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Int J Eat Disord. 2008 Sep;41(6):542-50. doi: 10.1002/eat.20536.

Service users' feedback on cognitive training in the treatment of anorexia nervosa: a qualitative study.

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  • 1Section of Eating Disorders, Institute of Psychiatry, King's College, London, United Kingdom.



There is little evidence to guide the treatment of anorexia nervosa (AN). Cognitive Remediation Therapy (CRT) may be helpful in reducing perfectionism and rigidity and preparing patients for involvement in later psychological interventions. The aim of this study was to examine service users' experiences of participating in CRT.


Written feedback, following 10 CRT sessions, from 19 AN patients was analyzed using grounded theory approach.


Patients' feedback was generally positive. They found CRT refreshing and appreciated that it did not revolve around food. Patients found CRT helpful in reducing perfectionism and rigidity. The majority expressed how they were able to implement skills in their real life. Some changes were suggested, these included varying levels of difficulty and more guidance in implementing skills.


CRT is a promising component in the treatment of AN. Further research is being conducted to evaluate CRT.

(c) 2008 by Wiley Periodicals, Inc.

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