Green C, Mannion G, Gill I, Hartley S, Dunlop B J, Taylor P J
Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
Clin Psychol Psychother. 2025 Mar-Apr;32(2):e70043. doi: 10.1002/cpp.70043.
Onset of Eating Disorder (ED) peaks in young people, and interpersonal factors can influence development and maintenance. With increased referrals to ED services, accessible, brief interventions may support early intervention and improve outcomes. Cognitive Analytic Therapy (CAT) is a transdiagnostic relational approach, which can offer benefit for a range of presenting difficulties. This study aimed to assess the feasibility and acceptability of a brief, CAT-informed reformulation for young people with ED.
A case series design recruited eight young people who met inclusion and exclusion criteria to participate in the five-session reformulation intervention.
Recruitment took place from NHS ED services. Feasibility and acceptability were measured via recruitment, retention, qualitative feedback and missing data. Psychological distress, ED severity, personal recovery and motivation to change were assessed at baseline, post-intervention and follow-up. Participants also completed sessional measures of psychological distress and alliance.
Eight eligible participants aged 15-24 years (M = 20.25, SD = 3.58) consented to take part and received the intervention. All participants attended all intervention sessions and completed all assessments. Participants reported positive experiences of the intervention. There was an associated reduction across clinical outcomes, including psychological distress and ED severity.
This case series showed promising results on the feasibility and acceptability of a brief CAT-informed reformulation for young people with ED. However, the study had a small sample size and no comparator control group. Larger scale exploration of a brief CAT-informed reformulation for EDs among young people is warranted.
The study was preregistered with clinicaltrials.gov (NCT05746364).
饮食失调（ED）的发病高峰出现在年轻人中，人际关系因素会影响其发展和维持。随着转介到饮食失调服务机构的人数增加，便捷、简短的干预措施可能有助于早期干预并改善结果。认知分析疗法（CAT）是一种跨诊断的关系疗法，可对一系列呈现出的困难提供帮助。本研究旨在评估一种针对患有饮食失调的年轻人的简短、基于CAT的重新建构疗法的可行性和可接受性。
一项病例系列设计招募了八名符合纳入和排除标准的年轻人，参与为期五节的重新建构干预。
从英国国家医疗服务体系（NHS）的饮食失调服务机构进行招募。通过招募情况、留存率、定性反馈和缺失数据来衡量可行性和可接受性。在基线、干预后和随访时评估心理困扰、饮食失调严重程度、个人康复情况和改变动机。参与者还完成了心理困扰和治疗联盟的阶段性测量。
八名年龄在15 - 24岁（M = 20.25，SD = 3.58）的符合条件的参与者同意参加并接受了干预。所有参与者都参加了所有干预课程并完成了所有评估。参与者报告了对干预的积极体验。包括心理困扰和饮食失调严重程度在内的临床结果都有相应的改善。
这个病例系列显示，针对患有饮食失调的年轻人的简短、基于CAT的重新建构疗法在可行性和可接受性方面取得了有前景的结果。然而该研究样本量小且没有对照组。有必要对针对年轻人饮食失调的简短、基于CAT的重新建构疗法进行更大规模的探索。
该研究已在clinicaltrials.gov上进行预注册（NCT05746364）。
