dc.contributor.author | Hagan, Kelsey E. | |
dc.contributor.author | Christensen, Kara A. | |
dc.contributor.author | Forbush, Kelsie T. | |
dc.date.accessioned | 2023-06-13T19:33:33Z | |
dc.date.available | 2023-06-13T19:33:33Z | |
dc.date.issued | 2020-05-03 | |
dc.identifier.citation | Hagan, K. E., Christensen, K. A., & Forbush, K. T. (2020). A preliminary systematic review and meta-analysis of randomized-controlled trials of cognitive remediation therapy for anorexia nervosa. Eating behaviors, 37, 101391. https://doi.org/10.1016/j.eatbeh.2020.101391 | en_US |
dc.identifier.uri | https://hdl.handle.net/1808/34368 | |
dc.description.abstract | Cognitive remediation therapy (CRT) for anorexia nervosa (AN) was developed as an adjuvant treatment to target set-shifting and central coherence inefficiencies important in AN and to ultimately improve clinical outcomes of those with AN. The primary aim of this preliminary systematic review and meta-analysis was to determine the effect of CRT for AN relative to control treatments in randomized-controlled trials (RCTs) on neuropsychological inefficiencies at end-of-treatment. Secondary aims were to assess the effect of CRT for AN on dropout, eating-disorder-related, and other psychological outcomes at end-of-treatment. Systematic review and meta-analytic procedures were conducted in accordance with PRISMA Guidelines. RCTs evaluating CRT for AN compared to a control treatment were identified via ProQuest, PsycINFO, PubMed, and SCOPUS. Seven RCTs and one quasi-RCT of CRT for AN were included. RCT quality ratings ranged from fair (n = 3) to good (n = 4). Random-effects meta-analysis was conducted using Hedge's g. Study heterogeneity was assessed using I2 and publication bias was assessed with Begg's adjusted-rank correlation and the trim-and-fill method. CRT was not associated with improvement in central coherence compared to control treatments at end-of-treatment (g = 0.25, 95% CI = −0.35, 0.85, k = 3). Set-shifting outcomes were mixed due to heterogeneity of set-shifting measures across studies. CRT may prevent dropout; yet, more studies are needed to draw conclusions. CRT did not confer advantage over control treatments for eating-disorder-related and other psychological outcomes at end-of-treatment. Future RCTs of CRT for AN should use precise measures to assess constructs (particularly for set shifting), increase sample size, and implement longitudinal follow-up. (Word Count: 247 words). | en_US |
dc.publisher | Elsevier | en_US |
dc.rights | © 2020 Elsevier Ltd. All rights reserved. | en_US |
dc.subject | Cognitive remediation therapy | en_US |
dc.subject | Anorexia nervosa | en_US |
dc.subject | Randomized-controlled trials | en_US |
dc.subject | Meta-analysis | en_US |
dc.subject | Systematic review | en_US |
dc.title | A preliminary systematic review and meta-analysis of randomized-controlled trials of cognitive remediation therapy for anorexia nervosa | en_US |
dc.type | Article | en_US |
kusw.kuauthor | Christensen, Kara A. | |
kusw.kuauthor | Forbush, Kelsie T. | |
kusw.kudepartment | Psychology | en_US |
dc.identifier.doi | 10.1016/j.eatbeh.2020.101391 | en_US |
kusw.oaversion | Scholarly/refereed, author accepted manuscript | en_US |
kusw.oapolicy | This item meets KU Open Access policy criteria. | en_US |
dc.identifier.pmid | PMC10044473 | en_US |
dc.rights.accessrights | openAccess | en_US |