Adolescent Anorexia Nervosa, Subthreshold Anorexia Nervosa
Conditions
Keywords
anorexia nervosa, group parent training, caregiver burden, eating disorders, treatment
Brief summary
While parents are considered essential for the effective treatment of adolescents with anorexia nervosa, the most effective manner to involve parents in treatment is unknown. Given reports of high caregiver burden among parents of this clinical group, finding treatments that minimize parent burden while improving the child's eating disorder symptoms is essential. This investigation will examine the preliminary effectiveness of a parent skills group and adolescent skills group compared to family therapy for the treatment of adolescent anorexia nervosa. The target of this intervention is the improvement of eating disorder symptoms in the child and improving self-efficacy, emotion regulation, and perceived burden in the parent. The effectiveness of this experimental treatment group (Group Parent Training for the parents/Adolescent Skills Training for the adolescent) will be compared to the Maudsley model of family therapy. The effectiveness of the group program will be examined by exploring changes within individuals over time as well as via comparisons across treatment conditions. Results from this investigation will be used to calculate treatment effect sizes in the design of a larger, fully powered, randomized clinical trial.
Interventions
BEHAVIORALGroup Parent Training
Skills group for parents that provides psychoeducation for eating disorder and skills in behavior management, self-regulation, and emotion regulation.
BEHAVIORALMaudsley Family Therapy
Family therapy specifically adapted for the treatment of adolescent anorexia nervosa.
Sponsors
Duke University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
11 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* age 11-18 years old * living at home * meet criteria for anorexia nervosa or subthreshold anorexia nervosa
Exclusion criteria
* no active psychosis * no current suicidality * medically safe for outpatient treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Body Mass Index | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Eating disorder symptoms other than body weight. | 12 months |
Countries
United States
Outcome results
None listed