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The aim of research is to test in a randomized clinical trial with active sessions, the efficacy of cognitive remediation therapy in children anorexia nervosa compared to a controlled group. The investigators want to confirm the efficacy of cognitive remediation treatment in children's flexibility problems.
In this research, the investigators want to evaluate remediation cognitive therapy in anorexia nervosa compared to a controlled group (relaxation) based on different factors that testified the cognitive improvement of patients: one week after therapy, six months after and one year after.
Those factors are:
Weight, perfectionism and food symptomatology, temperament, therapeutic alliance and change motivation, clinical evolution of anorexia nervosa, self esteem, executive functions, neuropsychological performance (flexibility and central coherence).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cognitive remediation therapy | Experimental | 10 sessions of the cognitive remediation therapy program conducted during five weeks |
|
| relaxation therapy | Placebo Comparator | 10 relaxation sessions during 5 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cognitive remediation therapy | Behavioral | Our scheme comprises 10 biweekly sessions ( 5 in group and 5 single) . Each session last about 45 minutes. Individual sessions will be held with the patient and a therapist trained in the CRT; group sessions will be led by two therapists trained in CRT and regroup the maximum 5 patients. |
| Measure | Description | Time Frame |
|---|---|---|
| cognitive flexibility | behavioral characteristics related to cognitive difficulties flexibility of anorexic patients, as measured in the medium term (6 months post treatment) by the score of the subscale "shift" BRIEF parent version of the scale (BRIEF-PR). | 6 months after therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Weight status | Assess the impact of cognitive remediation therapy on :Weight status by the Body Mass Index | 6 months and one year |
| Food symptoms and perfectionism | Assess the impact of cognitive remediation therapy on :Food symptoms and perfectionism measured by the Eating Disorders Inventory auto questionnaire, EDI-2 |
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Inclusion Criteria:
Pathology
Topics
Treatments
Exclusion Criteria:
Pathology
Topics The subjects are not mastering the French language will not be considered
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| Name | Affiliation | Role |
|---|---|---|
| Asch Muriel, PHD | -Hôpital Robert Debré, Service de psychiatrie de l'enfant et de l'adolescent | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Asch | Paris | 75019 | France |
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| ID | Term |
|---|---|
| D000856 | Anorexia Nervosa |
| ID | Term |
|---|---|
| D001068 | Feeding and Eating Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D012064 | Relaxation Therapy |
| ID | Term |
|---|---|
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D001521 | Behavior Therapy |
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|
| relaxation therapy | Other | Our scheme comprises 10 biweekly sessions. Each session last about 45 minutes. |
|
| 6 months and one year |
| Temperamental profile | Assess the impact of cognitive remediation therapy on :Temperamental profile measured by the Junior Temperament and Character Inventory questionnaire | 6 months after therapy |
| Therapeutic alliance and motivation to change | Assess the impact of cognitive remediation therapy on : therapeutic alliance and motivation to change measured by self-reported scales Helping Alliance Questionnaire-11 and MOTIV | 6 months and one year |
| Self-esteem | measured by the Rosenberg Self-Esteem Scale | 6 months and one year |
| Executive functions | measured by the scale BRIEF-Parent Report | 6 months and one year |
| Neuropsychological performance in particular flexibility and central coherence | measured by tests of WCST (Wisconsin Card Sorting Test), Geft (Group Embedded Figure Test) and tests the battery Ravello Profile (Tower, Verbal Fluency Test VFT, Trail Making Test TMT, Rey Complex Figure Test Osterreich ROCFT ) | 6 months and one year |
| D011613 |
| Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |