Whitney Jenna, Easter Abigail, Tchanturia Kate
Section of Eating Disorders, Institute of Psychiatry, King's College, London, United Kingdom.
Int J Eat Disord. 2008 Sep;41(6):542-50. doi: 10.1002/eat.20536.
There is little evidence to guide the treatment of anorexia nervosa (AN). Cognitive Remediation Therapy (CRT) may be helpful in reducing perfectionism and rigidity and preparing patients for involvement in later psychological interventions. The aim of this study was to examine service users' experiences of participating in CRT.
Written feedback, following 10 CRT sessions, from 19 AN patients was analyzed using grounded theory approach.
Patients' feedback was generally positive. They found CRT refreshing and appreciated that it did not revolve around food. Patients found CRT helpful in reducing perfectionism and rigidity. The majority expressed how they were able to implement skills in their real life. Some changes were suggested, these included varying levels of difficulty and more guidance in implementing skills.
CRT is a promising component in the treatment of AN. Further research is being conducted to evaluate CRT.
几乎没有证据可指导神经性厌食症(AN)的治疗。认知修复疗法(CRT)可能有助于降低完美主义和僵化程度,并为患者参与后续心理干预做好准备。本研究的目的是调查服务使用者参与CRT的体验。
采用扎根理论方法分析了19名AN患者在接受10次CRT治疗后的书面反馈。
患者的反馈总体上是积极的。他们发现CRT令人耳目一新,并且赞赏它不围绕食物展开。患者发现CRT有助于降低完美主义和僵化程度。大多数人表示他们能够在现实生活中运用这些技能。有人提出了一些改进建议,包括不同程度的难度以及在技能运用方面提供更多指导。
CRT是治疗AN的一个有前景的组成部分。正在进行进一步的研究以评估CRT。