A Randomised Controlled Trial To Examine The Effectiveness Of Oxytocin To Improve Treatment For Anorexia Nervosa
Funder
National Health and Medical Research Council
Funding Amount
$415,854.00
Summary
Anorexia nervosa (AN) is a major public health problem. Nutritional rehabilitation programs exist but can be costly and protracted, and patients struggle to engage with these demanding therapies. The purpose of this study is to determine the efficacy of oxytocin nasal spray to improve outcomes in patients with AN participating in a nutritional rehabilitation program using a randomized placebo-controlled design. If shown to be effective, this will have national and international significance.
Taking A LEAP Forward In The Treatment Of Anorexia Nervosa: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$578,818.00
Summary
Extreme levels of exercise to reduce weight and improve mood are common in people with anorexia nevosa and are associated with poorer outcomes. Our study aims to test a novel therapy help people reduce their use of exercise andfind healthier and safer ways of managing weight and low mood. The therapy will be compared with a widely used control therapy - that however has only limited efficacy. We hope the exercise therapy will result in improved outcomes for this debilitating illness.
A Randomised Control Trial Of Non-specific Clinical Management Versus CBT In Chronic Anorexia Nervosa
Funder
National Health and Medical Research Council
Funding Amount
$555,843.00
Summary
Anorexia nervosa (AN) is a serious mental illness that usually starts in adolescence and often runs a chronic course. With an estimated prevalence rate between 0.5% and 3.7% of women, and up to 50% remaining chronically ill, the illness poses a disproportionate burden on health and social services. AN has inpatient costs alone that exceed that for schizophrenia. Chronic AN has the highest mortality rate of any mental illness. Chronic AN patients are known for their ambivalence about engaging in ....Anorexia nervosa (AN) is a serious mental illness that usually starts in adolescence and often runs a chronic course. With an estimated prevalence rate between 0.5% and 3.7% of women, and up to 50% remaining chronically ill, the illness poses a disproportionate burden on health and social services. AN has inpatient costs alone that exceed that for schizophrenia. Chronic AN has the highest mortality rate of any mental illness. Chronic AN patients are known for their ambivalence about engaging in treatment and poor motivation to change their eating disorder behaviours. They often fail to respond to traditional treatments and develop a history of negative treatment experiences and repeated treatment failures. A new approach is needed to reduce both the personal suffering and the burden of the illness on social and medical services. To date, there has been little scientific investigation into the development of specific treatment for those patients with chronic AN. This study will trial a recently manualised therapy - non-specific supportive clinical management - which initial evidence suggests may hold promise for chronic AN because it offers a more indirect, motivationally-matched approach. This treatment will be compared to the establishment therapy Cognitive Behavioural Therapy. Patients will be randomly allocated to one of the two treatment conditions and will receive 40 sessions over 12 months. They will be thoroughly assessed prior to during and after they have completed treatment and followed up for 6 months. This is the worlds first trial of a psychological treatment for chronic AN; it is hoped the study will establish an effective treatment for this debilitating and expensive illness. Further, as the project aims to explore the core, but often over-looked, feature of AN - poor motivation for recovery - it will also be in a position to shed light on the deep psychological processes that maintain this illness.Read moreRead less
An Investigation Of The Aetiology Of Eating Disorders: Interactions Between Genes And Environmental Risk Factors.
Funder
National Health and Medical Research Council
Funding Amount
$225,000.00
Summary
Eating disorders, along with substance abuse, carry the highest risk of premature death, from both natural and unnatural causes, out of 27 mental disorder categories. Eating disorders, including anorexia nervosa, bulimia nervosa, and binge-eating disorder, affect about 6% of Australian women. Despite increased levels of research into the aetiology of eating disorders over the last 20 years, little knowledge exists as to which risk factors cause women to attempt weight loss to the point of increa ....Eating disorders, along with substance abuse, carry the highest risk of premature death, from both natural and unnatural causes, out of 27 mental disorder categories. Eating disorders, including anorexia nervosa, bulimia nervosa, and binge-eating disorder, affect about 6% of Australian women. Despite increased levels of research into the aetiology of eating disorders over the last 20 years, little knowledge exists as to which risk factors cause women to attempt weight loss to the point of increasing their risk of premature mortality. A review of twin studies in eating disorders concludes that there is increasing evidence to suggest that genetic factors play a role in the development of eating disorders. In addition, a recent series of studies, examining risk factors before the age of eating disorder onset, have found the following events to specifically predict the development of an eating disorder as opposed to another psychiatric condition: negative self-evaluation, parental alcoholism, low parental contact and high parental expectations, critical comments about weight, shape or eating during childhood, and childhood obesity. To date, no studies have attempted to integrate the findings from twin studies with the findings from early risk factor studies. Specifically, the ways in which genes interact with the environment to increase the chances of genetic vulnerability to an eating disorder being expressed have not been examined. The proposed project seeks to investigate precisely these interactions between genes and the environment, by examining a large number of female twins, aged 29-37. An enhanced understanding of how genes interact with the environment to either increase the chances that a woman will develop an eating disorder, or alternatively to protect a woman from developing an eating disorder, will benefit our understanding of how to target prevention and treatment strategies.Read moreRead less
Do PACAP-containing Neurons In The Hypothalamus Regulate Reproductive Hormone Secretion?
Funder
National Health and Medical Research Council
Funding Amount
$182,559.00
Summary
This project investigates the role of a brain chemical called PACAP which is found in a part of the brain called the hypothalamus which regulates the reproductive system. The hypothalamus does this by controlling the secretion of several pituitary gland hormones, LH and prolactin, which in turn stimulate normal function of the ovaries or testes. Abnormal secretion of these hormones is seen in conditions such as anorexia nervosa, bulimia, stress, critical illness, aging and many others with the r ....This project investigates the role of a brain chemical called PACAP which is found in a part of the brain called the hypothalamus which regulates the reproductive system. The hypothalamus does this by controlling the secretion of several pituitary gland hormones, LH and prolactin, which in turn stimulate normal function of the ovaries or testes. Abnormal secretion of these hormones is seen in conditions such as anorexia nervosa, bulimia, stress, critical illness, aging and many others with the result that patients have low levels of steroids in their blood and inactive gonads, changes which in themselves lead to other health problems. Because these hormones are essential for normal reproduction, it is possible that PACAP may play an important role in regulating this process, both under normal conditions and in disease. It is hoped that this research will lead to a more detailed understanding of how the endocrine system is controlled in humans and to new methods for the manipulation of the reproductive axis, under normal and disease conditions.Read moreRead less