ArticleThe International journal of eating disorders2021
Lessons learned developing and testing family-based interoceptive exposure for adolescents with low-weight eating disorders.
Article in The International journal of eating disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Disgust and Self-Disgust in Eating Disorders: A Systematic Review and Meta-Analysis.Nutrients · 2022Pooled it
- Interoceptive Exposure Impacts Food-Cue Extinction in Adolescents With Low-Weight Eating Disorders: A Functional Magnetic Resonance Imaging Study.Journal of the American Academy of Child and Adolescent Psychiatry · 2026Trial
- The Body as a Battlefield: Identity Development and Psychosomatic Expression in Eating Disorders Across Childhood and Adolescence.Children (Basel, Switzerland) · 2025Review
- A GI-Interoceptive Threat Theory of Restrictive Eating: Insights From Active Inference and Chronic Pain.Brain and behavior · 2025Review
- Evidence of Altered Biobehavioral Threat Processes in Adolescents With Eating Disorders: A Scoping Review.The International journal of eating disorders · 2025Article
- The relevance of cardiac and gastric interoception for disordered eating behavior.Journal of eating disorders · 2025Article
- Getting comfortable with physical discomfort: A scoping review of interoceptive exposure in physical and mental health conditions.Psychological bulletin · 2025Article
- Perceptual Dysfunction in Eating Disorders.Current topics in behavioral neurosciences · 2025Review
- The adamant adherence to a prior belief: the case of anosognosia in anorexia nervosa.Frontiers in neurology · 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
- Evaluating the predictions of an interoceptive inference model of bulimia nervosa.Journal of eating disorders · 2024Article
- A scoping review of non-specific predictors, moderators, and mediators of family-based treatment for adolescent anorexia and bulimia nervosa: a summary of the current research findings.Eating and weight disorders : EWD · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundAnorexia nervosa (AN) usually develops in early adolescence and is characterized by high rates of morbidity and mortality. Family-based therapy (FBT) is the leading evidence-based treatment for adolescents with AN, but not all patients experience sufficient improvement. The purpose of this manuscript is to describe the development and subsequent experience with a Family-Based Interoceptive Exposure (FBT-IE) for adolescents with a broader form of low-weight eating disorders.
methodsThe novel IE-based behavioral intervention is a six-session family-based treatment module designed to directly target and modify disgust by altering the prefrontal regulation of the insula response to aversive stimuli by decreasing visceral sensitivity (e.g., bloating). Each session teaches a new skill regarding tolerating distress to visceral sensations associated with disgust and an in-vivo "IE exercise," in which the family is provided with a meal replacement shake of unknown content and caloric density.
resultsIn this novel treatment, the patient learns to tolerate disgust in the context of a challenging food stimulus as a way to increase consumption of restricted foods outside of session.
conclusionWe discuss successes and challenges executing this treatment with patients with low-weight eating disorders and propose future directions for the intervention.
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