Anorexia nervosa. Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female and fluent in English 2. Diagnosis of eating disorders (anorexia nervosa)
Exclusion criteria
Exclusion criteria: 1. Non-proficiency in the English language (as needed for neuropsychological tests) 2. IQ <80 (National Adult Reading Test; NART) 3. Currently pregnant 4. Current manic episode or psychosis 5. Current alcohol, substance abuse or dependence 6. Acute suicidality 7. Significant medical or neurological disorders not relating to their primary diagnosis of AN 8. Conditions such as major septal deviation or other nasal conditions 9. Patients being treated under the Mental Health Act or under compulsory treatment orders 10. Patients previously given OT or those with planned stays in hospital of less than 4 weeks 11. Patients with an ECG of less than 40 beats per minute to avoid the potential hypotensive effects of OT
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Core eating disorder psychopathology and BMI will be measured using the Eating Disorder Examination semi-structured interview and height and weight measurements at pre (week 0) and post (week 4) intervention, as well as at 1, 6 and 12 months follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Motivation to change assessed using the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ) at pre (week 0) and post (week 4) intervention 2. Cognitive rigidity will be assessed using the Cognitive Flexibility Scale (CFS) and the Wisconsin Card 3. Sorting Test (WCST) at pre (week 0) and post (week 4) intervention 4. Service utilisation will be assessed in a follow-up interview at 1, 6 and 12 months follow-up 5. Functional outcomes will be assessed using the Morgan-Russell Average Outcome Scale (MRAOS) at 1, 6 and 12 months follow-up 6. Pre and post snack VAS anxiety scores, and salivary cortisol, alpha-amylase and OT will be assessed in the two embedded single-dose studies on day 1 (week 0) and day 28 (week 4) | — |
Countries
United Kingdom