Disclosures: Dr. Steinglass has received support from NARSAD and the Klarman Family Foundation; Dr. Albano received royalties from Oxford University Press and The Guilford Press; Dr. Simpson has received medication at no cost from Janssen Pharmaceuticals for an NIMH funded trial; Dr. Carpenter and Dr. Schebendach have no financial disclosures to report; Dr. Attia has received medication at no cost from Eli Lilly & Co for an NIMH-funded trial.
TOPICAL SECTION: Perspectives on Treatment (CE Activity)
Fear of food as a treatment target: Exposure and response prevention for anorexia nervosa in an open series†
Version of Record online: 3 MAY 2011
Copyright © 2011 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 45, Issue 4, pages 615–621, May 2012
How to Cite
Steinglass, J., Albano, A. M., Simpson, H. B., Carpenter, K., Schebendach, J. and Attia, E. (2012), Fear of food as a treatment target: Exposure and response prevention for anorexia nervosa in an open series. Int. J. Eat. Disord., 45: 615–621. doi: 10.1002/eat.20936
- Issue online: 6 APR 2012
- Version of Record online: 3 MAY 2011
- Manuscript Accepted: 13 MAR 2011
- National Institute of Mental Health and by NARSAD and the Klarman Family Foundation. Grant Numbers: K23MH076195-02, R01MH08273602
Anorexia nervosa (AN) is a severe mental illness with high rates of relapse and rehospitalization. New treatment approaches are needed. We aimed to evaluate the potential utility of addressing eating-related fear in the treatment of AN using psychotherapy techniques known to be effective in the treatment of anxiety disorders and obsessive compulsive disorder, namely exposure therapy and response prevention.
We developed a brief treatment intervention for AN (AN-EXRP) and evaluated its effects in an open series of nine individuals with AN towards the end of acute weight restoration. We focused on eating behavior as the primary outcome, as it is related both to anxiety and to longer term course.
Change in anxiety with AN-EXRP was associated with greater caloric intake.
These findings support the anxiety-centered model of AN and suggest the potential utility of further developing this treatment approach. © 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2012)