Assessment of the Impact of Early Treatment for Anorexia Nervosa in a Day Hospital on Food Symptomatology, the Outcome of Young Patients, and the Family Experience
Assistance Publique - Hôpitaux de Paris
164 participants
Feb 19, 2024
OBSERVATIONAL
Conditions
Summary
During the management of chronic illnesses, the day hospital (DH) serves as a brief and effective alternative to traditional hospitalization, offering access to multidisciplinary care. Indeed, patients can benefit from a range of therapeutic tools provided by a multidisciplinary care team while remaining in their living environment. Numerous structures exist for the management of eating disorders, but primarily for severe cases, often following hospitalization, before transitioning to outpatient care. There is no alternative for the initial management of these patients. The DH for the evaluation and early intervention in recent forms of anorexia nervosa at Maison de Solenn serves as a rapid entry point to specialized care. It allows for a thorough assessment and sustained management of eating disorders. Our hypothesis is that a multidisciplinary, intensive, and early intervention for patients with anorexia nervosa and their families in a day hospital would improve the short, medium, and long-term prognosis of the disease compared to conventional multidisciplinary outpatient care. It would also enhance the family's experience of this pathology and their coping skills.
Eligibility
Inclusion Criteria3
- Adolescents in the age range of 12-18 years and their parents,
- First-time consultation at the MDA for anorexia nervosa (according to DSM-5) evolving for less than 12 months,
- Adolescents with clinical characteristics suitable for DH care.
Exclusion Criteria6
- Parents and/or children who do not speak French or cannot read or write,
- Patients who have been followed by an eating disorder specialist in the past 12 months (at the MDA or elsewhere) or previously hospitalized for anorexia nervosa,
- Patients who have undergone family therapy in the past,
- Patients with BMI less than 13 kg/m2 for those under 14 years old, or less than 14 kg/m2 for those over 14 years old at the initial assessment,
- Patients with a major psychiatric comorbidity or a metabolic condition interfering with eating or its regulation,
- Patients and families in a crisis situation requiring immediate hospitalization.
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Interventions
Scheduling of 12 half-day sessions per week, alternating between sessions with only the patients or involving the entire family. Close medical monitoring and multidisciplinary interventions during sessions (pediatrician, psychiatrist, dietitian, recovered former patients...).
Multidisciplinary follow-up "as usual" within the service
Conduct semi-structured qualitative interviews
Locations(1)
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NCT06218472