Easter Abigail, Tchanturia Kate
Kings College London, UK.
Clin Child Psychol Psychiatry. 2011 Apr;16(2):233-46. doi: 10.1177/1359104511401185. Epub 2011 Apr 11.
Cognitive Remediation Therapy (CRT) is a novel intervention developed for adults with anorexia nervosa (AN), which aims to improve "cognitive flexibility" and "holistic processing" thinking styles (Tchanturia et al., 2008; Tchanturia & Hambrook, 2009). The present study uses a qualitative approach to examine therapists' accounts of their work with inpatients suffering with AN. The objective of this study is to gain a broader understanding of how CRT has been implemented and utilized in daily life by this patient group. Therapists' letters were positive and motivational; acknowledging patients for their achievements while outlining some of the difficulties and emotions that patients experienced. Findings highlight that the majority of patients' difficulties related to their metacognitive ability and in transferring the skills to real life. Themes also concerned the processes and stages of CRT, where patients gradually drew skills from the intervention prior to making changes in their own lives. The implications of this approach for working with adolescents with eating disorders are explored. It is hoped that this study will help understanding of how CRT can be used as a treatment for AN; and how it could be developed for future work with young people.
认知修复疗法（CRT）是一种为神经性厌食症（AN）成年患者开发的新型干预方法，旨在改善“认知灵活性”和“整体加工”思维方式（钱图里亚等人，2008年；钱图里亚和汉布罗克，2009年）。本研究采用定性方法，考察治疗师对其与患有神经性厌食症的住院患者工作情况的描述。本研究的目的是更广泛地了解该患者群体在日常生活中如何实施和运用认知修复疗法。治疗师的信件积极且具有激励性；认可患者的成就，同时概述患者所经历的一些困难和情绪。研究结果突出表明，大多数患者的困难与其元认知能力以及将技能应用于现实生活的能力有关。主题还涉及认知修复疗法的过程和阶段，即患者在改变自己的生活之前，逐渐从干预中汲取技能。探讨了这种方法对治疗饮食失调青少年的意义。希望本研究将有助于理解如何将认知修复疗法用作治疗神经性厌食症的方法；以及如何为未来与年轻人的工作对其进行改进。
