Trial reportThe International journal of eating disorders2014
Confronting fear using exposure and response prevention for anorexia nervosa: A randomized controlled pilot study.
Trial report in The International journal of eating disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 55 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Imaginal Exposure I Online Study
In-Vivo Treatment for Imaginal Exposure Therapy
Who cites it
55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 157 citations in OpenAlex.
- Specific psychological therapies versus other therapies or no treatment for severe and enduring anorexia nervosa.The Cochrane database of systematic reviews · 2023Pooled it
- A systematic review of sociodemographic reporting and representation in eating disorder psychotherapy treatment trials in the United States.The International journal of eating disorders · 2022Pooled it
- A preliminary systematic review and meta-analysis of randomized-controlled trials of cognitive remediation therapy for anorexia nervosa.Eating behaviors · 2020Pooled it
- Virtual food exposure with positive mood induction or social support to reduce food anxiety in anorexia nervosa: A feasibility study.The International journal of eating disorders · 2024Trial
- Optimizing relapse prevention and changing habits (REACH+) in anorexia nervosa.The International journal of eating disorders · 2022Trial
- D-Cycloserine facilitation of exposure therapy improves weight regain in patients with anorexia nervosa: a pilot randomized controlled trial.The Journal of clinical psychiatry · 2015Trial
- Inside Exposure: Tracking Fear and Threat Expectancy Dynamics Within and Between Exposure Sessions for Anorexia Nervosa.The International journal of eating disorders · 2026Article
- Recovery From Anorexia Nervosa: A Concept Analysis.Journal of advanced nursing · 2026Review
- A unified theory of restrictive and addictive eating: a life course model integrating generational transmission, neurodevelopmental risk, and ultra-processed food use disorder-a theoretical review.Journal of eating disorders · 2026Review
- Eating disorder symptoms and corresponding evidence-based treatments: a narrative review.Journal of eating disorders · 2026Review
- Thermal vests help patients with anorexia nervosa to cope with mealtime anxiety.Journal of eating disorders · 2025Article
- A pilot evaluation of the efficacy and acceptability of a novel imaginal exposure prevention (I-ERP) group programme to treat core weight, shape and social fears or phobias in adolescents with anorexia nervosa in an inpatient setting.Eating and weight disorders : EWD · 2025Article
- Phase-Transitions in Disgust During Self-Initiated Eating Among Adolescents With Anorexia Nervosa and Related Low-Weight Eating Disorders and Matched Controls.The International journal of eating disorders · 2024Article
- Anxiety matters: a pilot lab study into food, weight, and virtual body exposure in anorexia nervosa.Journal of eating disorders · 2024Article
- The Efficacy of Cognitive Remediation Therapy for Anorexia Nervosa: A Systematic Review of Systematic Reviews.Brain sciences · 2024Review
- The buffet challenge: a behavioral assessment of eating behavior in adolescents with an eating disorder.Journal of eating disorders · 2024Article
- Disordered eating in anorexia nervosa: give me heat, not just food.Frontiers in public health · 2024Review
- Psychotherapies for eating disorders: findings from a rapid review.Journal of eating disorders · 2023Review
- The impact of floatation therapy on body image and anxiety in anorexia nervosa: a randomised clinical efficacy trial.EClinicalMedicine · 2023Article
- Inhibitory Learning during Exposure Treatment in Anorexia Nervosa: A Practical Guide.Behavioral sciences (Basel, Switzerland) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveAnorexia 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.
methodA 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/m(2) received 12 sessions of either AN-EXRP or CRT. Outcome was assessed by change in caloric intake in an objective assessment of eating behavior.
resultsThe 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.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.