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Applying the disgust conditioning model of food avoidance: A case study of acceptance‐based interoceptive exposure.

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Title: Applying the disgust conditioning model of food avoidance: A case study of acceptance‐based interoceptive exposure.
Authors: Plasencia, Maribel, Sysko, Robyn, Fink, Keren, Hildebrandt, Tom
Source: International Journal of Eating Disorders. Apr2019, Vol. 52 Issue 4, p473-477. 5p. 2 Charts.
Subjects: Anorexia nervosa treatment, Ability, Cognitive therapy, Family psychotherapy, Questionnaires, Psychological stress, Aversion, Training, Physical activity, Physicians' attitudes, Adolescence
Abstract: Objective: The current case report details the treatment of a 16‐year‐old adolescent with anorexia nervosa utilizing a novel adjunct, acceptance‐based interoceptive exposure, prior to family‐based treatment (FBT) for eating disorders. Method: The exposure‐based module focused particularly on the tolerance of disgust. For six sessions, the clinician taught the client skills that could be used to tolerate distress to visceral sensations associated with disgust. These skills were to be used during in‐ and between‐session exposures. Each session included exposure to physical sensations that occurred while drinking a milkshake. Results: Across six sessions, the client reported improvement in symptoms in addition to gaining weight. Additionally, she consumed more calories of a test meal following the intervention. Within broader FBT, the client reached an established weight goal, was able to return to physical activity, and reported an increased ability to manage distress. Discussion: Given the client's improvement on the Eating Disorders Examination‐Questionnaire (EDE‐Q) within six sessions, we believe IE may be a useful adjunct to FBT. Interoceptive exposure may augment the efficacy of FBT for anorexia nervosa as it provides clients with skills to utilize during the refeeding phase of treatment. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Applying the disgust conditioning model of food avoidance: A case study of acceptance‐based interoceptive exposure.
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  Data: <searchLink fieldCode="AR" term="%22Plasencia%2C+Maribel%22">Plasencia, Maribel</searchLink><br /><searchLink fieldCode="AR" term="%22Sysko%2C+Robyn%22">Sysko, Robyn</searchLink><br /><searchLink fieldCode="AR" term="%22Fink%2C+Keren%22">Fink, Keren</searchLink><br /><searchLink fieldCode="AR" term="%22Hildebrandt%2C+Tom%22">Hildebrandt, Tom</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Apr2019, Vol. 52 Issue 4, p473-477. 5p. 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Anorexia+nervosa+treatment%22">Anorexia nervosa treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Ability%22">Ability</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Family+psychotherapy%22">Family psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Aversion%22">Aversion</searchLink><br /><searchLink fieldCode="DE" term="%22Training%22">Training</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink><br /><searchLink fieldCode="DE" term="%22Physicians'+attitudes%22">Physicians' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
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  Data: Objective: The current case report details the treatment of a 16‐year‐old adolescent with anorexia nervosa utilizing a novel adjunct, acceptance‐based interoceptive exposure, prior to family‐based treatment (FBT) for eating disorders. Method: The exposure‐based module focused particularly on the tolerance of disgust. For six sessions, the clinician taught the client skills that could be used to tolerate distress to visceral sensations associated with disgust. These skills were to be used during in‐ and between‐session exposures. Each session included exposure to physical sensations that occurred while drinking a milkshake. Results: Across six sessions, the client reported improvement in symptoms in addition to gaining weight. Additionally, she consumed more calories of a test meal following the intervention. Within broader FBT, the client reached an established weight goal, was able to return to physical activity, and reported an increased ability to manage distress. Discussion: Given the client's improvement on the Eating Disorders Examination‐Questionnaire (EDE‐Q) within six sessions, we believe IE may be a useful adjunct to FBT. Interoceptive exposure may augment the efficacy of FBT for anorexia nervosa as it provides clients with skills to utilize during the refeeding phase of treatment. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=135795103
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        Value: 10.1002/eat.23045
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      – SubjectFull: Cognitive therapy
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      – SubjectFull: Aversion
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      – SubjectFull: Training
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      – SubjectFull: Physical activity
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      – SubjectFull: Physicians' attitudes
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      – SubjectFull: Adolescence
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      – TitleFull: Applying the disgust conditioning model of food avoidance: A case study of acceptance‐based interoceptive exposure.
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              Text: Apr2019
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