ABSTRACT

Both anorexia nervosa (AN) and bulimia nervosa (BN) are chronic disorders with periods of symptom exacerbation and symptom remission. Because of transdiagnostic nature of eating disorders, the instability of eating disorder symptoms and the fact that neuropsychological inefficiencies are present across eating disorders, it was hypothesized that cognitive remediation therapy (CRT) might be suitable for patients with a severe or enduring eating disorder, since neuropsychological inefficiencies might play a role in the maintenance of the eating disorder. CRT aims to improve the awareness of ongoing thinking patterns. Reflection about thinking styles during these cognitive exercises is a crucial part of CRT. CRT was developed with the aim of improving cognition and thereby increasing the likelihood of improved functioning and quality of life. However, the results of this study might suggest that CRT could also be beneficial for patients with bulimic behaviors because poor set-shifting abilities seem to be a transdiagnostic feature in women with eating disorder (ED).