Lask Bryan, Roberts Alice
Care UK, London, UK Gt Ormond St Hospital, London, UK
Cardiff University, Wales, UK.
Clin Child Psychol Psychiatry. 2015 Apr;20(2):207-17. doi: 10.1177/1359104513504313. Epub 2013 Oct 4.
Anorexia nervosa (AN) in childhood and adolescence has a poor prognosis. It is possible that this may in part be due to the fact that cognitive weaknesses that appear to be risk factors for its development and maintenance are not being targeted in treatment. Through its focus on these deficits, cognitive remediation therapy (CRT) has been shown to be a promising intervention for AN. Furthermore, family interventions are widely recommended for this patient population, but to date no studies have reported the use of CRT in a family setting. This paper presents a case series in which family-based CRT was a significant component of the management. It was well received by patients and their families and previously treatment resistant patients became more engaged with the entire treatment process. In addition, all patients receiving family-based CRT went on to make progress towards recovery. These initial clinical observations suggest family-based CRT is likely to be a useful addition to treatment for child and adolescent AN and justifies formal evaluation.
儿童和青少年神经性厌食症（AN）的预后较差。这可能部分是由于治疗中未针对那些似乎是其发展和维持风险因素的认知弱点。通过关注这些缺陷，认知修复疗法（CRT）已被证明是一种对AN有前景的干预措施。此外，家庭干预被广泛推荐用于这一患者群体，但迄今为止尚无研究报告在家庭环境中使用CRT。本文介绍了一个病例系列，其中基于家庭的CRT是管理的重要组成部分。它受到了患者及其家庭的好评，并且之前对治疗有抵抗性的患者对整个治疗过程的参与度更高。此外，所有接受基于家庭的CRT的患者都在康复方面取得了进展。这些初步的临床观察表明，基于家庭的CRT可能是儿童和青少年AN治疗的有益补充，并证明了进行正式评估的合理性。
