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.
Bibliographical noteFunding Information:
This study was supported by funding from the National Institute of Mental Health (Feasibility of Combining Family and Cognitive Therapy to Prevent Chronic Anorexia Nervosa 5R34MH10128103, Lock, PI).
Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
- anorexia nervosa
- art therapy
- cognitive remediation therapy
- family-based treatment
ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health