F50.0 F50.1
Conditions
Interventions
Group 1: Home Treatment (HoT
treatment by a multi-professional team in the patients living environment with 24-hour availability, 365 days per year following an inpatient treatment phase of 5-8 weeks for medical stabilization)
Gr
day patient or inpatient setting)
Sponsors
Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Universitätsklinikum der RWTH Aachen
Eligibility
Sex/Gender
All
Age
12 Years to 18 Years
Inclusion criteria
Inclusion criteria: 1. Diagnosis of an AN or atypical AN according to DSM 5 2. first or second inpatient admission due to AN 3. Travel from department to place of residence within one hour 4. Consent (written consent) of patients and guardians.
Exclusion criteria
Exclusion criteria: 1. Organic brain disorder 2. Other severe mental disorders such as psychosis or bipolar disorder 3. Substance dependence or –abuse (except nicotine) 4. Serious self-injurious behaviour 5. low intelligence (IQ = 80) 6. severe simultaneous physical illness 7. Insufficient knowledge of German Exclusion criteria when entering HoT (at randomization) to avoid hazard: 1. Persistent severe eating disorder (e.B. nasogastric tube feeding required, no independent eating at home possible) 2. severe psychological and/or somatic comorbidity (suicidality or severe self-harm) 3. Insufficient weight gain (less than 1.5 kg in the last 4 weeks) 4. Vomiting or laxative abuse more than 2 times/day for more than a week
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Body Mass Index (BMI) one year after inpatient admission | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 year after inpatient admission: quality of life of patients, number of inpatient readmissions within the first year, eating disorder symptoms, mental disorders in addition to eating disorder symptoms, treatment satisfaction of caregivers and patients, parental burden, quality of life and competence of parents, treatment costs; additional aspect: employee satisfaction | — |
Countries
Germany
Contacts
Public ContactBeate Herpertz-Dahlmann
Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Universitätsklinikum der RWTH Aachen
Outcome results
None listed