Evaluation of a Twenty-session Cognitive-behavioral Therapy With Anorexia Nervosa (CBT-20-AN) Among Adults (18+)

Launched by MASSACHUSETTS GENERAL HOSPITAL · Sep 12, 2024

Keywords

ClinConnect Summary

No description provided

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Eligible patients must meet DSM-5 criteria for anorexia nervosa. This diagnosis can be conferred via the EDE 17.0D.
• • 2. Age \> 18
• • 3. Patients must be able to provide informed consent and comply with the study procedures.
• • 4. Patients must be able to complete computer-based self-report questionnaires with adequate accommodation, if necessary.
• • 5. Patients must have a primary care physician, Adolescent Medicine physician, or consulting physician with eating disorder expertise at Massachusetts General Hospital/Massachusetts General Brigham network who can provide ongoing medical monitoring while the patient takes part in the study.
• Exclusion Criteria:
• Patients will be excluded if they exhibit:
• • 1. BMI \< 15 or \> 19, obtained via patient medical chart or from study 2023P000469 or 2018P002915.
• • 2. HR \<55 or \>100, obtained via patient medical chart or from study 2023P000469 or 2018P002915.
• • 3. Systolic BP (SBP and DBP) \<80 or \>160, obtained via patient medical chart or from study 2023P000469 or 2018P002915.
• • 4. Temperature \< 96.5 F, obtained via patient medical chart or from study 2023P000469 or 2018P002915.
• • 5. Not eating food by mouth and/or any tube feeding, per EDE
• • 6. Purging \> 4x/week, per EDE.
• • 7. Active suicidality (suicidal ideation with intent or plan) to the point that more intensive treatment (i.e. acute hospitalization) is required
• • 8. Active untreated and unstable bipolar disorder (i.e. stable bipolar disorder under care of a psychiatrist is allowed)
• • 9. Psychosis
• • 10. Intellectual disability
• • 11. Any condition that, after the baseline evaluation, is determined to preclude treatment with CBT.
• • 12. Concurrent psychotherapy. Patients must be willing to take a pause from any ongoing psychotherapy in order to focus on CBT-AN-20, which is in alignment with standard clinical care.
• • 13. Symptoms that are not appropriate for outpatient level of care and therefore require a higher level of care (i.e. BMI \<15 or purging more than 4x/week)
• • 14. Homicidal ideation
• • 15. Inability to speak English well enough to engage in CBT