Conceptualisation of a Network Approach to Complete the Classification of Eating Disorders With the Aim of Better Personalising Their Management
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Ambulatory cares in a day-hospital (Lapeyronie, Montpellier) specialized in the evaluation of eating disorders..
- Who it may be relevant to
- Registry conditions: Eating Disorders, Eating Disorder Binge. Basic parameters: 15 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Eating disorders (EDBs) are mental disorders with a great impact on the lives of individuals as well as a great cost imposed on society. The treatments currently available rely on different forms of psychotherapies with an unsatisfactory response rate as well as a considerable relapse rate . One of the reasons underlying the low success of available therapeutic modalities would be the heterogeneity of the clinical presentation of EDs, making their classification and the personalization of their treatment more difficult.The investigators hypothesize that a secondarily dimensional classification approach (respecting the categorical classification currently in use) of EDs based on the different dimensions disturbed in these disorders as well as in their comorbidities, would better represent their nosographic reality, which could provide patients with more personalized and potentially more effective care.
Detailed description
Detailed Description:
The investigators will recruit a total of 840 patients with an eating disorder in the university hospital of Montpellier.
\- Participation consists of a one-day visit with a multidisciplinary assessment. No action is specific to research except the biological collection for the constitution of a genetic bank. This is the usual management of patients with eating disorders addressed to our department.
Interventions
- Behavioral Ambulatory cares in a day-hospital (Lapeyronie, Montpellier) specialized in the evaluation of eating disorders.
All patients assessed in the day-hospital will permormed the same evaluation : * Blood sampling * Calorimetry * Osteodensotometry * Psychiatric assement * Endocrinologic assessment * Dietetic assessment * Neuropsychological assessment * Self-questionnaires With the patient agreement, a biological collection will be constituted. The objective is the subsequent study of biological factors involved in eating disorders (in particular genetic factors)
Primary outcome measures
- Eating Disorders Inventory (EDI-2) [Time frame: Baseline]
- Eating Disorder Examination Questionnaire (EDE-Q) [Time frame: Baseline]
Secondary outcome measures (12)
- Symptomatic dimensions of Eating Disorder Examination Questionnaire (EDEQ) [Time frame: baseline]
- Body Shape Questionnaire (BSAQ-34) [Time frame: baseline]
- Yale Food Addiction Scale (YFAS) [Time frame: baseline]
- Sociocultural Attitudes Towards Appearance Scale (SATAQ-4) [Time frame: baseline]
- Female drive for muscularity scale (FDMS) [Time frame: baseline]
- exercice and Eating disorders questionnaire (EED) [Time frame: baseline]
- Childhood Trauma Questionnaire (CTQ) [Time frame: baseline]
- depression scale (PQ-9) [Time frame: baseline]
- The anxiety scale (GAD-7) [Time frame: baseline]
- The insomnia severity index (ISI) [Time frame: baseline]
- The disgust propensity and sensitivity scale (DPSS-R) [Time frame: Baseline]
- The emotional regulation scale (DERS-F) [Time frame: baseline]
Eligibility criteria
Inclusion criteria
- Patient with an eating disorder according to DSM-V criteria
- Patient aged from 15 to 65 years
- Patient who performs the day-hospital evaluation
- Patient affiliated to a French social security system
- Patient able to understand the nature, the aim and the methodology of the study
- For minor one of the legal guardians gave his consent
Exclusion criteria
- Patient in an unstable somatic state (eg severe metabolic disorder making impossible or unreliable neuropsychological assessments)
- Patient's refusal to participate
- Patient protected by law (guardianship or curatorship)\*
- Pregnant or nursing women. A dosage of βHCG will be performed to ensure the absence of pregnancy
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Other
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT06252688 · RECHMPL23_0261