Evidence map›Paper›PMID 38578224›Full record

Trial reportThe International journal of eating disorders2024

Early reduction in anxiety sensitivity predicts greater reduction in disordered eating and trait anxiety during treatment for bulimia nervosa.

Elizabeth A Velkoff, Laura G Rubino, Jianyi Liu, Stephanie M Manasse, Adrienne S Juarascio

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The International journal of eating disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Elizabeth A VelkoffDepartment of Psychological and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-0535-5620
Laura G RubinoDepartment of Psychological and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-1518-3818
Jianyi LiuDepartment of Psychological and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-5065-1771
Stephanie M ManasseDepartment of Psychological and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-4666-588X
Adrienne S JuarascioDepartment of Psychological and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-6377-4212
Drexel University · US

Funding

Addressing Weight History to Improve Behavioral Treatments for Bulimia NervosaK23MH105680 · NIMH · DREXEL UNIVERSITY · PI JUARASCIO, ADRIENNE SARAH · 2015 to 2018
$644k
NIMH NIH HHS K23 MH105680NIMH NIH HHS K23MH105680
6 · The paper itself

Abstract

objectiveAnxiety sensitivity (AS), the trait-like fear of symptoms of anxiety, has been associated with eating disorder (ED) pathology broadly, bulimia nervosa (BN) symptoms specifically, and the anxiety disorders that are commonly comorbid with BN. AS, especially for physical symptoms specifically, maybe a risk and maintenance factor for BN and comorbid anxiety.

methodAdult participants with BN (n = 44) in a clinical trial comparing CBT to mindfulness and acceptance-based treatment (MABT) reported ED symptoms, trait anxiety, and AS through treatment and follow-up. We predicted that greater early reduction (i.e., within the first month of treatment) in AS would predict greater reductions in ED symptoms and trait anxiety at post-treatment and follow-up.

resultsEarly reductions in AS for physical concerns predicted lower ED symptoms and trait anxiety at post-treatment but not follow-up. Exploratory analyses indicated that treatment groups did not differ in either early or total change in AS, controlling for baseline AS. DISCUSSION: Early reductions in AS may be an important treatment target for BN, and may additionally support reductions in anxiety. Future research should identify which components of CBT and MABT best target AS, to deliver these components early in treatment, when they can have maximum effect. PUBLIC SIGNIFICANCE: Anxiety sensitivity, the fear of symptoms of anxiety, is associated with eating disorders (ED). In this study, participants in treatment for bulimia nervosa reported ED symptoms, trait anxiety, and anxiety sensitivity through treatment and follow-up. Greater early reductions in anxiety sensitivity predicted lower ED symptoms and trait anxiety at post-treatment. Future research should identify which elements of treatment best target anxiety sensitivity, to deliver them early in treatment.

Indexed as

AnxietyBulimia NervosaCognitive Behavioral TherapyAcceptance and Commitment TherapyAdultAnxiety DisordersFemaleHumansMaleMindfulnessTreatment Outcomeanxiety sensitivitybulimia nervosatreatment outcomes

Identifiers

PMID38578224
PMCPMC11343650
OpenAlexW4393977900

What OpenQuestion holds

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Registered trials

None linked

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.