Incorporating Narrative Into the Treatment of Youth With Anorexia Nervosa (Virtual)

Purpose

The goal of this clinical trial is to evaluate whether a narrative medicine (NM) curriculum can enhance self-expression, reflection, and resilience in adolescents and young adults with anorexia nervosa. The main questions it aims to answer are: - Does participation in an NM curriculum improve self-expression and reflection in individuals with anorexia nervosa? - Does engaging in creative writing and group discussion promote resilience and emotional processing in this population? Participants will be 16-25 years old, medically stable for outpatient eating disorder therapy, and actively engaged in treatment. Those with active suicidal ideation, recent non-suicidal self-injury, or a co-occurring personality disorder will not be eligible. Participants will: - Attend six weekly workshops focused on themes such as self-definition, kindness, resilience, and possibility - Engage in close reading of visual or written texts - Complete creative writing exercises in response to prompts - Participate in group discussions and sharing An optional capstone reading event will provide a supportive space for participants to share their work with peers, loved ones, and providers, fostering connection and community. This study aims to explore the role of narrative medicine in eating disorder treatment and assess its potential benefits for psychological well-being and self-expression.

Condition

  • Anorexia Nervosa

Eligibility

Eligible Ages
Between 16 Years and 25 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • 16-25 years old - have a DSM-5 diagnosis of AN (confirmed by the UCSF Eating Disorders Program clinical team), - currently engaged in outpatient eating disorder treatment, ensuring medical stability and capacity for a group-based intervention - English fluency to engage in reflective writing and discussions - Cognitive ability to meaningfully participate in narrative-based exercises

Exclusion Criteria

  • Currently medically unstable or require inpatient hospitalization - History of psychosis, schizophrenia spectrum disorder, bipolar disorder, or personality disorder - Severe neurocognitive impairment that would prevent engagement with the intervention - Active suicidal ideation or non-suicidal self-injury within the past two months - Insufficient English proficiency to participate in group discussions and writing exercises

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Supportive Care
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Narrative Medicine (NM) Workshop Series
Participants in this study will take part in a six-week Narrative Medicine (NM) curriculum designed to enhance self-expression, reflection, and resilience in individuals with anorexia nervosa. Workshops will be conducted weekly on Zoom and will include: - Close reading of visual or written texts related to themes such as self-definition, resilience, kindness, and possibility - Creative writing exercises in response to structured prompts - Group discussions and sharing to foster community, connection, and self-expression
  • Behavioral: Narrative Medicine (NM) Workshop Series
    The Narrative Medicine (NM) Workshop Series is a structured six-week behavioral intervention designed to enhance self-expression, reflection, and resilience in adolescents and young adults recovering from eating disorders. This intervention differs from traditional psychotherapeutic or psychoeducational approaches by integrating literary analysis, creative writing, and guided discussion as therapeutic tools. Each one-hour weekly workshop includes: - Close reading of visual or written texts related to themes such as self-definition, resilience, kindness, and possibility - Creative writing exercises in response to structured prompts that encourage self-reflection and personal storytelling - Facilitated group discussions to foster connection, self-expression, and emotional processing in a supportive environment

Recruiting Locations

UCSF Nancy Friend Pritzker Psychiatry Building
San Francisco, California 94158
Contact:
Sara Buckelew, MD, MPH
415-502-1649
sara.buckelew@ucsf.edu

More Details

Status
Recruiting
Sponsor
University of California, San Francisco

Study Contact

Anoushka A Sinha, MD, MS
628-286-6116
anoushka.sinha@ucsf.edu