Changing Habits in Anorexia Nervosa: Novel Treatment Development

N/ACompletedNCT02382055

New York State Psychiatric Institute20 enrolled

Overview

The investigators are examining what types of psychotherapy are most helpful for patients as they undergo weight restoration treatment for anorexia nervosa. In this study, patients who are receiving care on our inpatient unit will also receive 4 weeks of one two types of psychotherapy: Supportive Psychotherapy or Regulation Emotions and Changing Habits.

Patients will be receiving specialized inpatient treatment for anorexia nervosa on the Eating Disorders Unit at the New York State Psychiatric Institute, where care is provided free of charge. Study procedures will begin after one week of acclimating to the inpatient unit. Patients will be randomly assigned to receive either Supportive Psychotherapy (focused on the transition to the inpatient unit) or REACH (focused on changing routines or habits that have become part of the eating disorder). Each treatment consists of 12-sessions, delivered 2-3 times per week. Before and after treatment, patients will be asked to participate in interviews, questionnaires, and a lunch meal.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Anorexia Nervosa

Interventions

REACHBEHAVIORAL

REACH is a 12-session intervention, delivered 2-3 times per week for 45 minutes. The treatment focuses on identifying and changing behaviors and routines that have become entrenched and help perpetuate the illness.

Supportive PsychotherapyBEHAVIORAL

The Supportive Psychotherapy is based on the Specialist Supportive Care (McIntosh et al, 2005), and modified for the current research procedures. Supportive Psychotherapy is a 12-session intervention, delivered 2-3 times per week as 45 minute sessions, focusing on symptoms of anorexia nervosa during the transition to the inpatient unit.

Inpatient Behavioral TreatmentBEHAVIORAL

Inpatient treatment at the NYSPI is a behaviorally-based treatment program for anorexia nervosa. This is a non-research, clinical intervention for individuals with anorexia nervosa.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * DSM5 diagnosis of anorexia nervosa * Age\>= 18 * Medically stable * Able to provide informed consent Exclusion Criteria: * Other psychiatric disorder requiring acute treatment * Serious medical illness * Antipsychotic medication * Severe cognitive impairment

Locations (1)

New York State Psychiatric Institute

New York, New York, United States

Outcomes

Primary Outcomes

Habit strength as measured by self report scales

Time frame: 4 weeks

Secondary Outcomes

Eating behavior as measured by laboratory meal

Time frame: 4 weeks

Eating behavior as measured by meal observation

Time frame: 4 weeks

Data from ClinicalTrials.gov

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