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Rationale for the application of exposure and response prevention to the treatment of anorexia nervosa
Open accessAbstract
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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“Its effectiveness is primarily known from the treatment of anxiety disorders, but an emerging line of research shows that it can also be relevant in the treatment of fears seen in anorexia nervosa (e.g. [16, 25, 35–43].”
From Anxiety matters: a pilot lab study into food, weight, and virtual body exposure in anorexia nervosa (2024) · cites this paper as [35]
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Self-citation
Metadata
- 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
- 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
- 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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