Severe and Enduring Eating Disorder Patients at Stockholms Center for Eating Disorders in Sweden

NCT02897622 | Unknown

• 1 other identifier: Eira
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Patients with severe and enduring eating disorders (SEED) are seriously ill and have a low quality of life. In 2014, a special unit based on case management (CM), for patients with SEED (the Eira unit) was started at Stockholm Centre for Eating Disorders, Sweden. Eating disorder is a serious illness that creates a great deal of suffering. Most patients who undergo specialized eating disorder treatment will be healthy, but a small percentage of the patients develop a SEED. SEED patient have gone through numerous of treatments and has been to several specialists units for years as well as they has completed many different therapies without getting fee from the eating disorder (ED). Due to the long term sick in ED the SEED patient is often alone and has difficulties to cope with everyday life situations. SEED patients are a vulnerable patient population with a great suffering and poverty to release the identity of the ED. However, no previous study is done in which patients with SEED themselves describe their own theory about why they are still ill and how specialized eating disorder care has affected them. In the ED field, there is a growing consensus that treatment of patients with SEED needs to be multi-professional, with a focus on improving the patients' social situation, minimizing medical complications, and enhancing quality of life and independence, rather than focusing one-sided on symptom reduction. Is case management a way to help the SEED patients witness a better quality of life? Besides the personal suffering of patients and their families, SEED is also associated with high costs for health care and for society in general.

Conditions

Eating Disorders

Keywords

Eating disorders; severe and enduring; quality of life; case management

Outcome Measures

Primary Outcomes (1)

• Patients experience of specialized eating disorder care

  By semi structured interviews

  up to 5 years

Secondary Outcomes (2)

• Quality of life

  up to 5 years

• Cost-effectiveness

  up to 5 years

Study Arms (1)

Case management

OTHER

Case management

Other: Case management

Interventions

Case management OTHER

Case management by Eira unit

Case management

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Primary diagnosis: eating disorder according to DSM IV (Diagnostic and statistical manual of mental disorders fourth edition) Criteria based on diagnostic interview
• Illness duration of ED \>10
• Participated in at least three failed specialized eating disorder treatments
• Written informed consent
• Having the mental capacity to make provide informed consent to research participation
• Somatically stable

You may not qualify if:

• Somatically unstable

Sponsors & Collaborators

• Karolinska Institutet: lead

Study Sites (1)

Maja Molin

Stockholm, Sweden

RECRUITING

Related Publications (1)

• Molin M, von Hausswolff-Juhlin Y, Norring C, Hagberg L, Gustafsson SA. Case management at an outpatient unit for severe and enduring eating disorder patients at Stockholm Centre for Eating Disorders- a study protocol. J Eat Disord. 2016 Oct 26;4:24. doi: 10.1186/s40337-016-0121-3. eCollection 2016.

  PMID: 27800159 DERIVED

MeSH Terms

Conditions

Feeding and Eating Disorders

Interventions

Case Management

Condition Hierarchy (Ancestors)

Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Intervention Hierarchy (Ancestors)

Patient Care Planning; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Yvonne von Hausswolff-Juhlin, MdPhD

  Karolinska Institutet

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Maja Molin, PhD stud

CONTACT

+467812344095; maja.molin@sll.se

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associated professor

Study Record Dates

• First Submitted: August 12, 2016
• First Posted: September 13, 2016
• Study Start: April 1, 2014
• Primary Completion: January 1, 2021
• Study Completion: January 1, 2021
• Last Updated: September 13, 2016

Record last verified: 2016-09

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)