Addressing the fear of fat: extending imaginal exposure therapy for anxiety disorders to anorexia nervosa.
Addressing the fear of fat: extending imaginal exposure therapy for anxiety disorders to anorexia nervosa.
复制标题
解决对脂肪的恐惧：将焦虑症的想象暴露疗法扩展到神经性厌食症。
DOI：
10.1007/s40519-014-0115-6
复制
发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Riley,ElizabethN
中科院分区：
文献类型：
--
作者：
Levinson,CheriA;Rapp,John;Riley,ElizabethN
Exposure therapy is fundamental for the treatment of core fears in anxiety disorders and it has been proposed that exposure therapy should be extended to anorexia nervosa (AN)[1]. Exposure therapy for AN has primarily focused on exercises such as mirror exposure to address body image anxiety and food exposure to address avoidant eating behavior [1]. Recently, exposure for mealtime anxiety was shown to be more efficacious than cognitive remediation therapy [1].These types of exposure therapy show promise for the treatment of AN. However, they are limited because they only address stimuli that are accessible in vivo (food, bodies). Therefore they may not expose the patient to all of their fears, including the core fear of fatness, which can be conceptualized as an irrational belief driving avoidance behavior [1]. In imaginal exposure, patients are able to address hypothetical fears that cannot be replicated in everyday life (eg, immediate fatness or abandonment). Imaginal exposure is highly effective for anxiety disorders and is the core feature of prolonged exposure therapy for PTSD [PET; 2]. In PET, patients create a script recounting their traumatic experience with the help of their therapist. The script is edited throughout treatment to focus on the most feared aspects of the trauma, which often elicits previously unidentified fears. Imaginal exposure is audio recorded, and the patient listens to the recording as daily homework. Through this type of exposure therapy,
