Young Adult Clinical Trial
— TreCogAMOfficial title:
Cognitive Remediation Therapy Effectiveness in Anorexia Nervosa: a Multicenter Randomized Clinical Study
Verified date | January 2017 |
Source | Assistance Publique - Hôpitaux de Paris |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
"Clinicians from the Maudsley (IoP, London, UK) have specifically tailored a cognitive
remediation therapy (CRT) for treating Anorexia Nervosa (AN). It is an intensive manualised
training cognitive therapy which addresses the difficulties in flexibility and holistic
processing that have been incriminated in AN. CRT has been found to improve AN's
neuropsychological functioning and short term outcome. To our knowledge, no French speaking
country has tested its effectiveness. Moreover, the question whether it is efficient for
both anorexic restrictive and anorexic binge-purging patients remains unanswered.
The aim of the present study is to determine if CRT in AN adolescents and young adults has a
favourable impact on cognitive functioning and clinical status. We will also explore whether
the impact of CRT is similar in both anorexic restrictive and binge-purging subtypes. There
will also be an Historical Control Group of patients, sixty, who received traditional
medical interventions in a specialized inpatient unit for eating disorders (i.e., EVHAN
study)."
Status | Completed |
Enrollment | 120 |
Est. completion date | January 2017 |
Est. primary completion date | June 2016 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 15 Years to 40 Years |
Eligibility |
Inclusion Criteria: - female; - 15-40 years old; - hospitalised for a diagnosis of Anorexia Nervosa (DSM-IV Revised criteria) in one of the three departments participating in this research ; - fluent in French; - who provide their informed consent (or as far as possible their parents for those under 18). Exclusion Criteria: - previous history of neurological disorders; - actual substance use disorder; - schizophrenia; - presenting a related somatic illness (diabetes, Crohn's disease, metabolic illness) or a life-threatening condition. |
Country | Name | City | State |
---|---|---|---|
France | Clinique Villa Montsouris | Paris | |
France | Institut Mutualiste Monsouris | Paris | |
France | Maison de Solenn | Paris | |
France | Assistance Publique - Hôpitaux de Paris, Hôpital Paul Brousse | Villejuif |
Lead Sponsor | Collaborator |
---|---|
Assistance Publique - Hôpitaux de Paris | Institut National de la Santé Et de la Recherche Médicale, France |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Neuropsychological functioning:Wisconsin Sorting Card Test (WSCT) | The WSCT are two neuropsychological tests that have been consistently used to highlight poor set-shifting skills in Anorexia nervosa. | 1 week post-therapy | |
Primary | Clinical status Evaluation:Morgan and Russell Global Outcome Assessment Scale (GOAS); | The Global Outcome Assessment Schedule (GOAS; Morgan & Hayward, 1998) is a standard measure of outcome in eating disorders; it includes 14 subscales evaluating five dimensions: (A) Food Intake and body weight ; (B) Menstrual status; (C) Mental state ; (D) Psychosexual state ; (E) Socioeconomic status and social functioning. | up to 1 year of follow-up | |
Secondary | Central coherence | Central coherence: Rey figure; | 1 week post-therapy | |
Secondary | Nutritional status | body mass index | 1 week post-therapy | |
Secondary | Nutritional status | body mass index | 6 months of follow-up | |
Secondary | Nutritional status | body mass index | 1 year of follow-up | |
Secondary | Self-reported eating disorders symptoms | Eating Disorder Examination Questionnaire and Body Shape Questionnaire | 1 week post-therapy | |
Secondary | Self-reported eating disorders symptoms | Eating Disorder Examination Questionnaire and Body Shape Questionnaire | 1 year of follow-up | |
Secondary | Self-reported Cognitive style; | Detail and Flexibility Questionnaire | 1 week post-therapy | |
Secondary | Self-reported Cognitive style; | Detail and Flexibility Questionnaire | 1 year of follow-up | |
Secondary | Self-reported treatment satisfaction | Helping Alliance Questionnaire and Patient Satisfaction Questionnaire | 1 week post-therapy | |
Secondary | Self-reported motivation to change | the Maudsley motivation to change questionnaire | 1 week post-therapy | |
Secondary | Self-reported motivation to change | the Maudsley motivation to change questionnaire | 6 months of follow-up | |
Secondary | Self-reported motivation to change | the Maudsley motivation to change questionnaire | 1 year of follow-up | |
Secondary | Self-reported self-esteem | Rosenberg self-esteem Questionnaire | 1 week post-therapy | |
Secondary | Self-reported self-esteem | Rosenberg self-esteem Questionnaire | 1 year of follow-up | |
Secondary | Flexibility evolution : Trail Making Test (TMT) | Neuropsychological functioning | 1 week post-therapy |
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