Anxiety in Those Patients With Anorexia Nervosa, Eating Disorder Not Otherwise Specified, BMI (<=18)
Conditions
Keywords
Treating meal related anxiety
Brief summary
The purpose of this study is to determine the effectiveness of hydroxyzine in the treatment of meal-related anxiety in adolescents and young adults 8 to 25 years of age diagnosed with an eating disorder who are underweight. The investigators want to find out if hydroxyzine given before meals will improve meal-related anxiety compared to no hydroxyzine.
Detailed description
This study is a practiced-based pilot study in follow-up to clinical observations made by our treatment team that hydroxyzine attenuates meal-related anxiety and improves treatment adherence in patients with a diagnosis of Anorexia Nervosa (AN) (excluding the amenorrhea criterion) or Eating Disorder Not Otherwise Specified (EDNOS) specifically with low BMI (≤ 18). To our knowledge, hydroxyzine has never been formally investigated in treating meal-related anxiety and improving outcomes in patients with AN or EDNOS specifically with low BMI (≤ 18).
Interventions
Study medications (hydroxyzine/placebo) will be dosed based on participant's weight. Dosing will be according to the following body weight ranges: 15-29 Kg 10 mg TID 30-44 Kg 20 mg TID ≥ 45 Kg 30 mg TID
hydroxyzine HCL dosed on weight given 3x per day
Placebo given 3 times per day
Sponsors
Study design
Eligibility
Inclusion criteria
* Admitted to the Intensive Structured Living Unit (ISL) at Melrose Institute for treatment of an eating disorder that meets DSM-IV criteria for Anorexia Nervosa (excluding the amenorrhea criterion), or Eating Disorder Not Otherwise Specified, specifically with BMI (≤ 18) * Age 8-25 years old at admission to ISL. * Weight ≥ 15 kg at admission to ISL. * Stable psychotropic and/or sedative medications for at least (≥) 6 weeks
Exclusion criteria
* Age \< 8 years * Age ≥ 25 years * Weight \< 15 kg at admission to ISL * Prolonged QT interval on ECG at admission to ISL * Current substance or alcohol abuse or dependence * Malabsorption syndrome or inability to take oral medications * History of hydroxyzine intolerance or hypersensitivity * History of Type 1 Diabetes Mellitus * History of angle closure glaucoma * Currently on another clinical trial * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-reported anxiety | 3 weeks |
Countries
United States