Eating Disorders
Conditions
Brief summary
This trial aims at comparing three group treatments designed for eating disorders: a Cognitive-dissonance, a Mindfulness and a Person-centered based programs. Women with eating disorders will be recruited and randomized to one of the three programs. Participants will complete a pretest, a posttest, a 3-months follow-up and a 1-year follow-up. This trial aims to compare the programs to analyze the specific dimensions upon which each program acts. The investigators therefore made hypotheses according to the programs' theory: participants in the Cognitive-dissonance based program should experience a greater decrease in eating disorders symptoms, thin-ideal internalization and body dissatisfaction and a greater improvement in quality of life than other participants. Participants in the Mindfulness-based program should show a greater improvement in negative affect and in equanimity than other participants. Participants in the Person-Centered based program should report a greater increase in congruence than other participants.
Interventions
The first four sessions focus on body image and the last four sessions on eating behavior.
The sessions focus on different contents as body image, eating behavior and emotion regulation.
The sessions are not structured. Participants can bring any subject they need to talk.
Sponsors
Study design
Eligibility
Inclusion criteria
* eating disorders (anorexia nervosa, bulimia nervosa or binge eating disorder) or other specified feeding or eating disorder (subthreshold of anorexia, bulimia or binge eating disorder) according to Diagnostic Statistical Manual 5 * to have no regular treatment (no more than one session per month) during the 8 weeks of the program * participants with a Body Mass Index under 17.5 could be include in the study if they had a medical monitoring in another structure
Exclusion criteria
* a psychotic disorder * a bipolar disorder * a mental retardation * to not read or speak French fluently
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean change in The Eating Disorders Diagnostic Interview from pretest to 1-year follow-up | From pretest to 1-year follow-up | The minimum of the scale is 0 and the maximum is 276. A higher score means a worse outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean change in the subscale Body dissatisfaction from the scale Eating disorders inventory-2 from pretest to 1-year follow-up | From pretest to 1-year follow-up | The minimum of the scale is 0 and the maximum is 27. A higher score means a worse outcome. |
| Mean change in the Sociocultural Attitudes Towards Appearance Scale from pretest to 1-year follow-up | From pretest to 1-year follow-up | The minimum of the scale is 0 and the maximum is 150. A higher score means a worse outcome. |
| Mean change in The Hospital Anxiety and Depression Scale from pretest to 1-year follow-up | From pretest to 1-year follow-up | The minimum of the scale is 0 and the maximum is 42. A higher score means a worse outcome. |
| Mean change in the Strathclyde Inventory measuring congruence from pretest to 1-year follow-up | From pretest to 1-year follow-up | The minimum of the scale is 0 and the maximum is 4. A higher score means a better outcome. |
| Mean change in the Equanimity scale from pretest to 1-year follow-up | From pretest to 1-year follow-up | The minimum of the scale is 0 and the maximum is 7. A higher score means a better outcome. |
| Mean change in the World Health Organization Quality Of Life Scale from pretest to 1-year follow-up | From pretest to 1-year follow-up | The minimum of the scale is 0 and the maximum is 20. A higher score means a better outcome. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Demographic data (treatment medical history for eating disorders symptoms) at pretest | At pretest | Names of treatment done in the past |
| Demographic data (marital status) at pretest | At pretest | Current marital status of the participnat |
| Demographic data (traumatic medical history) at pretest | At pretest | A YES/NO questionnaires on potential traumatic events |
| Presence or absence of ancillary treatment at 3-months follow-up | At 3-months follow-up and 1-year follow-up | A YES/NO answer |
| Demographic data (age) at pretest | At pretest | Current age of the participant |
| Demographic data (socio-professional status) at pretest | At pretest | Current job of the participant |
| Demographic data (education level) at pretest | At pretest | Educational degree of the participant |
| Demographic data (Body Mass Index) at pretest | At pretest | Current height and weight of the participant |
| Demographic data (duration of eating disorders symptoms) at pretest | At pretest | Number of years since the first symptoms of eating disorders |
Countries
France