Virtual food exposure with positive mood induction or social support to reduce food anxiety in anorexia nervosa: A feasibility study.
anxiety
avatar
eating disorders
exposure
learning
mood
social
support
virtual
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:
Mar 2024
Mar 2024
Historique:
revised:
20
01
2024
received:
17
10
2023
accepted:
20
01
2024
medline:
18
3
2024
pubmed:
17
2
2024
entrez:
17
2
2024
Statut:
ppublish
Résumé
Aversive emotions toward food and the consequences of eating are at the core of anorexia nervosa. Exposure therapy is effective to reduce anxiety and avoidance toward feared stimuli. Based on the inhibitory learning framework, this study examined the feasibility to induce social support or positive mood to enhance the impact of a single session virtual food exposure on food-related anxiety in anorexia nervosa. One hundred and forty-five patients were randomized to: (1) virtual food exposure (i.e., baseline condition), (2) virtual food exposure plus positive mood induction (i.e., positive mood condition), or (3) virtual food exposure plus social support (i.e., social support condition). They completed self-report assessments of anxiety toward virtual foods, general anxiety, positive mood, social support, and hunger, before and after virtual food exposure. Number of eye gazes and touches toward foods were recorded during the virtual reality exposure. Patients had lower levels of anxiety toward virtual foods in the positive mood condition, compared to the baseline condition [F Virtual food exposure enhanced by positive mood induction seems a feasible approach to strengthen the impact of food exposure in anorexia nervosa. This research contributes to the understanding of how patients with anorexia nervosa can be supported to overcome fear and anxiety around food. Virtual reality enables patients to expose themselves to difficult situations (e.g., kitchen with foods of various calorie contents) while experiencing positive stimuli, such as a loving and kind pet or a supportive avatar.
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
703-715Subventions
Organisme : Medical Research Council
ID : MR/V003283/1
Pays : United Kingdom
Informations de copyright
© 2024 The Authors. International Journal of Eating Disorders published by Wiley Periodicals LLC.
Références
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596
Bottesi, G., Ghisi, M., Altoè, G., Conforti, E., Melli, G., & Sica, C. (2015). The Italian version of the Depression Anxiety Stress Scales-21: Factor structure and psychometric properties on community and clinical samples. Comprehensive Psychiatry, 60, 170-181. https://doi.org/10.1016/j.comppsych.2015.04.005
Butler, R. M., Williams, B., & Levinson, C. A. (2023). An examination of eating disorder fears in imaginal exposure scripts. Journal of Affective Disorders, 326, 163-167. https://doi.org/10.1016/j.jad.2023.01.121
Calugi, S., Milanese, C., Sartirana, M., El Ghoch, M., Sartori, F., Geccherle, E., Coppini, A., Franchini, C., & Dalle Grave, R. (2017). The Eating Disorder Examination Questionnaire: Reliability and validity of the Italian version. Eating and Weight Disorders, 22, 509-514. https://doi.org/10.1007/s40519-016-0276-6
Cardi, V., Esposito, M., Clarke, A., Schifano, S., & Treasure, J. (2015). The impact of induced positive mood on symptomatic behaviour in eating disorders. An experimental, AB/BA crossover design testing a multimodal presentation during a test-meal. Appetite, 87, 192-198. https://doi.org/10.1016/j.appet.2014.12.224
Cardi, V., Kan, C., Roncero, M., Harrison, A., Lounes, N., Tchanturia, K., Meyer, C., & Treasure, J. (2012). Mealtime support in anorexia nervosa: A within-subject comparison study of a novel vodcast intervention. Psychotherapy and Psychosomatics, 81(1), 54-55. https://doi.org/10.1159/000329992
Cardi, V., Krug, I., Perpiñá, C., Mataix-Cols, D., Roncero, M., & Treasure, J. (2012). The use of a nonimmersive virtual reality programme in anorexia nervosa: A single case-report. European Eating Disorders Review, 20(3), 240-245. https://doi.org/10.1002/erv.1155
Cardi, V., Leppanen, J., Mataix-Cols, D., Campbell, I. C., & Treasure, J. (2019). A case series to investigate food-related fear learning and extinction using in vivo food exposure in anorexia nervosa: A clinical application of the inhibitory learning framework. European Eating Disorders Review, 27(2), 173-181. https://doi.org/10.1002/erv.2639
Cardi, V., Lounes, N., Kan, C., & Treasure, J. (2013). Meal support using mobile technology in anorexia nervosa. Contextual differences between inpatient and outpatient settings. Appetite, 60, 33-39. https://doi.org/10.1016/j.appet.2012.10.004
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159. doi:10.1037/0033-2909.112.1.155
Craske, M. G., Hermans, D., & Vervliet, B. (2018). State-of-the-art and future directions for extinction as a translational model for fear and anxiety. Philosophical Transactions of the Royal Society, B: Biological Sciences, 373(1742), 20170025. https://doi.org/10.1098/rstb.2017.0025
Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10-23. https://doi.org/10.1016/j.brat.2014.04.006
Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16(4), 363-370. https://doi.org/10.1002/1098-108X(199412)16:4%3C363::AID-EAT2260160405%3E3.0.CO;2-%23
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
Ferreira, F. F., Rodrigues, F. S., Schmidt, S. D., Cavalcante, L. E., Zinn, C. G., Farias, C. P., … Izquierdo, I. (2019). Social support favors extinction and impairs acquisition of both short- and long-term contextual fear conditioning memory. Neuroscience Letters, 712, e134505. https://doi.org/10.1016/j.neulet.2019.134505
Gorini, A., Griez, E., Petrova, A., & Riva, G. (2010). Assessment of the emotional responses produced by exposure to real food, virtual food and photographs of food in patients affected by eating disorders. Annals of General Psychiatry, 9(1), 1-10. https://doi.org/10.1186/1744-859X-9-30
Kassambara, A. (2023). rstatix: Pipe-friendly framework for basic statistical tests. R package version 0.7.2. https://CRAN.R-project.org/package=rstatix
Levinson, C. A., & Byrne, M. (2015). The fear of food measure: A novel measure for use in exposure therapy for eating disorders. International Journal of Eating Disorders, 48(3), 271-283. https://doi.org/10.1002/eat.22344
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343. https://doi.org/10.1016/0005-7967(94)00075-U
Melles, H., & Jansen, A. (2023). Transdiagnostic fears and avoidance behaviors in self-reported eating disorders. Journal of Eating Disorders, 11(1), 1-10. https://doi.org/10.1186/s40337-023-00745-8
Mond, J. M., Myers, T. C., Crosby, R. D., Hay, P. J., Rodgers, B., Morgan, J. F., Lacey, J. H., & Mitchell, J. E. (2008). Screening for eating disorders in primary care: EDE-Q versus SCOFF. Behaviour Research and Therapy, 46(5), 612-622. https://doi.org/10.1016/j.brat.2008.02.003
Moyle, W., Cooke, M., Beattie, E., Jones, C., Klein, B., Cook, G., & Gray, C. (2013). Exploring the effect of companion robots on emotional expression in older adults with dementia: A pilot randomized controlled trial. Journal of Gerontological Nursing, 39, 46-53. https://doi.org/10.3928/00989134-20130313-03
Murray, S. B., Strober, M., Craske, M. G., Griffiths, S., Levinson, C. A., & Strigo, I. A. (2019). Fear as a translational mechanism in the psychopathology of anorexia nervosa. Neuroscience & Biobehavioral Reviews, 95, 383-395. https://doi.org/10.1016/j.neubiorev.2018.10.013
Murray, S. B., Treanor, M., Liao, B., Loeb, K. L., Griffiths, S., & Le Grange, D. (2016). Extinction theory & anorexia nervosa: Deepening therapeutic mechanisms. Behaviour Research and Therapy, 87, 1-10. https://doi.org/10.1016/j.brat.2016.08.017
R Core Team. (2021). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. URL https://www.R-project.org/.
R Core Team. (2023). R: A language and environment for statistical computing. R Foundation for Statistical Computing https://www.R-project.org/
Reilly, E. E., Lavender, J. M., Berner, L. A., Brown, T. A., Wierenga, C. E., & Kaye, W. H. (2019). Could repetitive negative thinking interfere with corrective learning? The example of anorexia nervosa. International Journal of Eating Disorders, 52(1), 36-41. https://doi.org/10.1002/eat.22997
Riva, G., Malighetti, C., & Serino, S. (2021). Virtual reality in the treatment of eating disorders. Clinical Psychology & Psychotherapy, 28(3), 477-488. https://doi.org/10.1002/cpp.2622
Schebendach, J. E., Mayer, L. E. S., Devlin, M. J., Attia, E., Contento, I. R., Wolf, R. L., & Walsh, B. T. (2008). Dietary energy density and diet variety as predictors of outcome in anorexia nervosa. The American Journal of Clinical Nutrition, 87(4), 810-816. https://doi.org/10.1093/ajcn/87.4.810
Steinglass, J. E., Albano, A. M., Simpson, H. B., Wang, Y., Zou, J., Attia, E., & Walsh, B. T. (2014). Confronting fear using exposure and response prevention for anorexia nervosa: A randomized controlled pilot study. International Journal of Eating Disorders, 47(2), 174-180. https://doi.org/10.1002/eat.22214
Steinglass, J. E., Sysko, R., Mayer, L., Berner, L. A., Schebendach, J., Wang, Y., Chen, H., Albano, A. M., Simpson, H. B., & Walsh, B. T. (2010). Pre-meal anxiety and food intake in anorexia nervosa. Appetite, 55(2), 214-218. https://doi.org/10.1016/j.appet.2010.05.090
Treasure, J., Cardi, V., & Kan, C. (2012). Eating in eating disorders. European Eating Disorders Review, 20(1), e42-e49. https://doi.org/10.1002/erv.1090
Valmaggia, L. (2017). The use of virtual reality in psychosis research and treatment. World Psychiatry, 16(3), 246-247. 10.1002%2Fwps.20443
Virtues-Ortega, J., & Buela-Casal, G. (2006). Psychophysiological effects of human-animal interaction: Theoretical issues and long-term interaction effects. Journal of Nervous and Mental Disease, 194, 52-57.
Wan, F. (2021). Statistical analysis of two arm randomized pre-post designs with one post-treatment measurement. BMC Medical Research Methodology, 21, 150. https://doi.org/10.1186/s12874-021-01323-9
Wiebe, A., Kannen, K., Selaskowski, B., Mehren, A., Thöne, A. K., Pramme, L., Blumenthal, N., Li, M., Asché, L., Jonas, S., Bey, K., Schulze, M., Steffens, M., Pensel, M. C., Guth, M., Rohlfsen, F., Ekhlas, M., Lügering, H., Fileccia, H., … Braun, N. (2022). Virtual reality in the diagnostic and therapy for mental disorders: A systematic review. Clinical Psychology Review, 98, 102213. https://doi.org/10.1016/j.cpr.2022.102213
Zbozinek, T. D., Holmes, E. A., & Craske, M. G. (2015). The effect of positive mood induction on reducing reinstatement fear: Relevance for long term outcomes of exposure therapy. Behaviour Research and Therapy, 71, 65-75. https://doi.org/10.1016/j.brat.2015.05.016