Cognitive remediation therapy and cognitive behavioral therapy with an older adult with anorexia nervosa: A brief case report.
Cognitive remediation therapy represents a new approach to the treatment of anorexia nervosa (AN) emerging from research, suggesting that adults with chronic AN have specific neurocognitive inefficiencies. Specifically, adults with AN demonstrate an overly detailed cognitive processing bias (Roberts, Tchanturia, & Treasure, 2013) and difficulties shifting set quickly and efficiently (Roberts, Tchanturia, Stahl, Southgate, & Treasure, 2007). These characteristics manifest as rigid, rule-bound, and detail-focused cognitions, beliefs, and behaviors. Versions of these problems appear to persist after weight restoration (Tchanturia et al., 2004) and are observable in patient's healthy sisters (Roberts et al., 2013). Thus, central coherence difficulties and set-shifting problems have been proposed as endophenotypes and maintaining factors of AN (Roberts et al., 2013). (PsycINFO Database Record
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine.
Alison M
0000-0002-5082-7685
AM
Darcy
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine.
Kara K
KK
Fitzpatrick
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine.
James
J
Lock
D000367:Age Factors; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D000072466:Cognitive Remediation / Q000379:methods*; D003131:Combined Modality Therapy; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D005793:Generalization, Psychological; D006801:Humans; D008875:Middle Aged; D010865:Pilot Projects; D060685:Sense of Coherence; D057190:Stroop Test; D015430:Weight Gain