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Lessons learned developing and testing family‐based interoceptive exposure for adolescents with low‐weight eating disorders.

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Title: Lessons learned developing and testing family‐based interoceptive exposure for adolescents with low‐weight eating disorders.
Authors: Hildebrandt, Tom, Peyser, Deena, Sysko, Robyn
Source: International Journal of Eating Disorders. Nov2021, Vol. 54 Issue 11, p2037-2045. 9p. 2 Diagrams, 1 Chart.
Subjects: Eating disorders in adolescence
Abstract: Background: Anorexia nervosa (AN) usually develops in early adolescence and is characterized by high rates of morbidity and mortality. Family‐based therapy (FBT) is the leading evidence‐based treatment for adolescents with AN, but not all patients experience sufficient improvement. The purpose of this manuscript is to describe the development and subsequent experience with a Family‐Based Interoceptive Exposure (FBT‐IE) for adolescents with a broader form of low‐weight eating disorders. Methods: The novel IE‐based behavioral intervention is a six‐session family‐based treatment module designed to directly target and modify disgust by altering the prefrontal regulation of the insula response to aversive stimuli by decreasing visceral sensitivity (e.g., bloating). Each session teaches a new skill regarding tolerating distress to visceral sensations associated with disgust and an in‐vivo "IE exercise," in which the family is provided with a meal replacement shake of unknown content and caloric density. Results: In this novel treatment, the patient learns to tolerate disgust in the context of a challenging food stimulus as a way to increase consumption of restricted foods outside of session. Conclusion: We discuss successes and challenges executing this treatment with patients with low‐weight eating disorders and propose future directions for the intervention. [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: Lessons learned developing and testing family‐based interoceptive exposure for adolescents with low‐weight eating disorders.
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  Data: <searchLink fieldCode="AR" term="%22Hildebrandt%2C+Tom%22">Hildebrandt, Tom</searchLink><br /><searchLink fieldCode="AR" term="%22Peyser%2C+Deena%22">Peyser, Deena</searchLink><br /><searchLink fieldCode="AR" term="%22Sysko%2C+Robyn%22">Sysko, Robyn</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, p2037-2045. 9p. 2 Diagrams, 1 Chart.
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  Data: Background: Anorexia nervosa (AN) usually develops in early adolescence and is characterized by high rates of morbidity and mortality. Family‐based therapy (FBT) is the leading evidence‐based treatment for adolescents with AN, but not all patients experience sufficient improvement. The purpose of this manuscript is to describe the development and subsequent experience with a Family‐Based Interoceptive Exposure (FBT‐IE) for adolescents with a broader form of low‐weight eating disorders. Methods: The novel IE‐based behavioral intervention is a six‐session family‐based treatment module designed to directly target and modify disgust by altering the prefrontal regulation of the insula response to aversive stimuli by decreasing visceral sensitivity (e.g., bloating). Each session teaches a new skill regarding tolerating distress to visceral sensations associated with disgust and an in‐vivo "IE exercise," in which the family is provided with a meal replacement shake of unknown content and caloric density. Results: In this novel treatment, the patient learns to tolerate disgust in the context of a challenging food stimulus as a way to increase consumption of restricted foods outside of session. Conclusion: We discuss successes and challenges executing this treatment with patients with low‐weight eating disorders and propose future directions for the intervention. [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.)
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        Value: 10.1002/eat.23605
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        Text: English
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        StartPage: 2037
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              Text: Nov2021
              Type: published
              Y: 2021
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