Graduate Theses & Dissertations

Cognitive Inefficiencies in Adolescents with Eating Disorders
Eating Disorders (ED) are notoriously difficult to treat due, in part, to commonly observed inefficiencies in cognitive flexibility and central coherence, which are believed to maintain disordered cognitions and behaviours and negatively impact prognosis. Cognitive remediation therapy (CRT) has recently been used effectively with adults with ED; however, evidence among adolescents is limited. The present study explored change in flexibility and central coherence in a group of 23 adolescent ED inpatients (M = 16 years, SD = 0.95). All participants received a comparable dose of ED treatment. Participants were split into two groups for comparison: the CRT group (n = 15) received CRT in addition to TAU; and a TAU group for control (TAU; n = 8). Improvements in flexibility and central coherence were superior in the CRT group, suggesting that CRT is a potentially useful treatment for adolescents with AN as part of an overall psychosocial rehabilitation program. Author Keywords: anorexia nervosa, central coherence, cognitive flexibility, cognitive remediation, eating disorders, set shifting

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