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Exposure therapy in eating disorders revisited
Abstract
Exposure therapy is a widely used and effective form of treatment in anxiety disorders and addictions but evidence for its usefulness in eating disorders (ED) is inconsistent. This paper systematically reviews the literature on the use of exposure therapy in ED, the theory underpinning its use, and the deficits in current knowledge. Databases were searched to 2012. In addition, potential improvements in the use of exposure techniques in ED are considered by drawing upon theory and research involving neuropharmacology, basic and clinical neuroscience, contemporary behavioural and neurobiological research, and technologies such as virtual reality (VR).
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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 [36]
In the citing paper
“Based on advances in research revealing the diversity of fears that play a role in eating disorders such as anorexia nervosa, it has been suggested that exposure treatments should target a broad set of fears and also other emotions, like disgust [36, 53].”
From Anxiety matters: a pilot lab study into food, weight, and virtual body exposure in anorexia nervosa (2024) · cites this paper as [36]
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Nahrungsvermeidung versus Nahrungsaversion bei restriktiven Essstörungen
García‐Burgos, D., Wilhelm, P., Vögele, C., & Munsch, S. (2018) · Zeitschrift für Psychiatrie Psychologie und Psychotherapie · doi:10.1024/1661-4747/a000369 · Cited by 5
Eating disorder symptoms and corresponding evidence-based treatments: a narrative review
Ortiz, A. M. L., Peters, A. S., Webber, K. T., Butler, R. M., Fitterman-Harris, H. F., & Levinson, C. (2026) · Journal of Eating Disorders · doi:10.1186/s40337-025-01485-7 · Cited by 5
Williams‐Kerver, G. A., & Müller, A. (2023) · Springer eBooks · doi:10.1007/978-3-030-97416-9_79-1 · Cited by 4
Anxiety matters: a pilot lab study into food, weight, and virtual body exposure in anorexia nervosa
Melles, H., & Jansen, A. (2024) · Journal of Eating Disorders · doi:10.1186/s40337-024-01094-w · Cited by 5
Intervention research in anorexia nervosa – a plea for single case experimental designs
Melles, H., Lemmens, L. H. J. M., & Jansen, A. T. M. (2025) · Eating Disorders · doi:10.1080/10640266.2025.2471218 · Cited by 3
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Behrens, S. C., Becker, S., Junne, F., Ziser, K., Zipfel, S., & Giel, K. E. (2019) · PSYCH up2date · doi:10.1055/a-0858-1439 · Cited by 3
Metadata
- Authors
- Koskina, A., Campbell, I. C., & Schmidt, U.
- Affiliations
- King's College London (GB)
- Corresponding author
- Koskina, Antonia
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2013-02
- Volume
- 37
- Issue
- 2
- Pages
- 193-208
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W2057992219
- Cited by
- 127
- References
- 204
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 6 · 2023: 9 · 2022: 8 · 2021: 11 · 2020: 17 · 2019: 12 · 2018: 11 · 2017: 10 · 2016: 7 · 2015: 12 · 2014: 6 · 2013: 10
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- National Institute for Health and Care Research (RP-PG-0606-1043)
- National Institutes of Health
- Programme Grants for Applied Research
- 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
- exposure therapy, eating disorders, anxiety disorders, treatment efficacy, neuropharmacology, neurobiology of eating disorders, virtual reality, behavior therapy
- MeSH terms
- Feeding and Eating Disorders, Body Image, Humans, Implosive Therapy, Randomized Controlled Trials as Topic, Virtual Reality Exposure Therapy
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