Eating Disorders
Conditions
Keywords
Treatment outcomes study, Anorexia, Anorexia nervosa
Brief summary
This study will compare specific family therapy, standard family systems therapy, and standard individual psychotherapy to determine which is most effective in treating adolescent anorexia nervosa.
Detailed description
In adolescents, anorexia nervosa severely affects physical, emotional, and social development. Despite the seriousness and prevalence of adolescent anorexia nervosa, few studies have focused on the effectiveness of various types of psychotherapy treatment. Family-based therapy may be an effective approach to treating adolescent anorexia nervosa. This study will compare specific family therapy (FT), standard family systems therapy (FS), and standard individual psychotherapy (IT) to determine which is most effective in treating adolescent anorexia nervosa. The study also aims to determine potential predictors and moderators of outcomes, as well as the cost-benefit ratio of each treatment. Participants in this open-label study will be randomly assigned to one of three treatment groups. Group 1 will receive FT, Group 2 will receive FS, and Group 3 will receive IT. All participants will receive a total of 24 hours of their assigned therapy over a period of 12 months. Study visits will occur at baseline, immediately post-intervention, and again six months and one year post-intervention. Weight change will be assessed, as well as changes in concerns about weight and shape. The cost-benefit ratio of the treatments will also be evaluated.
Interventions
FT is a family-based treatment that will be given for a total of 24 hours over the course of 12 months.
IT is an ego-oriented psychotherapy treatment that will be given for a total of 24 hours over the course of 12 months.
Sponsors
Study design
Eligibility
Inclusion criteria
* Meets Diagnostic and Statistical Manual (4th Edition) (DSM-IV) criteria for anorexia nervosa
Exclusion criteria
* Any psychotic illness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Weight (BMI) | Measured at end-of-treatment and Months 6 and 12 post-treatment |
Secondary
| Measure | Time frame |
|---|---|
| Changes in shape and weight concerns as measured with Eating Disorder Examination subscales | Measured at end-of-treatment and Months 6 and 12 post-treatment |
Countries
United States