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Steinglass, Joanna E.; Albano, Anne Marie; Simpson, H. Blair; Wang, Yuanjia; Zou, Jingjing; Attia, Evelyn; Walsh, B. Timothy
The International journal of eating disorders, March 2014, Letnik: 47, Številka: 2Journal Article
ABSTRACT Objective Anorexia nervosa (AN) is a severe illness with high rates of relapse. Exposure and Response Prevention for AN (AN‐EXRP) is a new approach that specifically addresses maladaptive eating behavior by targeting eating‐related fear and anxiety. The aim of this study was to evaluate AN‐EXRP as an adjunctive strategy to improve eating behavior during weight restoration, at a pivotal moment when treatment goals shift toward relapse prevention. Method A randomized controlled trial was conducted to compare AN‐EXRP with a comparison condition, Cognitive Remediation Therapy (CRT). Hospitalized patients with AN (n = 32) who had achieved weight restoration to a BMI > 18.5 kg/m2 received 12 sessions of either AN‐EXRP or CRT. Outcome was assessed by change in caloric intake in an objective assessment of eating behavior. Results The average test meal caloric intake of participants who received AN‐EXRP increased from 352 ± 263 kcal at baseline to 401 ± 215 kcal post‐treatment, while that of participants who received CRT decreased from 501 ± 232 kcal at baseline to 424 ± 221 kcal post‐treatment t(28) = 2.5, p = .02. Improvement in intake was significantly associated with improvement in eating‐related anxiety (Spearman's ρ = 0.40, p = .03). Discussion These data demonstrate that AN‐EXRP, compared to a credible comparison intervention, is associated with better caloric intake in a laboratory meal over time in AN. Additional studies are required to determine whether incorporation of these techniques into a longer treatment program leads to enduring and clinically significant change. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:174–180)
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Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Vir: Osebne bibliografije
in: SICRIS
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