Applying the disgust conditioning model of food avoidance: A case study of acceptance-based interoceptive exposure.
acceptance-based behavior therapy
adolescent
food avoidance
interoceptive exposure
low-weight-eating disorder
restrictive eating disorder
Journal
The International journal of eating disorders
ISSN: 1098-108X
Titre abrégé: Int J Eat Disord
Pays: United States
ID NLM: 8111226
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
01
08
2018
revised:
28
01
2019
accepted:
29
01
2019
pubmed:
23
2
2019
medline:
8
10
2019
entrez:
23
2
2019
Statut:
ppublish
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 30793778
doi: 10.1002/eat.23045
pmc: PMC8675547
mid: NIHMS1763394
doi:
Types de publication
Case Reports
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
473-477Subventions
Organisme : NIMH NIH HHS
ID : R01 MH109639
Pays : United States
Informations de copyright
© 2019 Wiley Periodicals, Inc.
Références
Curr Psychiatry Rep. 2017 Aug;19(8):54
pubmed: 28714048
J Consult Clin Psychol. 1991 Feb;59(1):12-9
pubmed: 2002127
Child Adolesc Psychiatr Clin N Am. 2015 Jul;24(3):617-29
pubmed: 26092743
Behav Res Ther. 2018 Sep;108:78-84
pubmed: 30064009
Br J Clin Psychol. 1997 Feb;36(1):85-99
pubmed: 9051281
JAMA Psychiatry. 2014 Nov;71(11):1279-86
pubmed: 25250660
J Anxiety Disord. 2007;21(6):820-34
pubmed: 17158024
J Pers Assess. 2004 Feb;82(1):50-9
pubmed: 14979834
Behav Res Ther. 2014 Jul;58:10-23
pubmed: 24864005
Int J Eat Disord. 1999 Dec;26(4):359-85
pubmed: 10550777
Behav Res Ther. 2015 Aug;71:131-8
pubmed: 26131915
Behav Res Ther. 2011 Jun;49(6-7):413-21
pubmed: 21565328
Am J Psychiatry. 2013 May;170(5):477-84
pubmed: 23429750
Int J Eat Disord. 1994 Dec;16(4):363-70
pubmed: 7866415
Arch Psychiatr Nurs. 2017 Dec;31(6):578-581
pubmed: 29179824
Psychol Assess. 2007 Sep;19(3):281-97
pubmed: 17845120
Physiol Behav. 2008 Apr 22;94(1):121-35
pubmed: 18164737
Behav Res Ther. 2018 Dec;111:36-43
pubmed: 30292918
Behav Res Ther. 1968 Nov;6(4):411-21
pubmed: 5714984
Eur Eat Disord Rev. 2012 Jan;20(1):e1-16
pubmed: 22223393