Anorexia Nervosa, Bulimia Nervosa
Conditions
Brief summary
The primary aim of this study is to study how Repetitive Transcranial Magnetic Stimulation (rTMS) tailored to specific anorexia nervosa (AN) or bulimia nervosa (BN) brain activation alterations will promote recovery and to study how inhibitory tDCS (Transcranial Direct Current Stimulation) will reduce symptoms of body image distortion in a second sample of AN and BN groups.
Interventions
TMS
tDCS
Sponsors
Study design
Eligibility
Inclusion criteria
* Anorexia Nervosa subjects: * Meets DSM-5 criteria for anorexia nervosa (AN) either binge-eating/purging type or restricting-type: * Intense fear of gaining weight or becoming fat, even though underweight. * The ability to undergo an MRI, fMRI or other similar procedure requiring spending time in an enclosed space * Bulimia Nervosa subjects: * Meet DSM-5 criteria for bulimia nervosa (BN): * Self-induced vomiting; misuse of laxatives, diuretics, enemas, medication, fasting, excessive exercise.
Exclusion criteria
* Electrolyte, blood count or kidney or liver function abnormalities. * No symptoms of alcohol or other substance abuse or dependence in the past 3 months, * No previous or current organic brain syndromes, dementia, psychotic disorders, somatization disorders, or conversion disorder, head trauma, indication of mental retardation or pervasive developmental disorder. * No antipsychotics, tricyclic antidepressants or Wellbutrin or other medication that may lower the seizure threshold. * Claustrophobia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| taste reward brain function activation confirmed by Functional magnetic resonance imaging (fMRI) | 3 years | Change in brain activation to taste reward paradigm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in self-reported measures related to eating disorder thoughts and behaviors | 3 years | Self Assessment |
Countries
United States