Comparing the Effectiveness of Three Types of Therapy for the Treatment of Anorexia Nervosa in Adolescents
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Purpose
This study will compare specific family therapy, standard family systems therapy, and standard individual psychotherapy to determine which is most effective in treating adolescent anorexia nervosa.
| Condition | Intervention | Phase |
|---|---|---|
|
Eating Disorders |
Behavioral: Family therapy (FT) Behavioral: Individual therapy (IT) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | Treatment for Adolescent Anorexia Nervosa |
- Weight (BMI) [ Time Frame: Measured at end-of-treatment and Months 6 and 12 post-treatment ] [ Designated as safety issue: No ]
- Changes in shape and weight concerns as measured with Eating Disorder Examination subscales [ Time Frame: Measured at end-of-treatment and Months 6 and 12 post-treatment ] [ Designated as safety issue: No ]
| Enrollment: | 121 |
| Study Start Date: | April 2004 |
| Primary Completion Date: | March 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Participants will receive family-based treatment
|
Behavioral: Family therapy (FT)
FT is a family-based treatment that will be given for a total of 24 hours over the course of 12 months.
Other Name: FBT
|
|
Active Comparator: 2
Participants will receive individual adolescent focused therapy
|
Behavioral: Individual therapy (IT)
IT is an ego-oriented psychotherapy treatment that will be given for a total of 24 hours over the course of 12 months.
Other Name: EOIT or AFT
|
Detailed Description:
In adolescents, anorexia nervosa severely affects physical, emotional, and social development. Despite the seriousness and prevalence of adolescent anorexia nervosa, few studies have focused on the effectiveness of various types of psychotherapy treatment. Family-based therapy may be an effective approach to treating adolescent anorexia nervosa. This study will compare specific family therapy (FT), standard family systems therapy (FS), and standard individual psychotherapy (IT) to determine which is most effective in treating adolescent anorexia nervosa. The study also aims to determine potential predictors and moderators of outcomes, as well as the cost-benefit ratio of each treatment.
Participants in this open-label study will be randomly assigned to one of three treatment groups. Group 1 will receive FT, Group 2 will receive FS, and Group 3 will receive IT. All participants will receive a total of 24 hours of their assigned therapy over a period of 12 months. Study visits will occur at baseline, immediately post-intervention, and again six months and one year post-intervention. Weight change will be assessed, as well as changes in concerns about weight and shape. The cost-benefit ratio of the treatments will also be evaluated.
Eligibility| Ages Eligible for Study: | 12 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Meets Diagnostic and Statistical Manual (4th Edition) (DSM-IV) criteria for anorexia nervosa
Exclusion Criteria:
- Any psychotic illness
Contacts and Locations| United States, Illinois | |
| The University of Chicago | |
| Chicago, Illinois, United States, 60637 | |
| Principal Investigator: | Daniel Le Grange, PhD | University of Chicago |
More Information
No publications provided
| Responsible Party: | Daniel le Grange, Professor, University of Chicago |
| ClinicalTrials.gov Identifier: | NCT00183586 History of Changes |
| Other Study ID Numbers: | R01 MH70620, R01MH070620, DDTR B4-ARE |
| Study First Received: | September 13, 2005 |
| Last Updated: | March 26, 2013 |
| Health Authority: | United States: Federal Government |
Keywords provided by University of Chicago:
|
Treatment outcomes study Anorexia Anorexia nervosa |
Additional relevant MeSH terms:
|
Anorexia Anorexia Nervosa Eating Disorders |
Signs and Symptoms, Digestive Signs and Symptoms Mental Disorders |
ClinicalTrials.gov processed this record on May 16, 2013