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Feasibility Study Combining Art Therapy or Cognitive Remediation Therapy with Family‐based Treatment for Adolescent Anorexia Nervosa
Author(s) -
Lock James,
Fitzpatrick Kathleen Kara,
Agras William S.,
Weinbach Noam,
Jo Booil
Publication year - 2018
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.2571
Subject(s) - anorexia nervosa , eating disorders , family therapy , expectancy theory , randomized controlled trial , cognitive remediation therapy , cognition , psychology , cognitive therapy , cognitive behavioral therapy , psychiatry , anorexia , clinical psychology , medicine , psychotherapist , social psychology
Adolescents with anorexia nervosa who have obsessive–compulsive (OC) features respond poorly to family‐based treatment (FBT). This study evaluated the feasibility of combining FBT with either cognitive remediation therapy (CRT) or art therapy (AT) to improve treatment response in this at‐risk group. Thirty adolescents with anorexia nervosa and OC features were randomized to 15 sessions of FBT + CRT or AT. Recruitment rate was 1 per month, and treatment attrition was 16.6% with no differences between groups. Suitability, expectancy and therapeutic relationships were acceptable for both combinations. Correlations between changes in OC traits and changes in cognitive inefficiencies were found for both combinations. Moderate changes in cognitive inefficiencies were found in both groups but were larger in the FBT + AT combination. This study suggests that an RCT for poor responders to FBT because of OC traits combining FBT with either CRT or AT is feasible to conduct. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.