Anorexia Nervosa
Conditions
Keywords
Anorexia nervosa, treatment, inpatient, efficacy, outcome
Brief summary
The objective of this research is to evaluate the efficacy of five different in-patient treatment modalities and predictive factors of outcome for anorexia nervosa. The primary hypothesis is that the different treatment types impact outcome of patients at discharge from inpatient treatment and at one year follow-up, even after adjustment for confounding factors (age, length of illness, number of previous hospitalizations, clinical state at intake).
Detailed description
This study will evaluate global, psychiatric, somatic and psychosocial outcome for inpatients with anorexia nervosa through three evaluations (intake, discharge and one-year follow-up). The study will also consider five types of in-patient treatment in a naturalistic setting (i.e., patients will not be assigned to different treatment conditions; rather, we will study inpatient care as it exists today). The five treatment modalities to be studied are: 1. Discharge weight objectives. 2. The practice of a separation period. 3. The use of clear nutritional and dietary objectives (cognitive/behavioural). 4. The intensity of family involvement in treatment. 5. Stabilisation phase before ending inpatient treatment.
Interventions
OTHERinpatient treatment
Hospitalisation modalities are described but are naturalistic
Sponsors
Institut National de la Santé Et de la Recherche Médicale, France
Ministry of Health, France
National Research Agency, France
National Health Insurance Fund
Fondation de la Mutuelle Générale de l'Education Nationale
Fondation de France
Institut Mutualiste Montsouris
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
8 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* All patients who accept participation between 8 and 50 years old, consecutively hospitalized for a DSM IV diagnosis of Anorexia Nervosa in one of the departments participating in this research by necessity of physical condition (BMI \< 15, rapid weight loss) or psychological condition * Parents of participating patients still living with their parents who accept participation
Exclusion criteria
* Refusal of research * Patients who do not speak French * Patients with a related somatic illness (diabetes, Crohn's disease, metabolic illness) * Patients not covered by social security health insurance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Morgan and Russell score | one year follow-up |
Secondary
| Measure | Time frame |
|---|---|
| Eating disorders symptoms and diagnosis | one year follow-up |
| Psychiatric symptoms and disorders | one year follow-up |
| Cognitive functioning | one year follow-up |
| Somatic symptoms and complications | one year follow-up |
| Nutritional status | one year follow-up |
| Quality of life | one year follow-up |
| Family relationships | one year follow-up |
| Re-hospitalization | one year follow-up |
| Social adjustment | one year follow-up |
Countries
France
Outcome results
None listed