Effectiveness of emotional skills training for patients with anorexia nervosa with autistic symptoms in group and individual format

被引:33
作者
Adamson, James [1 ,2 ]
Leppanen, Jenni [1 ]
Murin, Marianna [4 ]
Tchanturia, Kate [1 ,2 ,3 ]
机构
[1] Kings Coll London, Inst Psychiat Psychol & Neurosci, Div Psychol Med, London, England
[2] South London & Maudsley NHS Fdn Trust, Eating Disorders Unit, London, England
[3] Illia State Univ, Tbilisi, Georgia
[4] Anna Freud Natl Ctr Children & Families, London, England
基金
英国医学研究理事会;
关键词
alexithymia; anorexia nervosa; autism spectrum disorder; emotions; social anhedonia; COGNITIVE REMEDIATION; SPECTRUM QUOTIENT; ALEXITHYMIA; DISORDERS; TRAITS; CREST;
D O I
10.1002/erv.2594
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
ObjectiveThe aim of this study was to examine the effectiveness of CREST interventions in individual and group formats for adult anorexia nervosa. Furthermore, this study also aims to analyse whether patients with high levels of autistic symptoms respond differently. MethodsParticipants' self-report measures were taken before and after individual and group interventions (N=66 and N=62, respectively). Mixed effects analysis was used to analyse overall response to both formats and assess interaction with autism symptoms. ResultsSignificant improvements were observed for patients' alexithymia in individual format, and motivation increased for participants in both interventions. Significant interactions were observed between alexithymia, social anhedonia, and autism symptoms in individual format and alexithymia in group format. No interactions between autism and time were observed for either format. ConclusionsCREST in both formats offers participants improvements in social-emotional and motivational domains. Patients with high levels of autism symptoms also score high on both social anhedonia and alexithymia measures, but this does not affect their response to treatment.
引用
收藏
页码:367 / 375
页数:9
相关论文
共 26 条
[1]   Toward Brief "Red Flags" for Autism Screening: The Short Autism Spectrum Quotient and the Short Quantitative Checklist in 1,000 Cases and 3,000 Controls [J].
Allison, Carrie ;
Auyeung, Bonnie ;
Baron-Cohen, Simon .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2012, 51 (02) :202-212
[2]  
[Anonymous], R FDN STAT COMP
[3]  
[Anonymous], 2017, 69 NICE
[4]   THE 20-ITEM TORONTO-ALEXITHYMIA-SCALE .1. ITEM SELECTION AND CROSS-VALIDATION OF THE FACTOR STRUCTURE [J].
BAGBY, RM ;
PARKER, JDA ;
TAYLOR, GJ .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 1994, 38 (01) :23-32
[5]   Fitting Linear Mixed-Effects Models Using lme4 [J].
Bates, Douglas ;
Maechler, Martin ;
Bolker, Benjamin M. ;
Walker, Steven C. .
JOURNAL OF STATISTICAL SOFTWARE, 2015, 67 (01) :1-48
[6]  
Carter MJ, 2014, THER RECREAT J, V48, P275
[7]   SCALES FOR PHYSICAL AND SOCIAL ANHEDONIA [J].
CHAPMAN, LJ ;
CHAPMAN, JP ;
RAULIN, ML .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1976, 85 (04) :374-382
[8]   Cognitive Remediation and Emotion Skills Training for Anorexia Nervosa: An Observational Study Using Neuropsychological Outcomes [J].
Davies, Helen ;
Fox, John ;
Naumann, Ulrike ;
Treasure, Janet ;
Schmidt, Ulrike ;
Tchanturia, Kate .
EUROPEAN EATING DISORDERS REVIEW, 2012, 20 (03) :211-217
[9]   The Egosyntonic Nature of Anorexia: An Impediment to Recovery in Anorexia Nervosa Treatment [J].
Gregertsen, Eva C. ;
Mandy, William ;
Serpell, Lucy .
FRONTIERS IN PSYCHOLOGY, 2017, 8
[10]   Social anhedonia and work and social functioning in the acute and recovered phases of eating disorders [J].
Harrison, Amy ;
Mountford, Victoria A. ;
Tchanturia, Kate .
PSYCHIATRY RESEARCH, 2014, 218 (1-2) :187-194