Abstract
Cognitive remediation therapy (CRT) is used as an intervention for people with brain lesions and psychosis. This case report demonstrates the possible benefits of introducing CRT into treatment packages for anorexia nervosa (AN). In our previous work, we reported that people with AN demonstrate inflexibility in cognitive set-shifting tasks. Weight gain alone does not improve the neuropsychological profile in set-shifting tasks. This case report illustrates how training programmes can address problems in cognitive rigidity. We acknowledge the limitations of case studies, however, this is a starting point in exploring the possibilities of introducing CRT as part of the treatment of AN.
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Tchanturia K., Morris R., Brecelj Anderluh M., Nikolaou V., Treasure J.: Set shifting in anorexia nervosa: An examination before and after weight gain, in full recovery and the relationship to childhood and adult OCPD tarints. J. Psychiatr. Res., 38, 545–552, 2004.
Tchanturia K., Morris R.G., Surguladze S., Treasure J.: An examination of perceptual and cognitive set shifting tasks in acute anorexia nervosa and following recovery. Eat. Weight Disord., 7, 312–315, 2002.
Tchanturia K., Campbell I.C., Mori-is R., Treasure J.: Neuropsychological studies in anorexia nervosa. Int. J. Eat. Disord., 37, Suppl., S72–S76, 2005.
Wykes T., van der Gaag M.: Is it time to develop a new cognitive therapy for psychosis-cognitive remediation therapy (CRT)? Clin. Psychol. Rev., 21, 1227–1256, 2001.
Wykes T., Reeder C.: Cognitive remediation therapy for schizophrenia theory & practice. London and New York, Routledge Taylor & Francies Group, 2005.
Powell T., Malia K.: The brain injury workbook; exercises for cognitive rehabilitation. Oxon, Speechmark, 2003.
Davies H., Tchanturia K.: Cognitive remediation therapy as an intervention for acute anorexia nervosa: a case report. Eur. Eat. Disord. Rev., 2005.
Hodgson R.J., Rachman S.: Obsessional-compulsive complaints. Behav. Res. Ther., 15, 389–395, 1977.
Zigmond A.S., Snaith R.P.: The hospital anxiety and depression scale. Acta Psychiatr. Scand., 67, 361–370, 1983.
Reitan RM.: Validity of the Trail making test as indicator of organic brain damage. Perceptual and Motor Skills, 8, 271–276, 1958.
Kravariti E., Moriis R.G., Rabe-Hesketh S., Murray R.M., Frangou S.: The Maudsley early onset schizophrenia study: cognitive function in adolescents with recent onset schizophrenia. Schizophr. Res., 61, 137–148, 2003.
Burgess P.W., Shallice T.: The Flayling and Brixton Tests. UK, Thames Valley Test Company Ltd, 1997.
Tchanturia K., Serpeli L., Troop N., Treasure J.: Perceptual rigidity and fluctuation in eating disorders. J. Behav. Ther. Exp. Psychiatry, 32, 107–115, 2001.
Uznadze D.N.: The psychology of set. New York, Consultants’ Bureau, 1966.
Rastam M.: Anorexia nervosa in 51 Swedish adolescents: premorbid problems and comorbidity. J. Am. Acad. Child Adolesc. Psychiatry, 31, 819–829, 1992.
Rastam M., Gillberg I.C., Gillberg C.: Anorexia nervosa 6 years after onset: Part 11. Comorbid psychiatric problems. Compr. Psychiatry, 36, 70–76, 1995.
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Tchanturia, K., Whitney, J. & Treasure, J. Can cognitive exercises help treat anorexia nervosa?. Eat Weight Disord 11, e112–e116 (2006). https://doi.org/10.1007/BF03327574
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DOI: https://doi.org/10.1007/BF03327574