title: Evaluation of individual cognitive remediation therapy (CRT) for the treatment of young people with anorexia nervosa.
abstract: OBJECTIVE
  Research suggests that there are cognitive inefficiencies underlying Anorexia Nervosa (AN), with CRT showing promise in improving these inefficiencies in adults. This area has yet to be explored in a younger population. The aim of this study was to evaluate the use of CRT for young people.
  
  
  METHODS
  A within-subjects design was used to compare the performance of children and adolescents with AN on several neuropsychological measures administered before and after a course of CRT.
  
  
  RESULTS
  Ninety-two female participants diagnosed with AN aged between 11 and 17 (M = 14.8, SD = 1.6), all receiving treatment at a specialist inpatient unit. The assessment consisted of the Rey-Osterrieth Complex Figure test (ROCFT), the Behaviour Rating Inventory of Executive Function-Self-Report (BRIEF-SR), and the D-KEFS Colour-Word Interference Test (CWT). Repeated-measures t tests were used to analyse the ROCFT and BRIEF-SR data. There was a significant improvement in Central Coherence Index (p < .001), Immediate Recall (p < .001), Shift (p < .001) Cognitive Shift (p = 002), Behavioural shift (p < .001), Emotional Control (p < .001), Working Memory (p = .001), Plan/Organize (p < .001), Monitor (p = .001) BRI (p < .001), MI (p = .001), and GEC (p < .001). On the D-KEFS CWT, a repeated-measure Wilcoxon signed-rank test revealed a significant improvement in Error Rate (p = .019) and a repeated-measures t test revealed a significant improvement in time taken (p < .001).
  
  
  CONCLUSIONS
  Results suggest that CRT for children and adolescents with AN could strengthen specific cognitive domains.
authors.affiliation: Rhodes Wood Hospital, Partnerships In Care, Sheperd's Way, Brookmans Park, Hatfield, London, AL96NN, UK. lucia.giombini@partnershipsincare.co.uk.
authors.forename: Lucia
authors.identifier: http://orcid.org/0000-0002-0512-3865
authors.initials: L
authors.lastname: Giombini
authors.affiliation: Rhodes Wood Hospital, Partnerships In Care, Sheperd's Way, Brookmans Park, Hatfield, London, AL96NN, UK.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Moynihan
authors.affiliation: Rhodes Wood Hospital, Partnerships In Care, Sheperd's Way, Brookmans Park, Hatfield, London, AL96NN, UK.
authors.forename: Matteo
authors.initials: M
authors.lastname: Turco
authors.affiliation: Rhodes Wood Hospital, Partnerships In Care, Sheperd's Way, Brookmans Park, Hatfield, London, AL96NN, UK.
authors.forename: Sophie
authors.initials: S
authors.lastname: Nesbitt
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D002648:Child; D003071:Cognition / Q000502:physiology*; D000072466:Cognitive Remediation; D056344:Executive Function / Q000502:physiology*; D005260:Female; D006801:Humans; D008570:Memory, Short-Term / Q000502:physiology*; D009483:Neuropsychological Tests; D016896:Treatment Outcome; D055815:Young Adult
keywords: Anorexia nervosa; Central coherence; Cognitive flexibility; Cognitive remediation therapy; Executive functioning; Treatment