Applying the disgust conditioning model of food avoidance: A case study of acceptance-based interoceptive exposure
Open accessAbstract
Objective: The current case report details the treatment of a 16‐year‐old adolescent with anorexia nervosa utilizing a novel adjunct, acceptance‐based interoceptive exposure, prior to family‐based treatment (FBT) for eating disorders. Method: The exposure‐based module focused particularly on the tolerance of disgust. For six sessions, the clinician taught the client skills that could be used to tolerate distress to visceral sensations associated with disgust. These skills were to be used during in‐ and between‐session exposures. Each session included exposure to physical sensations that occurred while drinking a milkshake. Results: Across six sessions, the client reported improvement in symptoms in addition to gaining weight. Additionally, she consumed more calories of a test meal following the intervention. Within broader FBT, the client reached an established weight goal, was able to return to physical activity, and reported an increased ability to manage distress. Discussion: Given the client's improvement on the Eating Disorders Examination‐Questionnaire (EDE‐Q) within six sessions, we believe IE may be a useful adjunct to FBT. Interoceptive exposure may augment the efficacy of FBT for anorexia nervosa as it provides clients with skills to utilize during the refeeding phase of treatment.
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In a case study of an adolescent with eating disorder, a six-sessions-exposure interoceptive program called acceptance-based interoceptive exposure (ABIE) improved tolerance of disgust and built counterconditioning to interoceptive cues via explicit pairing of positive experiences with feeding.
“Similarly, in a case study of an adolescent with eating disorder, a six-sessions-exposure interoceptive program called acceptance-based interoceptive exposure (ABIE), was revealed to improve tolerance of disgust and to build counterconditioning to the interoceptive cues via explicit pairing of positive experiences (e.g., listening to favorite music) with feeding [109].”
From Interoceptive Ability and Emotion Regulation in Mind–Body Interventions: An Integrative Review (2024) · cites this paper as [109]
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Experimental — accuracy not yet measuredThe adolescent reported a higher weight gain and reliable improvement in symptoms.
“As a result, the adolescent reported a higher weight gain and reliable improvement in symptoms.”
From Interoceptive Ability and Emotion Regulation in Mind–Body Interventions: An Integrative Review (2024) · cites this paper as [109]
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- Authors
- Plasencia, M., Sysko, R., Fink, K., & Hildebrandt, T.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- Icahn School of Medicine at Mount Sinai (US)
- Corresponding author
- Hildebrandt, Tom
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2019-02-22
- Volume
- 52
- Issue
- 4
- Pages
- 473-477
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- PMC
- PMC8675547
- OpenAlex
- W2917486928
- Cited by
- 30
- References
- 25
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 5 · 2023: 5 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 1
- FWCI
- 3.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01 MH109639)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- anorexia nervosa, interoceptive exposure, food avoidance, family-based treatment, refeeding, adolescent eating disorders, visceral sensation, distress tolerance
- MeSH terms
- Disgust, Adolescent, Anorexia Nervosa, Female, Humans, Meals
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