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Related Experiment Video

Updated: May 17, 2026

A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
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Adjunctive mirror exposure for eating disorders: a randomized controlled pilot study.

Tom Hildebrandt1, Katharine Loeb, Sara Troupe

  • 1Eating and Weight Disorders Program, Mount Sinai School of Medicine, New York, NY 10029, USA. tom.hildebrandt@mssm.edu

Behaviour Research and Therapy
|October 24, 2012
PubMed
Summary

Acceptance-based mirror exposure therapy (A-MET) effectively reduced body checking, body image dissatisfaction, and eating disorder symptoms in individuals with healthy weights. This promising adjunctive treatment showed lasting benefits at follow-up.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Eating Disorder Research

Background:

  • Mirror exposure therapy (MET) is effective for body image issues in eating disorders.
  • Limited research exists on MET's efficacy in healthy-weight clinical populations with eating disorders.

Purpose of the Study:

  • To evaluate acceptance-based mirror exposure therapy (A-MET) versus a non-directive control (ND) as adjunctive treatment for eating disorders.
  • To assess A-MET's impact on body image and eating disorder symptoms in a healthy-weight sample.

Main Methods:

  • A randomized controlled trial involving 33 participants (aged 14-65) with a BMI of 18.5-29.9.
  • Participants received five sessions of either A-MET or ND therapy, with a 1-month follow-up.
  • Outcome measures included body checking, body image dissatisfaction, and eating disorder symptoms.

Main Results:

  • A-MET demonstrated large to moderate effect sizes in reducing body checking, body image dissatisfaction, and eating disorder symptoms.
  • Treatment efficacy was observed at both the end of treatment and the 1-month follow-up.
  • Baseline social comparison and appearance-related teasing predicted treatment response.

Conclusions:

  • A-MET is a promising adjunctive therapy for residual body image disturbances in normal and overweight individuals with eating disorders.
  • The therapy showed significant improvements in key outcome measures.
  • Further research and clinical applications of A-MET are warranted.