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A pilot randomized control trial of online exposure for eating disorders and mechanisms of change delivered after discharge from intensive eating disorder care: A registered report.

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Title: A pilot randomized control trial of online exposure for eating disorders and mechanisms of change delivered after discharge from intensive eating disorder care: A registered report.
Authors: Levinson, Cheri A., Ralph‐Nearman, Christina, Brown, Mackenzie L., Gardner, Taylor, Cardi, Valentina, Treasure, Janet, Purves, Kirstin, Eley, Thalia C.
Source: International Journal of Eating Disorders. Nov2021, Vol. 54 Issue 11, p2066-2074. 9p. 2 Diagrams, 1 Chart.
Subjects: Pilot projects, Thought & thinking, Phobias, Social media, Patient readmissions, Behavior therapy, Fear, Randomized controlled trials, Patients' attitudes, Weight gain, Learning, Imagination, Critical care medicine, Written communication, Eating disorders, Discharge planning
Abstract: More than 50% of individuals with an eating disorder (ED) will readmit to treatment within 6 months of treatment discharge and often due to persistent cognitive ED pathology. Interventions addressing unremitted cognitive ED pathology following discharge from intensive treatment are crucial to prevent readmission. Imaginal exposure therapy facilitates the approach of feared stimuli not accessible in everyday life (e.g., rapidly gaining weight). In the current pilot randomized control trial (RCT), participants will be randomly assigned to a five‐session online imaginal exposure condition (n = 65) or a control online writing and thinking intervention (n = 65) within a month of discharge from intensive treatment. Exposure participants write about and imagine an ED fear and control participants will write about their ED generally. We will examine the feasibility and acceptability of the treatment conditions and whether imaginal exposure is more effective in preventing readmission than the control condition. We will test the efficacy of the imaginal exposure treatment in reducing ED symptoms and fears of food and weight gain, and whether fear learning is a mechanism of change related to ED pathology. Ultimately, this research will lead to the development of an easily deployable readmission prevention treatment based on fear conditioning targets. [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: A pilot randomized control trial of online exposure for eating disorders and mechanisms of change delivered after discharge from intensive eating disorder care: A registered report.
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  Data: <searchLink fieldCode="AR" term="%22Levinson%2C+Cheri+A%2E%22">Levinson, Cheri A.</searchLink><br /><searchLink fieldCode="AR" term="%22Ralph‐Nearman%2C+Christina%22">Ralph‐Nearman, Christina</searchLink><br /><searchLink fieldCode="AR" term="%22Brown%2C+Mackenzie+L%2E%22">Brown, Mackenzie L.</searchLink><br /><searchLink fieldCode="AR" term="%22Gardner%2C+Taylor%22">Gardner, Taylor</searchLink><br /><searchLink fieldCode="AR" term="%22Cardi%2C+Valentina%22">Cardi, Valentina</searchLink><br /><searchLink fieldCode="AR" term="%22Treasure%2C+Janet%22">Treasure, Janet</searchLink><br /><searchLink fieldCode="AR" term="%22Purves%2C+Kirstin%22">Purves, Kirstin</searchLink><br /><searchLink fieldCode="AR" term="%22Eley%2C+Thalia+C%2E%22">Eley, Thalia C.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Nov2021, Vol. 54 Issue 11, p2066-2074. 9p. 2 Diagrams, 1 Chart.
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  Data: <searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Thought+%26+thinking%22">Thought & thinking</searchLink><br /><searchLink fieldCode="DE" term="%22Phobias%22">Phobias</searchLink><br /><searchLink fieldCode="DE" term="%22Social+media%22">Social media</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+readmissions%22">Patient readmissions</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Fear%22">Fear</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Weight+gain%22">Weight gain</searchLink><br /><searchLink fieldCode="DE" term="%22Learning%22">Learning</searchLink><br /><searchLink fieldCode="DE" term="%22Imagination%22">Imagination</searchLink><br /><searchLink fieldCode="DE" term="%22Critical+care+medicine%22">Critical care medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Written+communication%22">Written communication</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders%22">Eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Discharge+planning%22">Discharge planning</searchLink>
– Name: Abstract
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  Data: More than 50% of individuals with an eating disorder (ED) will readmit to treatment within 6 months of treatment discharge and often due to persistent cognitive ED pathology. Interventions addressing unremitted cognitive ED pathology following discharge from intensive treatment are crucial to prevent readmission. Imaginal exposure therapy facilitates the approach of feared stimuli not accessible in everyday life (e.g., rapidly gaining weight). In the current pilot randomized control trial (RCT), participants will be randomly assigned to a five‐session online imaginal exposure condition (n = 65) or a control online writing and thinking intervention (n = 65) within a month of discharge from intensive treatment. Exposure participants write about and imagine an ED fear and control participants will write about their ED generally. We will examine the feasibility and acceptability of the treatment conditions and whether imaginal exposure is more effective in preventing readmission than the control condition. We will test the efficacy of the imaginal exposure treatment in reducing ED symptoms and fears of food and weight gain, and whether fear learning is a mechanism of change related to ED pathology. Ultimately, this research will lead to the development of an easily deployable readmission prevention treatment based on fear conditioning targets. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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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=153579182
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    Identifiers:
      – Type: doi
        Value: 10.1002/eat.23603
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 2066
    Subjects:
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Thought & thinking
        Type: general
      – SubjectFull: Phobias
        Type: general
      – SubjectFull: Social media
        Type: general
      – SubjectFull: Patient readmissions
        Type: general
      – SubjectFull: Behavior therapy
        Type: general
      – SubjectFull: Fear
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Weight gain
        Type: general
      – SubjectFull: Learning
        Type: general
      – SubjectFull: Imagination
        Type: general
      – SubjectFull: Critical care medicine
        Type: general
      – SubjectFull: Written communication
        Type: general
      – SubjectFull: Eating disorders
        Type: general
      – SubjectFull: Discharge planning
        Type: general
    Titles:
      – TitleFull: A pilot randomized control trial of online exposure for eating disorders and mechanisms of change delivered after discharge from intensive eating disorder care: A registered report.
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            NameFull: Gardner, Taylor
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            NameFull: Cardi, Valentina
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              M: 11
              Text: Nov2021
              Type: published
              Y: 2021
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            – TitleFull: International Journal of Eating Disorders
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