COmparison Between Continued Inpatient Treatment Versus Day Patient Treatment in Early Onset Anorexia Nervosa (COTIDEA)
Early Onset Anorexia Nervosa
About this trial
This is an interventional treatment trial for Early Onset Anorexia Nervosa
Eligibility Criteria
Inclusion Criteria:
- Anorexia Nervosa according to diagnostic mental disorders(DSM 5) criteria;
- Age at diagnosis 8 to 13 years inclusive;
- Indication for full-time hospitalisation according to supreme health authority (HAS 2010) criteria, see appendix;
- First hospitalization in the Eating Disorders (ED) unit of the Child and Adolescent Psychiatry Department at Robert Debré Hospital.
- Informed consent of the holder(s) of parental authority
- Patient affiliated to a social security
Exclusion Criteria:
- Other early onset eating disorders (ARFID to DSM 5 criteria) ;
- Underlying unbalanced somatic disease (especially gastroenterological);
- Psychiatric indication for continued hospitalisation (in particular significant suicidal risk according to the psychiatric criteria for full-time hospitalisation for anorexia nervosa of the HAS, 2010, cf. appendix)
- Environmental indication for continued full-time hospitalization according to the HAS environmental criteria for full-time hospitalization for anorexia nervosa, 2010, cf. appendix) ;
- History of full-time hospitalisation in our ED unit.
Sites / Locations
- Hôpital Robert DebréRecruiting
Arms of the Study
Arm 1
Arm 2
Other
Experimental
standard care
FTH (full-time hospitalisation) then day hospitalization)
continuation of full-time hospitalization until the minimum healthy weight is reached, defined as the weight corresponding to the return to the previous BMI corridor (previous BMI +/- 1 BMI corridor, e.g. change from 25th to 10th percentile). This management combines bi-weekly medical follow-up by a senior psychiatrist, weekly family work, weekly therapeutic education group, weekly cognitive remediation group and bi-weekly dietary follow-up with therapeutic meals.
FTH output and DH relay one day a week until the minimum healthy weight. This treatment combines over one day a medical evaluation by a senior psychiatrist, family work (parents group and multi-family therapy session), a therapeutic education group, a cognitive remediation group and a dietary follow-up with therapeutic meals. During this phase, all children are evaluated once a week on a somatic level.