Do individuals with eating disorders dislike exposure therapy? Attitudes from children, adults, and parents toward exposure therapy and other treatments for eating disorders.

Autor: Essayli JH; Penn State College of Medicine, Department of Pediatrics, Hershey, Pennsylvania, USA.; Penn State College of Medicine, Department of Psychiatry and Behavioral Health, Hershey, Pennsylvania, USA., Webster AE; Department of Psychology, University of South Florida, Tampa, Florida, USA., Quaill MA; Morgridge College of Education, Department of Teaching and Learning Sciences, University of Denver, Denver, Colorado, USA., Zickgraf HF; Department of Psychology, University of South Alabama, Mobile, Alabama, USA., Lane-Loney SE; Penn State College of Medicine, Department of Pediatrics, Hershey, Pennsylvania, USA.; Penn State College of Medicine, Department of Psychiatry and Behavioral Health, Hershey, Pennsylvania, USA.
Jazyk: angličtina
Zdroj: The International journal of eating disorders [Int J Eat Disord] 2021 Apr; Vol. 54 (4), pp. 606-614. Date of Electronic Publication: 2021 Feb 01.
DOI: 10.1002/eat.23468
Abstrakt: Objective: Exposure therapy appears underutilized in the treatment of eating disorders (EDs), perhaps due to clinicians' concerns that patients will dislike exposure therapy. The present study aims to investigate the attitudes of child patients, adult patients, and parents of child patients with EDs toward exposure therapy relative to four other treatments for EDs.
Method: A questionnaire was administered to patients and parents (N = 126) upon admission to a partial hospitalization program for EDs. Participants read vignettes describing five different treatments for EDs, and answered questions assessing attitudes about each treatment.
Results: At admission, participants reported the most favorable attitudes toward cognitive therapy, and the least favorable attitudes toward psychiatric medication. Exposure therapy generally received similar scores as interpersonal and expressive art therapy, and was perceived as significantly more preferable and effective in the long-term than psychiatric medication. Relative to child and adult patients, parents reported greater preferences for all treatments except medication, and perceived all treatments as more credible except medication and art therapy. Preliminary findings from a subset of participants who also completed the questionnaire at discharge indicated that positive attitudes toward exposure therapy increased over the course of treatment.
Discussion: Individuals with EDs and their parents may enter treatment with particularly favorable views toward cognitive therapy, and do not appear to have strong attitudes toward exposure therapy one way or the other. Clinicians' concerns that patients with EDs will dislike exposure therapy may be largely unfounded.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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