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Early change in gastric‐specific anxiety sensitivity as a predictor of eating disorder treatment outcome.

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Title: Early change in gastric‐specific anxiety sensitivity as a predictor of eating disorder treatment outcome.
Authors: Velkoff, Elizabeth A. (AUTHOR), Lusich, Rylee (AUTHOR), Kaye, Walter H. (AUTHOR), Wierenga, Christina E. (AUTHOR), Brown, Tiffany A. (AUTHOR)
Source: European Eating Disorders Review. Sep2024, Vol. 32 Issue 5, p905-916. 12p.
Subjects: Anxiety treatment, Treatment of eating disorders, Risk assessment, Questionnaires, Interviewing, Anxiety, Treatment effectiveness, Descriptive statistics, Discharge planning, Eating disorders, Research methodology, Data analysis software, Confidence intervals, Comorbidity, Gastrointestinal diseases, Regression analysis, Patient aftercare, Disease risk factors
Abstract: Eating disorders (EDs) are often accompanied by gastrointestinal (GI) distress. Anxiety sensitivity is the tendency to interpret sensations of anxiety as threatening or dangerous, and includes both broad physical symptoms (e.g., elevated heartrate) and GI‐specific symptoms. Physical and GI‐specific anxiety sensitivity may be important risk and maintaining factors in EDs. This study tested the hypothesis that greater reductions in both types of anxiety sensitivity during the first month of treatment would predict lower ED symptoms and trait anxiety at discharge and 6‐month follow‐up. Patients (n = 424) in ED treatment reported physical and GI‐specific anxiety sensitivity, ED symptoms, and trait anxiety at treatment admission, 1‐month into treatment, discharge, and 6‐month follow‐up. Analyses were conducted with hierarchical linear regression with imputation, controlling for relevant covariates. Results indicated that early reduction in GI‐specific but not general physical anxiety sensitivity predicted both lower ED symptoms and lower trait anxiety at discharge and 6‐month follow‐up. These findings demonstrate the importance of GI‐specific anxiety sensitivity as a potential maintaining factor in EDs. Developing and refining treatments to target GI‐specific anxiety sensitivity may have promise in improving the treatment not only of EDs, but also of commonly co‐morbid anxiety disorders. Highlights: Anxiety sensitivity, the fear of symptoms of anxiety, is common in eating disorders (EDs), and may predict treatment outcomes.In this study, greater reduction in anxiety sensitivity for gastrointestinal symptoms within the first month of ED treatment predicted lower ED symptoms and anxiety at discharge from treatment but not 6‐month follow‐up. By contrast, reduction in more general physical anxiety sensitivity did not predict ED symptoms or anxiety at discharge or follow‐up.Findings highlight the importance of targeting anxiety about body sensations in treatment for EDs. [ABSTRACT FROM AUTHOR]
Copyright of European Eating Disorders Review 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: Early change in gastric‐specific anxiety sensitivity as a predictor of eating disorder treatment outcome.
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  Data: <searchLink fieldCode="AR" term="%22Velkoff%2C+Elizabeth+A%2E%22">Velkoff, Elizabeth A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lusich%2C+Rylee%22">Lusich, Rylee</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kaye%2C+Walter+H%2E%22">Kaye, Walter H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wierenga%2C+Christina+E%2E%22">Wierenga, Christina E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brown%2C+Tiffany+A%2E%22">Brown, Tiffany A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Eating+Disorders+Review%22">European Eating Disorders Review</searchLink>. Sep2024, Vol. 32 Issue 5, p905-916. 12p.
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  Data: Eating disorders (EDs) are often accompanied by gastrointestinal (GI) distress. Anxiety sensitivity is the tendency to interpret sensations of anxiety as threatening or dangerous, and includes both broad physical symptoms (e.g., elevated heartrate) and GI‐specific symptoms. Physical and GI‐specific anxiety sensitivity may be important risk and maintaining factors in EDs. This study tested the hypothesis that greater reductions in both types of anxiety sensitivity during the first month of treatment would predict lower ED symptoms and trait anxiety at discharge and 6‐month follow‐up. Patients (n = 424) in ED treatment reported physical and GI‐specific anxiety sensitivity, ED symptoms, and trait anxiety at treatment admission, 1‐month into treatment, discharge, and 6‐month follow‐up. Analyses were conducted with hierarchical linear regression with imputation, controlling for relevant covariates. Results indicated that early reduction in GI‐specific but not general physical anxiety sensitivity predicted both lower ED symptoms and lower trait anxiety at discharge and 6‐month follow‐up. These findings demonstrate the importance of GI‐specific anxiety sensitivity as a potential maintaining factor in EDs. Developing and refining treatments to target GI‐specific anxiety sensitivity may have promise in improving the treatment not only of EDs, but also of commonly co‐morbid anxiety disorders. Highlights: Anxiety sensitivity, the fear of symptoms of anxiety, is common in eating disorders (EDs), and may predict treatment outcomes.In this study, greater reduction in anxiety sensitivity for gastrointestinal symptoms within the first month of ED treatment predicted lower ED symptoms and anxiety at discharge from treatment but not 6‐month follow‐up. By contrast, reduction in more general physical anxiety sensitivity did not predict ED symptoms or anxiety at discharge or follow‐up.Findings highlight the importance of targeting anxiety about body sensations in treatment for EDs. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of European Eating Disorders Review 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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      – Type: doi
        Value: 10.1002/erv.3099
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 905
    Subjects:
      – SubjectFull: Anxiety treatment
        Type: general
      – SubjectFull: Treatment of eating disorders
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Questionnaires
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      – SubjectFull: Anxiety
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      – SubjectFull: Eating disorders
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      – SubjectFull: Data analysis software
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Disease risk factors
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      – TitleFull: Early change in gastric‐specific anxiety sensitivity as a predictor of eating disorder treatment outcome.
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              Text: Sep2024
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