{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T07:55:22Z","timestamp":1791100522669,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,11,8]],"date-time":"2013-11-08T00:00:00Z","timestamp":1383868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Anorexia nervosa (AN) is a severe illness with high rates of relapse. Exposure and Response Prevention for AN (AN\u2010EXRP) is a new approach that specifically addresses maladaptive eating behavior by targeting eating\u2010related fear and anxiety. The aim of this study was to evaluate AN\u2010EXRP as an adjunctive strategy to improve eating behavior during weight restoration, at a pivotal moment when treatment goals shift toward relapse prevention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A randomized controlled trial was conducted to compare AN\u2010EXRP with a comparison condition, Cognitive Remediation Therapy (CRT). Hospitalized patients with AN (<jats:italic>n<\/jats:italic>\u2009=\u200932) who had achieved weight restoration to a BMI\u2009&gt;\u200918.5 kg\/m<jats:sup>2<\/jats:sup> received 12 sessions of either AN\u2010EXRP or CRT. Outcome was assessed by change in caloric intake in an objective assessment of eating behavior.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average test meal caloric intake of participants who received AN\u2010EXRP increased from 352\u2009\u00b1\u2009263 kcal at baseline to 401\u2009\u00b1\u2009215 kcal post\u2010treatment, while that of participants who received CRT decreased from 501\u2009\u00b1\u2009232 kcal at baseline to 424\u2009\u00b1\u2009221 kcal post\u2010treatment [<jats:italic>t<\/jats:italic>(28)\u2009=\u20092.5, <jats:italic>p<\/jats:italic>\u2009=\u2009.02]. Improvement in intake was significantly associated with improvement in eating\u2010related anxiety (Spearman's \u03c1\u2009=\u20090.40, <jats:italic>p<\/jats:italic>\u2009=\u2009.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>These data demonstrate that AN\u2010EXRP, 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. \u00a9 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:174\u2013180)<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22214","type":"journal-article","created":{"date-parts":[[2013,11,8]],"date-time":"2013-11-08T08:26:50Z","timestamp":1383899210000},"page":"174-180","source":"Crossref","is-referenced-by-count":127,"title":["Confronting fear using exposure and response prevention for anorexia nervosa: A randomized controlled pilot study"],"prefix":"10.1002","volume":"47","author":[{"given":"Joanna E.","family":"Steinglass","sequence":"first","affiliation":[{"name":"Columbia University 622 West 168th Street, New York New York"},{"name":"New York State Psychiatric Institute 1051 Riverside Drive, New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Marie","family":"Albano","sequence":"additional","affiliation":[{"name":"Columbia University 622 West 168th Street, New York New York"},{"name":"New York State Psychiatric Institute 1051 Riverside Drive, New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Blair","family":"Simpson","sequence":"additional","affiliation":[{"name":"Columbia University 622 West 168th Street, New York New York"},{"name":"New York State Psychiatric Institute 1051 Riverside Drive, New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanjia","family":"Wang","sequence":"additional","affiliation":[{"name":"Columbia University 622 West 168th Street, New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjing","family":"Zou","sequence":"additional","affiliation":[{"name":"Columbia University 622 West 168th Street, New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Attia","sequence":"additional","affiliation":[{"name":"Columbia University 622 West 168th Street, New York New York"},{"name":"New York State Psychiatric Institute 1051 Riverside Drive, New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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