title: Benefits of group cognitive remediation therapy in anorexia nervosa: case series.
abstract: BACKGROUND
  Cognitive remediation therapy (CRT) is a treatment targeting cognitive difficulties in psychiatric disorders. CRT has been used with patients with severe anorexia nervosa (AN) in individual and group formats. Research of group CRT in AN is limited.
  
  
  METHODS
  Evaluation of a series of CRT groups delivered in inpatient and intensive daycare services was performed. Participants' self-reported cognitive flexibility and central coherence, as well as motivation to change were assessed pre- and post-group. Additionally, patients' evaluative feedback was collected after completion of the group.
  
  
  RESULTS
  There was a significant improvement in the patients' self-reported cognitive flexibility and bigger picture thinking, as well as in their self-efficacy to change. The feedback questionnaires highlighted that patients found the sessions useful and reported confidence in using some of the skills and strategies they learnt in the group.
  
  
  CONCLUSIONS
  In line with evidence from small-scale reports, this larger scale case series study indicates that group CRT leads to increased flexibility and bigger picture thinking, as well as improved confidence in the ability to change for participants. CRT in a group format seems to be a practical and helpful intervention for patients with AN in intensive treatment programmes.
authors.affiliation: Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, SE5 8AF, PO59, London, UK. kate.tchanturia@kcl.ac.uk.|Eating Disorders National service, South London and Maudsley NHS Foundation Trust, London, UK. kate.tchanturia@kcl.ac.uk.|Illia State University, Tbilisi, Georgia. kate.tchanturia@kcl.ac.uk.
authors.forename: Kate
authors.initials: K
authors.lastname: Tchanturia
authors.affiliation: Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, SE5 8AF, PO59, London, UK.
authors.forename: Emma
authors.initials: E
authors.lastname: Larsson
authors.affiliation: Eating Disorders National service, South London and Maudsley NHS Foundation Trust, London, UK.
authors.forename: Amy
authors.initials: A
authors.lastname: Brown
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology* / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D000072466:Cognitive Remediation; D003631:Day Care, Medical; D004739:England; D005260:Female; D006801:Humans; D008875:Middle Aged; D009042:Motivation; D010343:Patient Admission; D011615:Psychotherapy, Group / Q000379:methods*; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Anorexia nervosa; Cognitive flexibility; Cognitive remediation therapy; Cognitive training; Group therapy; Motivation