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An Open-Label Study of Quetiapine in Anorexia Nervosa

Bosanac, Peter and Kurlender, Simone and Norman, Trevor and Hallam, Karen and Wesnes, Keith and Manktelow, Tamsin and Burrows, Graham (2007) An Open-Label Study of Quetiapine in Anorexia Nervosa. Human Psychopharmacology: Clinical and Experimental, 22 (4). pp. 223-230. ISSN 0885-6222

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Abstract

Background Atypical antipsychotics may be beneficial in treating the core psychopathology of anorexia nervosa (AN). Methods An 8 week open-label study of quetiapine was conducted in eight severely ill DSM-IVAN patients consecutively admitted to a specialist eating disorders unit. Participants were assessed by EDE-12, MADRS, YBOCS, SAPS-delusions and CDR neuropsychological battery at baseline, 4 weeks and 8 weeks, and by weekly body mass index (BMI), CGI and extrapyramidal scores. Quetiapine doses ranged from 50 mg to 800 mg per day, according to efficacy and tolerability. Results Seven participants completed 4 weeks and five participants completed 8 weeks. All participants had clinically significant levels of specific eating disorders psychopathology, and mild to moderately severe depressive symptomatology. Apart from initial mild sedation, no subjects experienced any significant adverse events. Over 4 weeks there was no significant difference in BMI, but a significant difference in the EDE-12 restraint score. There were significant differences on BMI and EDE-12 restraint subscale scores over 8 weeks. Conclusions A double-blind placebo controlled study is required to further evaluate the therapeutic utility of quetiapine in severely ill AN patients beyond multidisciplinary specialist intervention.

Item Type: Article
Uncontrolled Keywords: ResPubID16567, anorexia nervosa, quetiapine
Subjects: Faculty/School/Research Centre/Department > School of Social Sciences and Psychology
FOR Classification > 1103 Clinical Sciences
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Depositing User: VUIR
Date Deposited: 30 Aug 2011 04:26
Last Modified: 28 Jan 2015 04:09
URI: http://vuir.vu.edu.au/id/eprint/3192
DOI: 10.1002/hup.845
ePrint Statistics: View download statistics for this item
Citations in Scopus: 24 - View on Scopus

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