Katie Lang

Katie Lang
South London and Maudsley NHS Foundation Trust · N&S OCD BDD & Related Disorders Team

BSc, MSc, PhD DClinPsy

About

38
Publications
17,221
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
972
Citations
Introduction
Clinical Psychologist, National and Specialist OCD, BDD and related disorders clinic, South London & Maudsley NHS Foundation Trust. My research interests include Eating Disorders, Obsessive Compulsive Disorder and Body Dysmorphic Disorder. My work has mainly focused on neurocognition and socio-emotional processing.
Additional affiliations
November 2015 - October 2017
Institute of Psychology, Psychiatry and Neuroscience, Kings College London
Position
  • PostDoc Position
October 2012 - October 2015
King's College London
Position
  • PhD Student
October 2008 - October 2012
South London and Maudsley NHS Foundation Trust
Position
  • Research Assistant
Education
October 2017 - September 2020
Institute of Psychiatry, Psychology and Neuroscience, Kings College London
Field of study
  • Clinical Psychology
October 2012 - October 2015
King's College London
Field of study
  • Psychological Medicine, Section of Eating Disorders
October 2010 - October 2011
Goldsmiths, University of London
Field of study
  • Cognitive & Clinical Neuroscience

Publications

Publications (38)
Article
Set shifting inefficiencies in adults with anorexia nervosa (AN) are established, however the neurocognitive profile of children and adolescents with AN is less clear. This study aimed to provide a review of the literature. Electronic databases were used to search for manuscripts. Meta-analysis was performed on seven studies using two neuropsycholo...
Article
Full-text available
Objectives. A bias towards local information over the global “gist” (weak central coherence, WCC), has been identified as a possible contributing and maintaining factor in eating disorders (ED). The present study aimed to provide an updated review of the WCC literature and examine the hypothesis that individuals with ED have WCC. Methods. The new s...
Article
Full-text available
Objectives: It is hypothesised that Weak Central Coherence (superior attention to detail with poorer bigger picture thinking) is a possible endophenotype for Anorexia Nervosa (AN). Currently the neuropsychological profile of children and adolescents with AN in unclear. The present review aimed to summarise the available literature with regards to t...
Article
Full-text available
Objective: This study aimed to examine neuropsychological processing in children and adolescents with Anorexia Nervosa (AN). The relationship of clinical and demographic variables to neuropsychological functioning within the AN group was also explored. Method: The performance of 41 children and adolescents with a diagnosis of AN were compared to...
Article
Body dysmorphic disorder (BDD) and anorexia nervosa (AN) are characterised by body image disturbance. It has been suggested that poor global integration in visual processing may underlie distorted body image, but empirical studies have yielded mixed results. The current study involved two meta-analyses aimed at examining the extent to which poor gl...
Article
Full-text available
Objective Heightened detail-processing and low levels of central coherence are common in individuals with anorexia nervosa (AN) and predict poorer prognosis. However, it is unclear whether these processing styles predate the disorder or, rather, emerge during later stages of AN. The current study aimed to address this question by investigating cent...
Article
Full-text available
Background The First Episode Rapid Early Intervention for Eating Disorders (FREED) service model is associated with significant reductions in wait times and improved clinical outcomes for emerging adults with recent-onset eating disorders. An understanding of how FREED is implemented is a necessary precondition to enable an attribution of these fin...
Article
Full-text available
Social–emotional processing difficulties have been reported in Anorexia Nervosa (AN), yet the neural correlates remain unclear. Previous neuroimaging work is sparse and has not used functional connectivity paradigms to more fully explore the neural correlates of emotional difficulties. Fifty‐seven acutely unwell AN (AAN) women, 60 weight‐recovered...
Article
Background: Duration of untreated eating disorder (DUED), i.e., the time between illness onset and start of first evidence-based treatment, is a key outcome for early intervention. Internationally, reported DUED ranges from 2.5 to 6 years for different eating disorders (EDs). To shorten DUED, we developed FREED (First Episode Rapid Early Interventi...
Article
Full-text available
People with anorexia nervosa (AN) commonly exhibit social difficulties, which may be related to problems with understanding the perspectives of others, commonly known as Theory of Mind (ToM) processing. However, there is a dearth of literature investigating the neural basis of these differences in ToM and at what age they emerge. This study aimed t...
Article
Full-text available
Background Telephone cognitive–behaviour therapy (TCBT) may be a cost-effective method for improving access to evidence-based treatment for obsessive–compulsive disorder (OCD) in young people. Aims Economic evaluation of TCBT compared with face-to-face CBT for OCD in young people. Method Randomised non-inferiority trial comparing TCBT with face-t...
Article
This study provides a preliminary exploration of factors which differentially predict treatment response to telephone-delivered cognitive behavioural therapy (TCBT) compared to face-to-face CBT (CBT) in a randomised non-inferiority controlled trial of 72 children (aged 11–18 years) with obsessive–compulsive disorder (OCD). Potential moderator varia...
Article
Cambridge Core - Psychiatry and Clinical Psychology - Primary Care Mental Health - edited by Linda Gask
Article
This pilot study assesses the impact of FREED (First Episode Rapid Early Intervention for Eating Disorders [ED]), a novel transdiagnostic service for emerging adults with recent ED onset, on clinical outcomes. Data were collected from 56 patients and 19 carers for 12 months following enrolment. FREED patients showed significant improvements in ED a...
Article
Full-text available
Objective Cognitive remediation therapy (CRT) aims to increase patients’ cognitive flexibility by practicing new ways of thinking as well as facilitating bigger picture thinking, supporting patients with relevant tasks and encouraging an awareness of their own thinking styles. CRT has been applied in the treatment of adult anorexia nervosa (AN), an...
Article
Full-text available
Background Problems with social-emotional processing are known to be an important contributor to the development and maintenance of eating disorders (EDs). Diminished facial communication of emotion has been frequently reported in individuals with anorexia nervosa (AN). Less is known about facial expressivity in bulimia nervosa (BN) and in people w...
Data
Correlations between expressions of happiness and sadness, and psychopathology within the AN, BN, and REC groups. AN = anorexia nervosa; BN = bulimia nervosa; REC = recovered from anorexia nervosa; EDEQ = Eating Disorder Examination Questionnaire; Film 1 = humorous film clip; Film 2 = sad film clip (DOCX)
Article
Full-text available
Background Large variability in tests and differences in scoring systems used to study central coherence in eating disorders may lead to different interpretations, inconsistent findings and between study discrepancies. This study aimed to address inconsistencies by collating data from several studies from the same research group that used the Rey O...
Article
This study aimed to investigate emotion expression in a large group of children, adolescents and adults with Anorexia Nervosa (AN), and investigate the associated clinical correlates. One hundred and forty-one participants (AN=66, HC= 75) were recruited and positive and negative film clips were used to elicit emotion expressions. The Facial Activat...
Article
Full-text available
Objectives: Inefficient set shifting and poor global processing are thought to be possible traits in anorexia nervosa (AN). This study aimed to investigate the neuropsychological processing style of unaffected mothers of offspring with AN (unaffected AN mothers). Methods: The performance of 21 unaffected AN mothers were compared to 20 mothers of...
Article
Objective There is consistent evidence of difficulties in social cognition in adults with anorexia nervosa (AN), but less is known about adolescents. The aim of this study was to investigate the ability to recognise emotion expressed in body movement in adults and adolescents with AN.Method One hundred and ninety-three females participated in the s...
Article
Anorexia nervosa (AN) is an eating disorder without a recommended first-line treatment. Cognitive Remediation Therapy (CRT) is showing great promise in helping patients reduce cognitive inflexibility and excessive detail focus, thinking styles that could make engaging in psychological therapies difficult. CRT has shown to be effective, feasible and...
Article
Full-text available
Objective Many adolescents with obsessive-compulsive disorder (OCD) do not have access to evidence-based treatment. A randomized controlled non-inferiority trial was conducted within a specialist OCD clinic to evaluate the effectiveness of telephone cognitive-behavioral therapy (TCBT) for adolescents with OCD compared to standard clinic-based face-...
Article
Objectives Obsessive-compulsive disorder (OCD) is often perceived as being difficult to treat. This study aimed to test the hypothesis that treatment non-response in routine clinical practice is often due to failures in the delivery of treatment, and that most patients who are apparently treatment-resistant will respond to treatment if adequately d...
Article
Objectives: It is hypothesised that Weak Central Coherence (superior attention to detail with poorer bigger picture thinking) is a possible endophenotype for Anorexia Nervosa (AN). Currently the neuropsychological profile of children and adolescents with AN in unclear. The present review aimed to summarise the available literature with regards to t...
Article
The effective treatment of anorexia nervosa (AN) remains a significant challenge. This had prompted new research into ways of engaging and keeping patients in treatment, and ultimately achieving better outcomes, not only on a symptomatic level but also in broader aspects of life. 1 In an attempt to improve treatment outcomes for AN, there has been...
Conference Paper
Obsessive-Compulsive Disorder (OCD) is associated with abnormal information processing in cortico-striatal-thalamo-cortical circuitry and failures in cognitive and behavioral inhibitory processes. As a group, patients with OCD also tend to perform poorly on some executive functions, such as planning and set-shifting. Impairments in other neuropsych...
Article
Humphreys and Revelle [Humphreys, M. S., Revelle, W. (1984). Personality, motivation and performance: A theory of the relationship between individual differences and information processing. Psychological Review, 91, 153–184] suggest that impulsive individuals have relatively greater capacity to improve performance through task-directed resource all...
Article
Obsessive compulsive disorder (OCD) can severely impair children and young people’s academic performance as well as their social life. School nurses can help identify suspected cases of OCD as well as support those suffering from the condition.

Projects

Projects (2)
Project
To develop and evaluate an early intervention service for young adults with eating disorders. More info at www.freedfromed.co.uk @FREEDfromED