Feeding and Eating Disorders Clinical Trial
Official title:
The Effect of G-CBT on the Patients With AN : A Randomized Controlled Trial
The study is to examine whether the G-CBT for anorexia nervosa is effective or not. The study will use randomized controlled study design. 80 patients with AN will be recruited from Shanghai Mental Health Center, There will be two groups: CBT treatment group and conventional treatment group. Each group is 40 and then the CBT group will be given standard CBT intervention for 12 weeks. The control group will receive outpatient treatment. To assess the eating disorder symptoms, impulsive and emotional change, clinical symptom scales, psychological scales and the security indexs will be used at baseline, 4 weeks, 8 weeks, 12 weeks (end of treatment), 24 weeks (3 months after treatment) and 36 weeks (6 months after treatment follow-up).
Eating disorder is a chronic mental disorder characteristic of abnormal eating behaviors and
psychological disorders, accompanied by significant weight changes and physiological
dysfunction. Many people with EDs have cognitive disorder of their body shape or body weight.
Anorexia is a subtype of EDs. The main feature of anorexia nervosa is the extreme attention
to body weight and body shape. As a result of this conflict the patients could be
malnutrition, metabolism and endocrine disorders with significant weight loss. And women may
have amenorrhea. At the mean time, the patient will also have a lot of mental symptoms such
as depression, anxiety and obsession.
The disease mostly occurs in adolescents and young women. The prevalence rates in Europe and
America is 0.5%-3.7%, 90% of which are women. The course of the disease is chronic, the
average duration of disease is 4-6 years. Furthermore the mortality rate is high, a 20-year
follow-up data shows that the mortality rate is nearly 20%. Most of the causes of death are
physical complications and depression.
However, due to the special psychological behavior mechanism, patients have almost no
willingness to be treated. As well as the long duration of disease and the highrisk of drug
therapy, it all causes the great difficulties in the treatment. Many patients may even suffer
from eating disorders for a lifetime. On another hand, the effective treatment options are
still inconclusive. Psychotherapy, especially and cognitive behavior, is one of the most
effective treatments at present.
On the other hand, psychotherapy is quite expensive, requiring not only a large number of
qualified therapists, but also a long treatment time. Which leads to a high treatment cost.
In order to reduce the cost of treatment, group therapy is a reasonable choice. However,
currently there are no related research reports in china.
Our study is to examine whether the G-CBT for anorexia nervosa is effective or not. The study
will use randomized controlled study design. 80 patients with AN will be recruited from
Shanghai Mental Health Center, There will be two groups: CBT treatment group and conventional
treatment group. Each group is 40 and then the CBT group will be given standard CBT
intervention for 12 weeks. The control group will receive outpatient treatment. To assess the
eating disorder symptoms, impulsive and emotional change, clinical symptom scales,
psychological scales and the security indexs will be used at baseline, 4 weeks, 8 weeks, 12
weeks (end of treatment), 24 weeks (3 months after treatment) and 36 weeks (6 months after
treatment follow-up).
This study was designed with sufficient consideration about innovation as well as
feasibility, and is to be operated on well proved theoretical basis and guidance of an
operation manual. If successful, results of this study may bring great improvement to
clinical practice of this refractory mental disorder.
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