Evaluation of Hospitalization for Anorexia Nervosa: Efficacy of Treatment and Predictive Factors of Outcome.
试验速览
- 阶段
- 不适用
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Morgan and Russell score
研究概览
简要总结
The objective of this research is to evaluate the efficacy of five different in-patient treatment modalities and predictive factors of outcome for anorexia nervosa. The primary hypothesis is that the different treatment types impact outcome of patients at discharge from inpatient treatment and at one year follow-up, even after adjustment for confounding factors (age, length of illness, number of previous hospitalizations, clinical state at intake).
详细描述
This study will evaluate global, psychiatric, somatic and psychosocial outcome for inpatients with anorexia nervosa through three evaluations (intake, discharge and one-year follow-up). The study will also consider five types of in-patient treatment in a naturalistic setting (i.e., patients will not be assigned to different treatment conditions; rather, we will study inpatient care as it exists today). The five treatment modalities to be studied are:
- Discharge weight objectives.
- The practice of a separation period.
- The use of clear nutritional and dietary objectives (cognitive/behavioural).
- The intensity of family involvement in treatment.
- Stabilisation phase before ending inpatient treatment.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 8 Years 至 65 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients who accept participation between 8 and 50 years old, consecutively hospitalized for a DSM IV diagnosis of Anorexia Nervosa in one of the departments participating in this research by necessity of physical condition (BMI < 15, rapid weight loss) or psychological condition
- •Parents of participating patients still living with their parents who accept participation
排除标准
- •Refusal of research
- •Patients who do not speak French
- •Patients with a related somatic illness (diabetes, Crohn's disease, metabolic illness)
- •Patients not covered by social security health insurance
结局指标
主要结局
Morgan and Russell score
时间窗: one year follow-up
次要结局
- Somatic symptoms and complications(one year follow-up)
- Social adjustment(one year follow-up)
- Re-hospitalization(one year follow-up)
- Cognitive functioning(one year follow-up)
- Family relationships(one year follow-up)
- Eating disorders symptoms and diagnosis(one year follow-up)
- Psychiatric symptoms and disorders(one year follow-up)
- Nutritional status(one year follow-up)
- Quality of life(one year follow-up)