In this study, the clinical and self-reported data were collected before the administration of CREST intervention and after CREST was performed. These results indicate that CREST caused improvements in identifying emotions, and regulating emotions and caused an increase in BMI in the patients. Additionally, there was a decrease in the symptoms of eating disorders as well. The case study provides evidence that CREST is very useful as a low-intensity intervention technique. Additionally, CREST was classified as a technique used before more comprehensive therapies, such as cognitive behavior therapy.

Michigan State University

In Cognitive Remediation and Emotion Skills Training, therapists review educational material and conduct collaborative cognitive activities that encourage skills development, including identifying and managing emotions and emotion processing skills. Therapists ask patients about emotions they feel and associate with AN. Patients are asked discussion-based questions in group settings and encouraged patients to implement small but significant behavioral changes. Therapists then ask how these changes affected their overall well-being. Different modules of CREST address different ideas surrounding emotion. This includes learning about the function of emotions, identifying different emotions, and communicating and expressing emotions.

How CREST works

Money, C., Davies, H., & Tchanturia, K. (2011). A Case Study Introducing Cognitive Remediation and Emotion Skills Training for Anorexia Nervosa Inpatient Care. Clinical Case Studies, 10(2), 110–121.

 A Case Study Introducing Cognitive Remediation and Emotion Skills Training for Anorexia Nervosa Inpatient Care

The study discussed the success of CREST as an individual treatment method based on the self-reported outcomes of the individual participants of the study. In this exploratory study, the efficacy and impact of CREST were examined for inpatients that were diagnosed with anorexia nervosa. It was found that the CREST intervention method led to an increase in feeling, an improvement on the labeling of emotions, and an increase in confidence. In this trial study, ten sessions were conducted and improvement was shown from the CREST method, which indicated that the initial results produced by CREST are promising, Still further research needs to be conducted. 

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