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A Controlled Study of the Effect of Therapies Aimed at Adolescent and Family Psychopathology in Anorexia Nervosa

Published online by Cambridge University Press:  02 January 2018

A. H. Crisp ,
Kingsley Norton ,
Simon Gowers ,
Christine Halek ,
Carol Bowyer ,
Denise Yeldham ,
Gill Levett  and
A. Bhat
A. H. Crisp*
Affiliation:
St George's Hospital Medical School, London
Kingsley Norton
Affiliation:
St George's Hospital Medical School, The Henderson Hospital, Sutton, Surrey
Simon Gowers
Affiliation:
St George's Hospital Medical School, Child Psychiatry, Academic Department of Psychiatry, University of Manchester
Christine Halek
Affiliation:
St George's Hospital Medical School, Epsom District Hospital, Epsom, Surrey
Carol Bowyer
Affiliation:
St George's Hospital Medical School, Epsom District Hospital, Epsom, Surrey
Denise Yeldham
Affiliation:
St George's Hospital Medical School, Epsom District Hospital, Epsom, Surrey
Gill Levett
Affiliation:
Department of Mental Health Sciences, St George's Hospital Medical School, London
A. Bhat
Affiliation:
Department of Mental Health Sciences, St George's Hospital Medical School, London
*
∗Department of Mental Health Sciences, St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE
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Abstract

Ninety patients with severe anorexia nervosa fulfilling DSM–III–R criteria were assessed in depth in terms of their family developmental psychopathology and then randomly allocated to either one of three treatment groups or to no treatment. In three treatment regimes, a behavioural approach to diet and weight gain was coupled with individual and family psychotherapy directed at the adolescent maturational problems. All three treatment regimes were highly significantly effective at one year in terms of weight gain, return of menstruation, and aspects of social and sexual adjustment. Body weights above those at pubertal onset were achieved for the group mean maximum and one-year follow-up weights for all three treatment groups but not the control group.

Type
Papers
Information
The British Journal of Psychiatry , Volume 159 , Issue 3 , September 1991 , pp. 325 - 333
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (DSM—III—R). Washington, DC: American Psychiatric Press.Google Scholar
Crisp, A. H. (1967) Anorexia nervosa. Hospital Medicine, 713–718.Google Scholar
Crisp, A. H. (1980) Anorexia Nervosa: Let Me Be. London: Academic Press.Google Scholar
Crisp, A. H. & Stonehill, E. (1971) Relation between aspects of nutritional disturbance and menstrual activity in primary anorexia nervosa. British Medical Journal, iii, 149—151.CrossRefGoogle Scholar
Crisp, A. H., Hsu, L. K. G., Harding, B., et al (1980) Clinical features of anorexia nervosa: study of a consecutive series of 102 female patients. Journal of Psychosomatic Research, 24, 179—191.CrossRefGoogle ScholarPubMed
Crisp, A. H., Norton, K. R. W., Jurczak, S., et al (1985) A treatment approach to anorexia nervosa — 25 years on. Journal of Psychiatric Research, 19, 247—251.CrossRefGoogle Scholar
Crisp, A. H., Matthews, B., Norton, K. R. W., et al (1986a) Weight-related attitudes and behaviour in anorexics, recovered anorexics and normals. International Journal of Eating Disorders, 5, 789—798.3.0.CO;2-R>CrossRefGoogle Scholar
Crisp, A. H., Mayer, C. N. & Bhat, A. V. (1986b) Patterns of weight gain in a group of patients treated for anorexia nervosa. International Journal of Eating Disorders, 5, 1007—1024.Google Scholar
Crisp, A. H., Lacey, J. H. & Crutchfield, M. (1987) Clomipramine and ‘drive’ in people with anorexia nervosa: an in-patient study. British Journal of Psychiatry, 150, 355—358.CrossRefGoogle ScholarPubMed
Crisp, A. H., Joughin, N., Halek, C., et al (1989) Anorexia Nervosa and the Wish to Change. London: Department of Mental Health Sciences, St George's Hospital Medical School.Google Scholar
Gowers, S., Norton, K., Yeldham, D., et al (1989) The St George's prospective treatment study of anorexia nervosa: a discussion of methodological problems. International Journal of Eating Disorders, 8, 445—454.Google Scholar
Hall, A. & Crisp, A. H. (1983) Brief psychotherapy in the treatment of anorexia nervosa: preliminary findings. In Psychosomatic Medicine: Theoretical, Clinical and Transcultural Aspects (eds Stunkard, A. J. & Stellar, E.). New York: Plenum Press.Google Scholar
Hall, A., Slim, E., Hawker, F., et al (1984) Anorexia nervosa: long-term outcome in 50 female patients. British Journal of Psychiatry, 145, 407—413.CrossRefGoogle ScholarPubMed
Hsu, G. K. L., Crisp, A. H. & Harding, B. (1979) Outcome of anorexia nervosa. Lancet, i, 61—65.CrossRefGoogle Scholar
Kay, D. W. K. (1953) Anorexia nervosa: a study in prognosis. Proceedings of the Royal Society of Medicine, 46, 669—674.Google Scholar
Kemsley, W. F. F. (1953/54) Average body weights at different ages and heights. Annals of Eugenics, 16, 316—334.Google Scholar
Morgan, H. G. & Russell, G. F. M. (1975) Value of family background and clinical features as predictors of long term outcome in anorexia nervosa: four year follow-up study of 41 patients. Psychological Medicine, 5, 355—371.CrossRefGoogle ScholarPubMed
Morgan, H. G., Purgold, J. & Welbourne, J. (1983) Management and outcome in anorexia nervosa: a standardized prognostic study. British Journal of Psychiatry, 143, 282—297.CrossRefGoogle ScholarPubMed
Patton, G. C. (1988) Mortality in eating disorders. Psychological Medicine, 18, 947—951.Google Scholar
Pillay, M. & Crisp, A. H. (1981) The impact of social skills training within an established in-patient treatment programme for anorexia nervosa. British Journal of Psychiatry, 139, 533—539.CrossRefGoogle ScholarPubMed
Ratnasuriya, R. H. (1986) Prognostic Factors and Outcome after 20 years in Anorexia Nervosa. MPhil (Psychiatry) thesis, University of London.Google Scholar
Russell, G. F. M., Szmuckler, G. I., Dare, C., et al (1987) An evaluation of family therapy in anorexia nervosa and bulimia nervosa. Archives of General Psychiatry, 44, 1047—1056.Google Scholar
Theander, S. (1985) Outcome and prognosis in anorexia nervosa and bulimia: some results of a previous investigation, compared with those of a Swedish long term study. Journal of Psychiatric Research, 19, 493—508.CrossRefGoogle ScholarPubMed
Vigersky, R. A. & Anderson, A. R. (1977) Conclusion to Anorexia Nervosa (ed. Vigersky, R. A.). New York: Raven Press.Google Scholar
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