Effectiveness of Family-Based Versus Individual Psychotherapy in Treating Adolescents With Anorexia Nervosa

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Stanford University

Status and phase

Completed
Phase 1

Conditions

Eating Disorders

Treatments

Behavioral: Ego-Oriented Individual Psychotherapy
Behavioral: Family Based Therapy

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT00149786
R01MH070621 (U.S. NIH Grant/Contract)
DDTR B4-ARE

Details and patient eligibility

About

This study will compare the effectiveness of family-based therapy versus individual psychotherapy for the treatment of adolescent anorexia nervosa.

Full 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 the effectiveness of family-based therapy versus ego-oriented individual psychotherapy for the treatment of adolescent anorexia nervosa. Simultaneously, it will examine potential predictors, mediators, and moderators of weight gain, psychological concerns about weight and shape, and changes in family functioning. Participants in this open-label study will be randomly assigned to receive one of two types of therapy: family-based therapy or ego-oriented individual psychotherapy. Both types of therapy will be given for a total of 24 hours over the course of 12 months. Physical and psychological assessments will be completed during study visits at baseline, immediately post-treatment, six months post-treatment, and one year post-treatment. Amount of weight gain will be evaluated, along with changes in weight and body shape concerns, as measured by the Eating Disorder Examination.

Enrollment

120 patients

Sex

All

Ages

12 to 18 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Meets DSM-IV criteria for anorexia nervosa
  • Lives with at least one parent who is willing to participate
  • Medically stable
  • Adequate transportation to clinic
  • Proficient at speaking, reading, and writing English

Exclusion criteria

Currently undergoing treatment or taking medication that may affect eating or weight

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

120 participants in 2 patient groups

1
Experimental group
Description:
Those adolescents receiving family based therapy
Treatment:
Behavioral: Family Based Therapy
2
Active Comparator group
Description:
Those adolescents receiving individual therapy
Treatment:
Behavioral: Ego-Oriented Individual Psychotherapy

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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