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Int J Eat Disord. 2014 Mar;47(2):174-80. doi: 10.1002/eat.22214. Epub 2013 Nov 8.

Confronting fear using exposure and response prevention for anorexia nervosa: A randomized controlled pilot study.

Author information

1
Columbia University, 622 West 168th Street, New York, New York; New York State Psychiatric Institute, 1051 Riverside Drive, New York, New York.

Abstract

OBJECTIVE:

Anorexia nervosa (AN) is a severe illness with high rates of relapse. Exposure and Response Prevention for AN (AN-EXRP) is a new approach that specifically addresses maladaptive eating behavior by targeting eating-related fear and anxiety. The aim of this study was to evaluate AN-EXRP as an adjunctive strategy to improve eating behavior during weight restoration, at a pivotal moment when treatment goals shift toward relapse prevention.

METHOD:

A randomized controlled trial was conducted to compare AN-EXRP with a comparison condition, Cognitive Remediation Therapy (CRT). Hospitalized patients with AN (n = 32) who had achieved weight restoration to a BMI > 18.5 kg/m(2) received 12 sessions of either AN-EXRP or CRT. Outcome was assessed by change in caloric intake in an objective assessment of eating behavior.

RESULTS:

The average test meal caloric intake of participants who received AN-EXRP increased from 352 ± 263 kcal at baseline to 401 ± 215 kcal post-treatment, while that of participants who received CRT decreased from 501 ± 232 kcal at baseline to 424 ± 221 kcal post-treatment [t(28) = 2.5, p = .02]. Improvement in intake was significantly associated with improvement in eating-related anxiety (Spearman's ρ = 0.40, p = .03).

DISCUSSION:

These data demonstrate that AN-EXRP, compared to a credible comparison intervention, is associated with better caloric intake in a laboratory meal over time in AN. Additional studies are required to determine whether incorporation of these techniques into a longer treatment program leads to enduring and clinically significant change.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00627341.

KEYWORDS:

anorexia nervosa; anxiety; cognitive behavior therapy; controlled trial; eating disorders; exposure and response prevention; exposure therapy; psychotherapy; randomized trial; treatment

PMID:
24488838
PMCID:
PMC3927538
DOI:
10.1002/eat.22214
[Indexed for MEDLINE]
Free PMC Article

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