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Emotion acceptance behavior therapy for anorexia nervosa: a pilot study.

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  • 1Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

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Emotion Acceptance Behavior Therapy (EABT) shows promise for treating anorexia nervosa (AN) by reducing emotion avoidance and improving weight and eating disorder symptoms. Further research aims to enhance outcomes for nonresponders.

Keywords:
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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Therapy

Background:

  • Anorexia nervosa (AN) is a severe eating disorder characterized by emotion avoidance.
  • Emotion Acceptance Behavior Therapy (EABT) is a novel intervention targeting AN symptom maintenance.
  • EABT integrates behavioral techniques with emotion-focused strategies.

Purpose of the Study:

  • To evaluate the preliminary effectiveness of EABT for adults with AN.
  • To assess improvements in weight, disordered eating, and emotion avoidance.
  • To determine the maintenance of treatment gains at follow-up.

Main Methods:

  • A cohort of 24 adults (≥17 years) with AN received EABT.
  • Treatment involved 33-58 sessions over 38-53 weeks.
  • Assessments were conducted pre-treatment, post-treatment, and at 3- and 6-month follow-ups.

Main Results:

  • 54.2% of participants completed EABT.
  • Completers showed significant improvements in weight, disordered eating, and emotion avoidance.
  • Improvements were maintained at 6-month follow-up; most completers reached a healthy BMI or normal Eating Disorder Examination Global score.

Conclusions:

  • EABT demonstrates preliminary utility for a subset of adults with AN.
  • Future research should focus on improving outcomes for nonresponders.
  • Identifying treatment response mechanisms is crucial for optimizing EABT effectiveness.