Anorexia nervosa or otherwise specified feeding or eating disorder (OSFED)-AN type. Mental and Behavioural Disorders
Conditions
Interventions
The study is a single arm feasibility study. All participants will receive the SPEAKS intervention instead of treatment as usual. SPEAKS is a weekly psychotherapy for 1 year. It focuses on working wit
Sponsors
North East London Foundation Trust
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Referred into the All Age Eating Disorder Service in Kent or Sussex Eating Disorder Services and meet criteria for the service (i.e. they are registered with a GP in the catchment area) 2. At assessment, meet the Diagnostic and Statistical Manual V (DSM V) criteria for anorexia nervosa or OSFED (other specified feeding or eating Disorder) of anorexic type 3. Aged 18 years or above 4. BMI >15 kg/m2 and currently stable in weight (i.e. not dropping more than 0.5 kg a week) 5. Have sufficient English language abilities to complete a talking therapy
Exclusion criteria
Exclusion criteria: 1. Presenting with considerable physical risk or psychological risk, including active suicidal thoughts and plans 2. Comorbidity that would take priority for treatment 3. Alcohol/substance dependency 4. Participating in another treatment trial 5. Have a learning disability 6. Pregnant 7. Severely ill referrals with BMI <15 kg/m2 or other severe medical risks (indicated by blood pressure, muscle strength and blood chemistry)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. BMI calculated from measurements of height and weight taken at pre-intervention, at 3, 6 and 9 months into the intervention and post-intervention 2. Eating disorder symptoms and behaviours assessed using the Eating Disorder Examination questionnaire at at pre-intervention, at 3, 6 and 9 months into the intervention and post-intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 01/12/2021: 1. Depression assessed using the 21-item Depression Anxiety Stress Scales (DASS-21) questionnaire taken at pre-intervention, at 3, 6 and 9 months into the intervention and post-intervention 2. Anxiety assessed using the 21-item Depression Anxiety Stress Scales (DASS-21) questionnaire taken at pre-intervention, at 3, 6 and 9 months into the intervention and post-intervention 3. Stress assessed using the 21-item Depression Anxiety Stress Scales (DASS-21) questionnaire taken at pre-intervention, at 3, 6 and 9 months into the intervention and post-intervention 4. Impact of eating disorder symptoms and behaviours on quality of life assessed using the Clinical Impairment Assessment (CIA) questionnaire taken at pre-intervention, at 3, 6 and 9 months into the intervention and post-intervention 5. Behaviour about the importance of emotions in their lives and how they should be managed assessed using the Beliefs about Emotions Scale questionnaire taken at pre-intervention, at 3, 6 and 9 months into the intervention and post-intervention 6. Presence of particular schema assessed using the Young Schema Questionnaire taken at pre-intervention, at 3, 6 and 9 months into the intervention and post-intervention 7. Identification of schemas in relation to eating disorder symptoms using the Schema Mode Inventory for Eating Disorders taken at pre-intervention, at 3, 6 and 9 months into the intervention and post-intervention 8. Tendency to suppress their own emotions and to prioritise those of others assessed using the Silencing the Self Scale taken at pre-intervention, at 3, 6 and 9 months into the intervention and post-intervention 9. Amount of agency participants feel they have in their lives assessed using the Sense of Agency Scale taken at pre-intervention, at 3, 6 and 9 months into the intervention and post-intervention 10. Ability to manage and regulate emotions assessed using the Difficulties with Emotion Regulation Scale (DER | — |
Countries
England, United Kingdom
Contacts
Public ContactAnna Oldershaw
Outcome results
None listed