title: Young people's experience of individual cognitive remediation therapy (CRT) in an inpatient eating disorder service: a qualitative study.
abstract: OBJECTIVE
  Current literature shows promising results regarding the efficacy of Cognitive Remediation Therapy for Anorexia Nervosa (AN); however, there is a paucity of studies considering the use of CRT in Young People (YP). The aim of this study was to examine YP's experiences of individual CRT in an inpatient eating disorder unit.
  
  
  METHODS
  Seventy letters following a cycle of eight individual CRT sessions were analysed using thematic analysis, adopting an inductive approach. Inter-rater reliability of findings was ensured.
  
  
  RESULTS
  The following six higher-order themes, each with lower-order themes, were identified: engaging aspects of CRT; identifying thinking skills; relevance to real-life situations; encountering personal challenges; making sense of the rational of CRT; suggestions for further improvements. YP reported enjoying CRT and described increased learning about their thinking styles and their skills from the activities undertaken during therapy. Some participants were able to apply learning outside of therapy and less frequently to difficulties related to the illness.
  
  
  CONCLUSIONS
  Feedback from patients suggests CRT is a useful intervention for YP with AN, which could facilitate their engagement in the treatment, while tackling neuropsychological processes underlying psychological symptoms of AN. Exploring participants' experience of CRT has highlighted specific elements of the intervention perceived as beneficial by YP, and areas where adaption could be made. This will allow clinicians to further develop the intervention from a service users' perspective, tailoring the sessions to their needs.
authors.affiliation: Rhodes Wood Hospital, Elysium Healthcare, Sheperd's way, Brookmans Park, Hatfield, London, AL96NN, UK. lucia.giombini@kcl.ac.uk.|Institute of Psychiatry, Psychology and Neuroscience, PO59 Psychological Medicine, King's College, London, SE58AF, UK. lucia.giombini@kcl.ac.uk.
authors.forename: Lucia
authors.identifier: http://orcid.org/0000-0002-0512-3865
authors.initials: L
authors.lastname: Giombini
authors.affiliation: Rhodes Wood Hospital, Elysium Healthcare, Sheperd's way, Brookmans Park, Hatfield, London, AL96NN, UK.
authors.forename: Sophie
authors.initials: S
authors.lastname: Nesbitt
authors.affiliation: Rhodes Wood Hospital, Elysium Healthcare, Sheperd's way, Brookmans Park, Hatfield, London, AL96NN, UK.
authors.forename: Lauren
authors.initials: L
authors.lastname: Waples
authors.affiliation: Rhodes Wood Hospital, Elysium Healthcare, Sheperd's way, Brookmans Park, Hatfield, London, AL96NN, UK.
authors.forename: Emilia
authors.initials: E
authors.lastname: Finazzi
authors.affiliation: Health Services Research and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK.
authors.forename: Abigail
authors.initials: A
authors.lastname: Easter
authors.affiliation: Institute of Psychiatry, Psychology and Neuroscience, PO59 Psychological Medicine, King's College, London, SE58AF, UK. kate.tchanturia@kcl.ac.uk.|Department of Psychology, Illia University, Tbilisi, Georgia. kate.tchanturia@kcl.ac.uk.|South London and Maudsley NHS Foundation Trust, Eating Disorders National Service, London, UK. kate.tchanturia@kcl.ac.uk.
authors.forename: Kate
authors.initials: K
authors.lastname: Tchanturia
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D002648:Child; D000072466:Cognitive Remediation; D005260:Female; D006801:Humans; D007297:Inpatients; D017060:Patient Satisfaction; D036301:Qualitative Research; D016896:Treatment Outcome
keywords: Anorexia nervosa; Cognitive remediation therapy; Qualitative study; Service users’ experience; Young people