COmparison Between Continued Inpatient Treatment Versus Day Patient Treatment in Early Onset Anorexia Nervosa (COTIDEA)
Early Onset Anorexia Nervosa
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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.