Evaluation of Hospitalization for Anorexia Nervosa (EVALuation de l'Apport de l'HOSPITalisation Pour Anorexie Mentale : EVALHOSPITAM)

Study Overview
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Brief Summary
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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).

Detailed Description
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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.

Official Title
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Evaluation of Hospitalization for Anorexia Nervosa: Efficacy of Treatment and Predictive Factors of Outcome.

Conditions
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Anorexia Nervosa

Intervention / Treatment
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* Other: inpatient treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 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 Exclusion Criteria: 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

Ages Eligible for Study
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Minimum Age: 8 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| inpatient treatment<br>naturalistic treatment no modification: observational study | Other: inpatient treatment<br>* Hospitalisation modalities are described but are naturalistic<br>* Other names: naturalistic treatment;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Morgan and Russell score |  | one year follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nutritional status |  | one year follow-up | 
| Eating disorders symptoms and diagnosis |  | one year follow-up | 
| Psychiatric symptoms and disorders |  | one year follow-up | 
| Cognitive functioning |  | one year follow-up | 
| Somatic symptoms and complications |  | one year follow-up | 
| Social adjustment |  | one year follow-up | 
| Quality of life |  | one year follow-up | 
| Family relationships |  | one year follow-up | 
| Re-hospitalization |  | one year follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Anorexia nervosa, treatment, inpatient, efficacy, outcome