Abstracts sprekers

Dr. Kate Tchanturia, Ph.D, DClin Psych, FAED, FBPS, FHE.
Consultant Clinical Psychologist, Eating Disorders Maudsley Hospital
Reader in Psychology of Eating Disorders King’s College London
Lecture:
Borders between research and clinical work
Cold and Hot cognitive proceses in eating disorders and relevance of experimental studies for clinical work

The typical neuropsychological profile seen in people with adult anorexia nervosa is characterized by strengths as well as inefficiencies.  These strengths include superiority on tasks that require directed analytic effort (Lang et al., 2014). On the other hand, relative inefficiencies are found on tasks which involving flexibility/set shifting skills (Tchanturia et al., 2011, 2012). This domain of difficulties includes tasks which involve cognitive switching.
In a recent systematic review, the therapeutic benefits of Cognitive Remediation Therapy (CRT) have been summarised (Tchanturia et al 2014). CRT minimises drop-out rates from treatment and is a strong tool for engagement in treatment.  It leads to cognitive improvements following therapy sessions, and some studies have documented functional improvements (Tchanturia et al 2014).
The principles of Cognitive Remediation Therapy and available evidence will be presented to attendees.
In the second part of the talk experimental work about reduced expressivity of emotions through facial will be presented. Cognitive Remediation and Emotion Skills Training (CREST) manualised treatment package will be discussed to highlight translational work from lab experiments to clinical practice.

References:
1)Tchanturia K, Lounes N, Holttum S (2014) Cognitive remediation in anorexia nervosa and related conditions: A systematic review.  European Eating Disorders Review 22(6):454-62
2)Lang K, Lopez C, Stahl D, Tchanturia K, Treasure J (2014) Central coherence in eating disorders: An updated systematic review and meta-analysis; World Journal of Biological Psychiatry 1:1-14
3) Tchanturia K, Davies H, Harrison A, Roberts M, Nakazato M, Schmidt U, Treasure J, Morris R (2012) Poor cognitive Flexibility in Eating Disorders: Examining the Evidence using the Wisconsin Cart Sorting Task Plos one 7(1) e2833
4) Davies H, Wolz I, Leppanen, F Fernandez Aranda, U Schmidt, Tchanturia K (2016) Facial expression to emotional stimuli in non-psychotic disorders: A systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews; S0149-7634(15)30237-210.1016/j.neubiorev.2016.02.015
6) Tchanturia K, Doris E, Mountford V, Fleming C (2015) Cognitive Remediation and Emotion Skills Training (CREST) for anorexia nervosa in individual format: Self-reported outcomes BMC Psychiatry; 20;15:53. doi: 10.1186/s12888-015-0434-9
7) Tchanturia K. Marin Dapelo M, Hambrook D, Harrison A. (2015) Why study positive emotions in the context of eating disorders? Current Psychiatry Reports; 17(1): 1-12. DOI: 10.1007/s11920-014-0537-x

Books:

Brief Group Psychotherapy for Eating Disorders: Inpatient protocols  - (2015) 
           Routledge Mental Health http://www.routledgementalhealth.com/books/details/9781138848917/. Edited by Kate Tchanturia, 06/2015; , ISBN: 978-1-13-884891-7
Cognitive Remediation Therapy (CRT) for Eating and Weight Disorders. (2015)
Edited by Kate Tchanturia, Routledge., ISBN: 978-1-138-79402-3


‘Vermijden te leven’ of ‘vluchten in de dood’
Prof. dr. M. Vervaet, UGent

Bij patiënten met Anorexia Nervosa is er een verhoogd risico op suïcide. Net zoals bij andere psychiatrische patiënten vormen suïcidepogingen ook bij de groep eetstoornissen een zeer ernstige risicofactor voor suïcide en komen pogingen vooral voor bij de groep van bulimia nervosa. Naast cijfers zoeken we verklaringen voor deze ernstige bedreiging tijdens het verloop van de aandoening en behandeling.
Vanuit het stress-diathese model kunnen we suïcidaliteit begrijpen als een trans-diagnostisch symptoom waarbij een duidelijke beperking optreedt in het genereren van positieve predicties (hopeloosheid). Wanneer we focussen op de specifieke risicofactoren binnen de eetstoornis-populatie blijken vooral comorbiditeit, een zekere ‘habituatie’ voor pijn en een disfunctionele emotieregulatie belangrijk te zijn.
Tot slot geven we adviezen voor detectie en behandeling gebaseerd op resultaten uit het

algemeen suïcidaal onderzoek.