Evidence map›Paper›PMID 38850690›Full record

ArticleBehaviour research and therapy2024

Are within- and between-session changes in distress associated with treatment outcomes? Findings from two clinical trials of exposure for eating disorders.

Rachel M Butler, Caroline Christian, Jeffrey M Girard, Irina A Vanzhula, Cheri A Levinson

Abstract read
In one paragraph

Article in Behaviour research and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Rachel M ButlerUniversity of Louisville, Department of Psychological and Brain Sciences, USA. Electronic address: Rachel.Butler@louisville.edu.
Caroline ChristianUniversity of Louisville, Department of Psychological and Brain Sciences, USA.
Jeffrey M GirardUniversity of Kansas, Department of Psychology, USA.
Irina A VanzhulaJohns Hopkins School of Medicine, Department of Psychiatry & Behavioral Sciences, USA.
Cheri A LevinsonUniversity of Louisville, Department of Psychological and Brain Sciences, USA.

Funding

A Pilot Investigation of Network-Informed Personalized Treatment for Eating Disorders versus Enhanced Cognitive Behavioral Therapy and Dynamic Mechanisms of ChangeR34MH128213 · NIMH · UNIVERSITY OF LOUISVILLE · PI LEVINSON, CHERI ALICIA · 2022 to 2024
$976k
Behavioral and Momentary Assessment of Fear-based Mechanisms underlying Remission in Weight-restored Anorexia NervosaF31MH127892 · NIMH · UNIVERSITY OF LOUISVILLE · PI CHRISTIAN, CAROLINE · 2022 to 2023
$63k
NIMH NIH HHS F31 MH127892NIMH NIH HHS R34 MH128213
6 · The paper itself

Abstract

objectiveImaginal exposure is a novel intervention for eating disorders (EDs) that has been investigated as a method for targeting ED symptoms and fears. Research is needed to understand mechanisms of change during imaginal exposure for EDs, including whether within- and between-session distress reduction is related to treatment outcomes.

methodStudy 1 tested four sessions of online imaginal exposure (N = 143). Study 2 examined combined imaginal and in vivo exposure, comprising six imaginal exposure sessions (N = 26). ED symptoms and fears were assessed pre- and posttreatment, and subjective distress and state anxiety were collected during sessions.

resultsSubjective distress tended to increase within-session in both studies, and within-session reduction was not associated with change in ED symptoms or fears. In Study 1, between-session reduction of distress and state anxiety was associated with greater decreases in ED symptoms and fears pre-to posttreatment. In Study 2, between-session distress reduction occurred but was not related to outcomes.

conclusionsWithin-session distress reduction may not promote change during exposure for EDs, whereas between-session distress reduction may be associated with better treatment outcomes. These findings corroborate research on distress reduction during exposure for anxiety disorders. Clinicians might consider approaches to exposure-based treatment that focus on distress tolerance and promote between-session distress reduction.

Indexed as

AnxietyFeeding and Eating DisordersImplosive TherapyPsychological DistressAdolescentAdultFearFemaleHumansMaleStress, PsychologicalTreatment OutcomeYoung AdultAnxietyEating disordersExposure therapy

Identifiers

PMID38850690
PMCPMC12747798

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.