Changes in Outcomes of Treatment for Adolescent Anorexia Nervosa After Implementation of Family Based Treatment in a Norwegian Child and Adolescent Mental Health Service: A Retrospective Cohort Study With Prospective Follow-up
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anorexia Nervosa
- Sponsor
- University Hospital, Akershus
- Enrollment
- 175
- Locations
- 1
- Primary Endpoint
- Time to weight restoration
- Status
- Enrolling By Invitation
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this observational study is to compare short and long-term effects of manualised Family Based Treatment for adolescent anorexia nervosa to those of non-manualised family therapy. The study will approach former patients who were treated before and after Family Based Therapy was adopted in an outpatient clinic, and extract data from electronic health records and public registries.
Detailed Description
A two-group retrospective exploratory cohort study with longitudinal follow-up comparing adolescents with anorexia nervosa treated with generic family therapy to those treated with the manualised Family Based Treatment (FBT). The primary aim is to investigate whether adoption of FBT has led to faster normalisation of weight and lower rates of eating disorder in early adulthood. Secondary aims are to investigate whether implementation of FBT has changed the time to discharge, heterogeneity of patient weight change across treatment, rates of adverse events, rates of readmission, patient experiences of the treatment, long term functional outcomes and mortality. Data are extracted from patient health records, reported by participants and extracted from public registries.
Investigators
Erling W. Rognli
Psykologspesialist
University Hospital, Akershus
Eligibility Criteria
Inclusion Criteria
- •Clinical diagnosis of F50.0 Anorexia nervosa or F50.1 Atypical anorexia nervosa according to the International Classification of Diseases-10.
Exclusion Criteria
- •Patient was treated during the years 2018-2020 and FBT was never initiated according to patient health records.
Outcomes
Primary Outcomes
Time to weight restoration
Time Frame: Assessed retrospectively at enrolment.
Number of days from start of treatment to a weight measurement placing the patient at or above 95% of expected body weight (50. percentile) for age and sex given Norwegian population norms.
Secondary Outcomes
- Time to discharge from treatment(Assessed retrospectively at enrolment.)
- Treatment for eating disorder in adulthood(Assessed 5, 10, 15 and 20 years post treatment.)
- Mortality(Assessed 5, 10, 15 and 20 years post treatment.)
- Employment status and welfare benefits(Assessed 5, 10, 15 and 20 years post treatment.)
- Time to readmission to treatment(Assessed retrospectively at enrolment.)
- Level of education(Assessed 5, 10, 15 and 20 years post treatment.)