Rationale for the application of exposure and response prevention to the treatment of anorexia nervosa

Joanna E. Steinglass; Robyn Sysko; Deborah Glasofer; Anne Marie Albano; H. Blair Simpson; B. Timothy Walsh

doi:10.1002/eat.20784

journal article Feb 11, 2011

Rationale for the application of exposure and response prevention to the treatment of anorexia nervosa

Joanna E. Steinglass Robyn Sysko Deborah Glasofer Anne Marie Albano H. Blair Simpson B. Timothy Walsh

International Journal of Eating Disorders Vol. 44 No. 2 pp. 134-141 · Wiley

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Abstract

AbstractObjective:Anorexia nervosa (AN) is a life threatening and difficult to treat illness with a high relapse rate. Current treatments are inadequate and new approaches to treatment are needed.Method:We review the data on anxiety in AN, the relationship between anxiety disorders and AN, and the use of Exposure and Response Prevention in treatment.Results:The overlap between AN and anxiety disorders suggest a model of AN in which baseline anxiety features yield eating related fears, avoidance behaviors, and ritualized safety behaviors that promote the underweight state and the perpetuation of the disorder. We propose an Exposure and Response Prevention treatment to prevent relapse in AN.Discussion:Overlap between AN and anxiety disorders suggests that Exposure and Response Prevention may be a new and beneficial approach to preventing relapse in individuals with AN. © 2010 by Wiley Periodicals, Inc.

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References

59

[1]

10.1176/appi.ajp.159.8.1284

[2]

10.1192/bjp.161.1.104

[3]

10.1111/j.1600-0447.1996.tb09890.x

[4]

10.1017/s0033291700009879

[5]

10.1016/0005-7967(89)90087-9

[6]

10.1017/s0033291700028166

[7]

10.1016/s0272-7358(98)00014-2

[8]

10.1001/jama.295.22.2605

[9]

American Psychiatric Association "Treatment of patients with eating disorders, 3rd edition" Am J Psychiatry (2006)

[10]

Steinglass JE (2004)

[11]

10.1002/eat.20029

[12]

10.1002/eat.20244

[13]

10.1002/erv.869

[14]

10.1176/ajp.155.4.548

[15]

10.1002/1098-108x(199511)18:3<237::aid-eat2260180305>3.0.co;2-1

[16]

10.1192/bjp.154.6.807

[17]

10.1002/(sici)1098-108x(1997)21:4<367::aid-eat10>3.0.co;2-w

[18]

Spielberger CD (1970)

[19]

10.1176/appi.ajp.2007.07040575

[20]

10.1007/s00213-007-0896-7

[21]

10.1002/eat.20624

[22]

10.1176/appi.books.9780890423349

[23]

10.1002/eat.20508

[24]

10.1111/j.1600-0447.1997.tb09913.x

[25]

10.1176/appi.ajp.161.12.2215

[26]

10.1001/archpsyc.1991.01810320036006

[27]

10.1111/j.1469-7610.2005.01427.x

[28]

10.1002/eat.20429

[29]

Barlow DH (2005)

[30]

10.1038/sj.ejcn.1601181

[31]

10.1093/ajcn/84.4.698

[32]

10.1002/1098-108x(200011)28:3<284::aid-eat5>3.0.co;2-g

[33]

10.1093/ajcn/82.2.296

[34]

10.1192/bjp.163.2.195

[35]

Sunday SR "Relationship of perceived macronutrient and caloric content to affective cognitions about food in eating‐disordered,restrained, and unrestrained subjects" Am J Clin Nutr (1992) 10.1093/ajcn/55.2.362

[36]

Fairburn CG (2008)

[37]

10.1192/bjp.122.1.83

[38]

10.1006/appe.1997.0131

[39]

10.1016/0022-3999(80)90027-6

[40]

10.1176/appi.ajp.157.11.1799

[41]

10.1176/ajp.152.11.1630

[42]

10.1093/ajcn/87.4.810

[43]

Barlow DH (2002)

[44]

10.1177/01454455870114003

[45]

10.1037/0003-066x.62.3.199

[46]

10.1037/0003-066x.62.3.159

[47]

10.1176/appi.ajp.160.11.2046

[48]

10.1176/appi.ajp.162.4.741

[49]

10.1073/pnas.142284799

[50]

10.2466/pr0.1987.60.2.511

Showing 50 of 59 references

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Citations

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References

Details

Published: Feb 11, 2011
Vol/Issue: 44(2)
Pages: 134-141
License: View

Authors

Department of Child and Adolescent Psychiatry, Columbia University

Cite This Article

Joanna E. Steinglass, Robyn Sysko, Deborah Glasofer, et al. (2011). Rationale for the application of exposure and response prevention to the treatment of anorexia nervosa. International Journal of Eating Disorders, 44(2), 134-141. https://doi.org/10.1002/eat.20784

Rationale for the application of exposure and response prevention to the treatment of anorexia nervosa

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