Anorexia Nervosa
Conditions
Keywords
Eating Disorder, Anorexia Nervosa, Eating Disorder Not Otherwise Specified, Maudsley, Family-Based Therapy, FBT, Family Therapy
Brief summary
Anorexia Nervosa (AN) has the highest mortality rate compared to any other psychiatric disorder. The most promising treatment for adolescents with AN is family-based treatment (FBT). However, only 50% of patients receiving FBT fully remit at 12-month follow-up. Consequently, providing an alternative therapy early in the treatment course for those not responding to FBT may enhance overall outcome. This study aims to develop a new treatment - Intensive Family-Focused Treatment (IFT) - to improve outcomes in those adolescents, aged 12-18 years, who do not show an early response to FBT.
Interventions
12 sessions of FBT over the course of 6 months.
FBT for 4 weeks then Intensive Family-Focused treatment (IFT) should the participant not make adequate weight progress within the time frame.
Sponsors
Study design
Eligibility
Inclusion criteria
* Meets DSM-IV criteria for anorexia nervosa * Lives with at least one English-speaking parent who is willing to participate * Medically Stable * Adequate transportation to clinic * Proficient at speaking, reading, and writing English
Exclusion criteria
* Previous FBT for AN * Medical condition that may affect eating or weight
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Full remission from AN (%MBW>95) | End of Treatment (6 months) | Weight restoration to at least 95% of Median body weight (calculated by height, weight, gender, and age) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in subscale scores of the EDE | End of Treatment (6 months) | Eating Disorder Examination subscale measures (weight concern, shape concern, dietary restraint) within 1 standard deviation of normative scores. |
Countries
United States