Table 22 Cognitive remediation therapy for children and adolescents with Anorexia Nervosa
From: Canadian practice guidelines for the treatment of children and adolescents with eating disorders
| Certainty assessment | Impact | Certainty | Importance | ||||||
|---|---|---|---|---|---|---|---|---|---|
| № of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Other considerations | |||
| ART vs. CRT - Weight (assessed with: BMI), ED symptoms, depression, anxiety | |||||||||
| 1 | randomised trials | not serious | not serious | not serious | not serious | none | RCT comparing Art Therapy and CRT (both receiving FBT) n = 30 (3 male, 27 female). BMI not significantly different. | ⨁⨁⨁⨁ HIGH | CRITICAL |
| not serious | not serious | not serious | not serious | none | Art Therapy significantly better than CRT in terms of global EDE score at the end of 15 sessions. | ⨁⨁⨁⨁ HIGH | CRITICAL | ||
| not serious | not serious | not serious | not serious | none | No difference between CRT and Art Therapy with respect to depression scores. | ⨁⨁⨁⨁ HIGH | CRITICAL | ||
| not serious | not serious | not serious | not serious | none | No difference between CRT and Art Therapy with respect to Anxiety scores | ⨁⨁⨁⨁ HIGH | CRITICAL | ||
| Weight (assessed with: BMI), Depression (BDI), Anxiety (STAI) | |||||||||
| 1 | Case Series | very serious a,b | not serious | not serious | not serious | none | One open trial of 20 patients (10 inpatients, 10 outpatients) describes weight improvement with 10 sessions of CRT. Open trial was pre post CRT. | ⨁◯◯◯ VERY LOW | CRITICAL |
| very serious a,b | not serious | not serious | not serious | none | Depression scores decreased significantly following CRT (pre compared to post) | ⨁◯◯◯ VERY LOW | CRITICAL | ||
| very serious a,b | not serious | not serious | not serious | none | No differences pre and post were seen in terms of Anxiety. | ⨁◯◯◯ VERY LOW | CRITICAL | ||
| Weight | |||||||||
| 1 | Case Report | very serious a,b | not serious | not serious | not serious | none | Case report – 12 year old female with AN - pre post and 7 month follow up after 10 sessions CRT. Weight improved at the follow up assessment to a healthy weight range. | ⨁◯◯◯ VERY LOW | IMPORTANT |