Sternheim, L;
Harrison, A;
(2018)
The acceptability, feasibility and possible benefits of a group-based intervention targeting intolerance of uncertainty in adolescent inpatients with anorexia nervosa.
Cogent Psychology
, 5
, Article 1441594. 10.1080/23311908.2018.1441594.
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Abstract
Despite the effectiveness of family-based interventions for adolescents with anorexia nervosa (AN), up to 30% of patients may not fully benefit. Comorbidity such as depression and anxiety, of which Intolerance of Uncertainty (IU) is established as a key predictor, may account for this reduced treatment response. This pilot study evaluates the acceptability, feasibility and possible benefits of a group-based intervention targeting IU in adolescent inpatients with AN. Ten female patients received a 12-session open-group intervention adapted from a previously developed intervention for adults which took a cognitive behavioural stance and included sessions on psychoeducation and raising awareness around IU, problemsolving in the context of uncertainty, beliefs about worry, behavioural experiments and relapse prevention. Fifty-five staff hours were required to run the group and resources were suitably adapted from adult materials. Patients rated the intervention as acceptable and there were no dropouts. Qualitative outcomes highlighted patients benefited from the group and there was a trend towards IU reducing after the intervention and at 3-month follow-up, although the improvements fell short of a meaningful change in therapy cut-off. Results suggest the group was feasible to run and acceptable to patients and warrants further investigation to optimise possible clinical benefits.
| Type: | Article |
|---|---|
| Title: | The acceptability, feasibility and possible benefits of a group-based intervention targeting intolerance of uncertainty in adolescent inpatients with anorexia nervosa |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1080/23311908.2018.1441594 |
| Publisher version: | https://doi.org/10.1080/23311908.2018.1441594 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
| Keywords: | intolerance of uncertainty; adolescents; inpatient treatment; anorexia nervosa; eating disorders |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Psychology and Human Development |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10061921 |
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