Eastabrook, Jennifer

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

It is well-established that alexithymia in adulthood is a critical risk factor for numerous negative mental health and well-being outcomes. Although this area of research has begun to receive interest in earlier developmental stages, significant methodological limitations have been noted with current measures of alexithymia for adolescence. As such, the aim of the current thesis was to provide empirical evidence on the psychometric strength of a new adolescent measure of alexithymia, the Toronto Alexithymia Scale – Adolescent Version (TAS-A). Study 1 examined the construct validity of the TAS-A in relation to self and informant reported emotional intelligence (EI), while study 2 examined the predictive validity of the TAS-A in relation to adolescent problematic gambling and academic achievement. Adolescents completed self-reports of alexithymia, EI, and gambling behaviour, parents completed informant reports regarding their child's EI, and academic records were obtained. Confirmatory factor analyses revealed significant relationships between adolescent alexithymia, and self and informant reported EI, indicating significant overlap in constructs. Adolescent alexithymia was also shown to be a significant predictor of problematic gambling and academic achievement; however, some interesting gender differences were observed (a pattern of results reported consistently in the adult alexithymia literature). Results are discussed in terms of methodological and clinical implications during the vulnerable developmental transition of adolescence.

Author Keywords: adolescence, alexithymia, psychometrics