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Erschienen in: neuropsychiatrie 2/2021

29.04.2020 | original article

Adapted emotion skills training group for young people with anorexia nervosa

A mixed-methods evaluation

verfasst von: CPsychol Lucia Giombini, CPsychol Sophie Nesbitt, BSc Rutendo Kusosa, BSc Cleo Fabian, PhD Abigail Easter, Prof. Kate Tchanturia

Erschienen in: neuropsychiatrie | Ausgabe 2/2021

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Summary

Background

Brief interventions focused on emotion processing are needed to support young people (YP) in inpatient treatment programmes to manage emotions. Cognitive Remediation and Emotion Skills Training (CREST) has been found beneficial in adult anorexia nervosa (AN) groups. An initial case series found that CREST is a feasible intervention for YP with AN. Further age-appropriate adaptations were needed to improve YP’s engagement. Following qualitative feedback on the original CREST manual, a second case series was conducted in an inpatient unit with age-appropriate adaptations to evaluate its feasibility in a YP inpatient setting.

Methods

A mixed-methods methodology was used to evaluate the intervention. A total of 30 YP were asked to write a feedback letter about their experience of the group and to complete the Emotion Skills Scale (ESS), an ad hoc 12-item self-report Likert scale assessing emotional functioning. The ESS was also completed by a member of the multidisciplinary team for an external assessment.

Results

Quantitative results showed no statistically significant changes in YP’s emotional functioning, while qualitative results showed that YP found it helpful to learn about emotion processes, acknowledging their need to be supported to express them and understand the link with AN symptoms. Four high-order themes were identified: Helpfulness of CREST Group for Young People (CREST-GYP), Perception of contents, Challenges of group therapy, Suggestions for improvement.

Conclusions

Pilot findings suggest that CREST-GYP is an acceptable intervention for YP with AN. Clinical and research studies are needed to clarify whether CREST-GYP can produce more beneficial treatment results than treatment as usual.
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Metadaten
Titel
Adapted emotion skills training group for young people with anorexia nervosa
A mixed-methods evaluation
verfasst von
CPsychol Lucia Giombini
CPsychol Sophie Nesbitt
BSc Rutendo Kusosa
BSc Cleo Fabian
PhD Abigail Easter
Prof. Kate Tchanturia
Publikationsdatum
29.04.2020
Verlag
Springer Vienna
Erschienen in
neuropsychiatrie / Ausgabe 2/2021
Print ISSN: 0948-6259
Elektronische ISSN: 2194-1327
DOI
https://doi.org/10.1007/s40211-020-00347-9