Individual and group format adjunct therapy on social emotional skills for adolescent inpatients with severe and complex eating disorders (CREST-A).
Individual and group format adjunct therapy on social emotional skills for adolescent inpatients with severe and complex eating disorders (CREST-A).
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针对患有严重和复杂饮食失调的青少年住院患者的社交情感技能的个人和团体形式辅助治疗（CREST-A）。
DOI：
10.1007/s40211-020-00375-5
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Harrison A
中科院分区：
文献类型：
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作者：
Harrison A
背景人们对哪些心理治疗辅助治疗可能有助于支持患有最严重和最复杂形式的神经性厌食症（AN）、体重极低和营养不良需要住院的患者知之甚少，但针对关键的持续因素，例如社交情绪困难可能是推进知识的一种方式。这个试点可行性项目的报告发展的青少年适应认知补救和情感技能训练（CREST-A），并探讨其可接受性，可行性和可能的benefits. METHODS一个不受控制的，重复的措施设计与数据收集在治疗的开始和结束。CREST-A以两种形式进行研究：12名患者的病例系列的10个会话个体形式和3组9名患者的5个会话组形式。使用患者满意度量表测量的CREST-A可接受性为7/10（个体）和6/10（组形式）。个人参加率为100%，团体参加率为34.62%。个人组和团体组的脱落率分别为8.33%和29.63%。个人作业完成率为66.67%，小组作业完成率为75%。患者报告中等规模的改善，社会情绪功能的组成部分，使用工作和社会适应量表，多伦多述情障碍量表和修订后的社会快感缺失量表在个人和团体formates.CONCLUSIONFuture研究采用随机对照设计，现在可能是值得的，以推进这一证据基础的低强度治疗辅助。
BACKGROUNDRelatively little is known about which psychological treatment adjuncts might be helpful for supporting people with the most severe and complex forms of anorexia nervosa (AN) with very low weight and malnutrition requiring inpatient admissions, but targeting key perpetuating factors such as social emotional difficulties may be one way to advance knowledge. This pilot feasibility project reports on the development of an adolescent adaptation of Cognitive Remediation and Emotion Skills Training (CREST-A) and explores its acceptability, feasibility and possible benefits.METHODSAn uncontrolled, repeated measures design was employed with data collected at the start and end of treatment. CREST‑A was investigated in two formats: a 10-session individual format delivered to a case series of 12 patients and a 5-session group format delivered to 3 groups of 9 patients.RESULTSAcceptability, measured using a Patient Satisfaction Scale was 7/10 for the individual and 6/10 for the group format. Individual take-up was 100% and group take-up was 34.62%. Drop-out was 8.33% and 29.63% in the individual and group formats respectively. Homework was completed 66.67% and 75% of the time in the individual and group formats respectively. Patients reported medium-sized improvements in components of social emotional functioning measured using the Work and Social Adjustment Scale, the Toronto Alexithymia Scale and the Revised Social Anhedonia Scale in the individual and group formats.CONCLUSIONFuture studies employing randomized controlled designs may now be warranted to advance this evidence base of this low intensity treatment adjunct.