Anorexia Nervosa
Conditions
Keywords
Eating Disorders, Psychotherapy, Anorexia Nervosa, Treatment
Brief summary
The investigators are examining what types of psychotherapy are most helpful for patients as they undergo weight restoration treatment for anorexia nervosa. In this study, patients who are receiving care on our inpatient unit will also receive 4 weeks of one two types of psychotherapy: Supportive Psychotherapy or Regulation Emotions and Changing Habits.
Detailed description
Patients will be receiving specialized inpatient treatment for anorexia nervosa on the Eating Disorders Unit at the New York State Psychiatric Institute, where care is provided free of charge. Study procedures will begin after one week of acclimating to the inpatient unit. Patients will be randomly assigned to receive either Supportive Psychotherapy (focused on the transition to the inpatient unit) or REACH (focused on changing routines or habits that have become part of the eating disorder). Each treatment consists of 12-sessions, delivered 2-3 times per week. Before and after treatment, patients will be asked to participate in interviews, questionnaires, and a lunch meal.
Interventions
BEHAVIORALREACH
REACH is a 12-session intervention, delivered 2-3 times per week for 45 minutes. The treatment focuses on identifying and changing behaviors and routines that have become entrenched and help perpetuate the illness.
BEHAVIORALSupportive Psychotherapy
The Supportive Psychotherapy is based on the Specialist Supportive Care (McIntosh et al, 2005), and modified for the current research procedures. Supportive Psychotherapy is a 12-session intervention, delivered 2-3 times per week as 45 minute sessions, focusing on symptoms of anorexia nervosa during the transition to the inpatient unit.
BEHAVIORALInpatient Behavioral Treatment
Inpatient treatment at the NYSPI is a behaviorally-based treatment program for anorexia nervosa. This is a non-research, clinical intervention for individuals with anorexia nervosa.
Sponsors
New York State Psychiatric Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* DSM5 diagnosis of anorexia nervosa * Age\>= 18 * Medically stable * Able to provide informed consent
Exclusion criteria
* Other psychiatric disorder requiring acute treatment * Serious medical illness * Antipsychotic medication * Severe cognitive impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Habit strength as measured by self report scales | 4 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Eating behavior as measured by laboratory meal | 4 weeks |
| Eating behavior as measured by meal observation | 4 weeks |
Countries
United States
Outcome results
None listed