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

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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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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: Steinglass, Joanna E.
Sysko, Robyn
Glasofer, Deborah
Albano, Anne Marie
Simpson, H. Blair
Walsh, B. Timothy
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: green
europepmc.org
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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Rationale for the application of exposure and response prevention to the treatment of anorexia nervosa

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