Anorexia Nervosa/Bulimia Clinical Trial
Official title:
Evaluation of Art-therapy on Alexithymia in Patients Suffering From Anorexia Nervosa and From Bulimia,a Pilot Study
Alexithymia is often found in patients suffering from anorexia nervosa or from bulimia. Art-therapy is widely used in this indication without there is a study in the literature assessing it. ALEXART is an observational prospective multicenter cohort pilot study, assessing the effect at 3 months of art therapy on alexithymia, in patients presenting anorexia nervosa or bulimia.
Alexithymia, defined by difficulties to identify and describe feelings as well as a poverty
of imaginary life, is found in patients with anorexia nervosa (AN) or bulimia (BN) in
numerous studies. Some publications show that it is a factor of resistance in several forms
of psychotherapies and of poor prognosis for these patients who already present a high rate
of chronification and mortality because of the complications of the undernutrition and the
suicide risk. Art therapy is very wide-spread in the care of AN and of BN, but little
studied. About alexithymia, if there is no psychotherapy having made the proof of its
efficiency currently, some studies suggest the interest of art-therapy on alexithymic
features, but none, to our knowledge, estimated the effect.
The investigator suggest to describe the evolution at 3 months of art therapy on alexithymia,
using the Toronto Alexithymia Scale in 20 items (TAS-20), in patients with AN or BN. The
investigators shall also describe the evolution at 3 months with the TAS-20 as well as the
relationship between variations of alexithymia and BMI in patients presenting AN at 1 and 3
months globally and in each of the centers. The investigators will also evaluate the effect
of depression and anxiety at 1 and 3 months of art therapy on alexithymia.The investigators
shall realize an observational prospective multicenter cohort study design. Each patient will
receive standard care: multidisciplinary and corresponding to the HAS recommendations and
semimonthly or weeklies sessions of art therapy, using all types of art. Thus, each patient
will be her own control before art therapy.
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