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, Charité - Universitätsmedizin Berlin.
authors.forename: Ernst
authors.initials: E
authors.lastname: Pfeiffer
authors.affiliation: 1 Department of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, Charité - Universitätsmedizin Berlin.
authors.forename: Ulrike
authors.initials: U
authors.lastname: Lehmkuhl
authors.affiliation: 1 Department of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, Charité - Universitätsmedizin Berlin.
authors.forename: Viola
authors.initials: V
authors.lastname: Kappel
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D001364:Awareness; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D003674:Defense Mechanisms; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009483:Neuropsychological Tests / Q000706:statistics & numerical data; D011594:Psychometrics
keywords: Anorexia nervosa; Cognitive Remediation Therapy; Kasuistik; Kindheit; anorexia nervosa; case report; children; cognitive remediation