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Cited by 145Eating Disorders and BehaviorsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesNutrition, Health and Food Behavior

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

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Steinglass, Joanna E., Sysko, Robyn, Glasofer, Deborah, Albano, Anne Marie, Simpson, H. Blair, Walsh, B. Timothy·2011·International Journal of Eating Disorders
DOI 10.1002/eat.20784PMC PMC3638259
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Abstract

Objective: 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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  1. [16]Spielberger CD Gorsuch RL Lushene RE Manual for the state-trait inventory Palo Alto, CA Consulting Psychologists Press 1970
  2. [20]Association AP Diagnostic and Statistical Manual of Mental Disorders 4 Text Revision Washington, D.C American Psychiatric Association Press 2000
  3. [44]Kozak MJ Foa EB Mastery of Obsessive-Compulsive Disorder New York Oxford University Press 1997
  4. [50]Channon S de Silva P Hemsley D Perkins R A controlled trial of cognitive-behavioural and behavioural treatment of anorexia nervosa Behav Res Ther 1989 27 5 529 35 2684134

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Authors
Steinglass, J. E., Sysko, R., Glasofer, D., Albano, A. M., Simpson, H. B., & Walsh, B. T.
Affiliations
New York State Psychiatric Institute (US)
Corresponding author
Steinglass, Joanna E.
ORCID
Venue
International Journal of Eating Disorders
Publisher
Wiley
Published
2011-02-11
Volume
44
Issue
2
Pages
134-141
ISSN
  • 0276-3478 (ISSN-L)
  • 1098-108X
DOI
10.1002/eat.20784
PMC
PMC3638259
OpenAlex
W2054301020
Cited by
145
References
58
Citations by year
2026: 6 · 2025: 5 · 2024: 9 · 2023: 12 · 2022: 7 · 2021: 13 · 2020: 14 · 2019: 10 · 2018: 11 · 2017: 5 · 2016: 9 · 2015: 8 · 2014: 8 · 2013: 16 · 2012: 5
FWCI
1.31
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • International Journal of Eating Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health (R01 MH08273602, K24MH091555, K23MH076195, R01MH082736)
  • National Institute of Diabetes and Digestive and Kidney Diseases (K23DK088532)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
anorexia nervosa, exposure and response prevention, anxiety disorders, relapse prevention, avoidance behavior, safety behavior, treatment rationale
MeSH terms
Anorexia Nervosa, Anxiety Disorders, Fear, Humans, Models, Psychological, Cognitive Behavioral Therapy, Treatment Outcome

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