Adapted emotion skills training group for young people with anorexia nervosa

AimsThe purpose of this review was to review existing literature relating to treatment of anorexia nervosa in young people with a diagnosis of autism. Hypothesis was that there would be a limited amount of literature in this age group.Previous research has suggested that there is over-representation of autistic traits in anorexia nervosa. There are implications for treatment outcomes for young people with anorexia nervosa and autism. Young people with autism may find it more difficult to engage in psychological treatments for anorexia nervosa, due to cognitive and behavioural inflexibility, or communication difficulties. Researchers are therefore looking at other options for treatment.MethodThis is a narrative review. Search was conducted in January 2020. Keywords used were “anorexia nervosa” combined with “autism” combined with “treatment”. Only published, peer-reviewed, full articles in English were included. Search of OVID (for MEDLINE, PsycINFO, EMBASE and ERIC databases) gave a result of 222 articles. 9 articles met the inclusion criteria. Search of CINAHL gave a result of 12 articles; 3 articles met the inclusion criteria but had been reviewed following OVID search.ResultThemes identified for discussion were: cognitive remediation therapy; improving emotional identification; adaptations to communication; dietary, sensory and environmental considerations; recognising the role of autism; and pharmacological therapies.ConclusionLiterature suggests that treatment targeting cognitive features, common to anorexia nervosa and autism, can be effective. There has been interest in the use of cognitive remediation therapy (CRT) and cognitive remediation and emotion skills training (CREST). However, more research is required in younger patient groups. Use of medication is in experimental stages, with studies considering a role for oxytocin from age 16. Qualitative studies provide information on modifications to treatment which could be helpful. The review highlights the need for a standardised, evidence-based treatment pathway for this patient group.

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APA 1999 Convention Coverage Presentations by Division 49: Dialectical Behavior Therapy: Multi-Family Skills Training Group for Adolescents and Their Parents

PsycEXTRA Dataset ◽

10.1037/e300822003-023 ◽

1999 ◽

Author(s):

Laura Beth Silver ◽

Jill H. Rathus ◽

Alec L. Miller

Keyword(s):

Behavior Therapy ◽

Dialectical Behavior Therapy ◽

Training Group ◽

Skills Training ◽

Skills Training Group ◽

Family Skills Training

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Faculty Opinions recommendation of Effectiveness of cognitive remediation and emotion skills training (CREST) for anorexia nervosa in group format: a naturalistic pilot study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718363348.793494431 ◽

2014 ◽

Author(s):

John Morgan

Keyword(s):

Anorexia Nervosa ◽

Pilot Study ◽

Cognitive Remediation ◽

Skills Training ◽

Group Format ◽

Emotion Skills

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The effectiveness of a combination of Occupational Therapy and Social Skills Training in people with schizophrenia: A rater-blinded randomized controlled trial

British Journal of Occupational Therapy ◽

10.1177/03080226211022953 ◽

2021 ◽

pp. 030802262110229

Author(s):

Selma Ercan Doğu ◽

Hülya Kayıhan ◽

Ahmet Kokurcan ◽

Sibel Örsel

Keyword(s):

Social Skills ◽

Occupational Therapy ◽

Social Participation ◽

Social Skills Training ◽

Clinical Symptoms ◽

Training Group ◽

Skills Training ◽

Occupational Performance ◽

The Social ◽

Skills Training Group

Introduction This study aimed to assess the impact of a holistic combination of Occupational Therapy and Social Skills Training on occupational performance, social participation, and clinical symptoms in people with schizophrenia. Method 60 people with schizophrenia were randomly assigned to two groups. One group received standardized Social Skills Training once a week for a total of 10 sessions, while the other group received a combination of Occupational Therapy and Social Skills Training once a week for a total of 16 sessions. Results A greater increase was determined in the scores of COPM total performance/satisfaction and the Community Integration Questionnaire in the Occupational Therapy and Social Skills Training group. Furthermore, these achievements were sustained in the Occupational Therapy and Social Skills Training group compared to the Social Skills Training group at the 6-month follow-up. Conclusion The clients received the combination of Occupational Therapy and Social Skills Training showed a better improvement compared to the Social Skills Training group in terms of occupational performance, social participation, and severity of clinical symptoms. The use of Occupational Therapy in a holistic approach in psychosocial rehabilitation of people with schizophrenia can increase their functionality and social participation. Further studies are needed to assess long-term effects of Occupational Therapy in schizophrenia.

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