anorexia nervosa
Conditions
Interventions
CBT-E is a treatment for ED patients, irrespective of ED diagnosis. With patients who are underweight, CBT-E has three phases. In the first phase, the emphasis is on increasing patients'
motivation to change and helping them recognize their current maladaptive thinking and behaviors and the processes maintaining them. Then patients are encouraged to gain weight, while initiating and m
16: 40 sessions, 16.5 =<
BMI <
17.5: 30 sessions, 17.5 =<
18.5: 25 sessions) to allow for enough time to gain weight. The treatment will be terminated at the time when participants meet the criteria for remission at the end of 20 sessions (approximately at
Treatment Guidelines for Eating Disorders"
(Japan Society for Eating Disorders. Treatment guidelines for eating disorders. Tokyo: Igaku-shoin (in Japanese)
2012.). Sessions in TAU use a variety of modules such as psychoeducational intervention, nutritional guidance, self-monitoring of eating, excluding any module used in structured psychotherapies. The
Sponsors
The University of Tokyo
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Those who meet the diagnostic criteria of DSM-5 for anorexia nervosa. Those who are 16 years old or older when they consent to participate in this study. Those whose BMI are equal to or over 14.0 and below 18.5. (14.0 =< BMI < 18.5) Those living in Japan and being literate in Japanese Those who understand the study concepts and give written informed consent.
Exclusion criteria
Exclusion criteria: Those who are receiving or have received any type of structured psychotherapies : CBT- E, Family therapy, MANTRA, SSCM, Interpersonal Therapy (IPT). Those who have Axis-I or Axis-II psychiatric disorders : schizophrenia, bipolar disorder, substance use disorder, or somatic disease that impedes the treatment of CBT-E. Those prescribed antipsychotic medication except for antidepressant, anxiolytic or hypnotics. Those with intellectual disability. Those who are at imminent risk of suicide. Those who are pregnant or might become pregnant. Those who have difficulty in attending scheduled therapy sessions. Those who are not considered eligible to participate in the study by research directors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Body mass index (kg/m2) at 40 weeks after treatment was initiated. | — |
Secondary
| Measure | Time frame |
|---|---|
| Japanese version of Eating Disorder Examination-Questionnaire (EDE-Q-J) . Japanese version of Clinical Impairment Assessment questionnaire (CIA) | — |
Countries
Japan
Contacts
Public ContactNobuhiro Nohara
The University of Tokyo Hospital Psychosomatic Medicine
Outcome results
None listed