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عنوان فارسی مقاله:
نظریه خاموش سازی و بی اشتهایی عصبی: مکانیسم درمانی تعمیقی
عنوان انگلیسی مقاله:
Extinction theory & anorexia nervosa: Deepening therapeutic mechanisms
سال انتشار : 2016
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بخشی از مقاله انگلیسی :
AN is uniquely placed amongst psychiatric illnesses, in that the most feared outcome (i.e., weight gain) is adopted as a core treatment goal, which inevitably results in the treatment of AN centrally featuring exposure-driven processes. Indeed, two longstanding central tenets of treatment for AN posit that (i) full weight restoration must be swiftly undertaken to offset the potential medical dangers and state-related neurocognitive impairments associated with starvation, and (ii) restrictive dietary practices should be abated throughout the course of treatment (Dally & Sargant, 1966). More fundamentally, one cannot recover from AN while (i) failing to maintain a developmentally normative bodyweight, and (ii) actively restricting food types or volumes based on the assumption that weight or shape will be catastrophically impacted by their consumption. In conjunction with this core symptomatic fear around weight gain in AN, food intake often precipitates marked anxiety (Steinglass, Eisen, Attia, Mayer, & Walsh, 2007). The consumption of even marginal caloric volumes yields expectations of a catastrophic and immediate impact upon shape and body weight (Steinglass, Eisen et al., 2007; Sternheim et al., 2012), triggering sustained anxiety around food consumption and subsequent avoidance-driven behaviors (Waller et al., 2007). The severity of this anxiety in AN is comparable to that reported in clinical anxiety disorders (Sternheim, Startup, & Schmidt, 2015), and directly impacts eating behaviors, with, for instance, pre-meal anxiety being directly linked to reduced food consumption during meals (Steinglass et al., 2010). Ecological momentary assessment further demonstrates the functional impact of anxiety in AN, noting that temporally distributed ‘spikes’ in AN symptomatic behavior vary according to peaks in self-reported anxiety (Lavendar et al., 2013). Cumulatively, these data suggest a central role of anxiety in the symptom profile of AN, with the avoidance of dietary energy intake and calorie-dense foods serving to mitigate the anxiety surrounding potential weight gain. Alongside its functional role in AN symptomatology, the presence of comorbid anxiety disorders serves as a specific vulnerability factor in the development of AN (Buckner, Silgado, & Lewinsohn, 2010). Unlike other common comorbidities, such as depression, clinically significant anxiety typically predates the onset of AN (Swinbourne et al., 2012), and persists after recovery (Hughes, 2012), with up to two thirds of those with AN reporting a lifetime history of an anxiety disorder (Kaye et al., 2004). Further evidence independently suggests that (i) those with more severe premorbid anxiety experience greater AN symptom severity (Brand-Gothelf, Leor, Apter, & Fennig, 2014), (ii) anxiety symptoms may distinguish between patients who remit and those who do not remit from treatment (Yackobovitch-Gavan et al., 2009), and (iii) anxiety is an important prognostic indicator of treatment outcome in AN (Buckner et al., 2010). Thus, anxiety may serve both distal and proximal roles in the development and maintenance of AN.
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کلمات کلیدی:
Extinction theory & anorexia nervosa: Deepening ... - BioPortfolio www.bioportfolio.com › Topics › Anorexia Nervosa › Research Aug 24, 2016 - Summary of "Extinction theory & anorexia nervosa: Deepening therapeutic mechanisms." By virtue of adopting the core symptomatic fear (i.e., ... Dissecting the Core Fear in Anorexia NervosaCan We Optimize ... jamanetwork.com/pdfaccess.ashx?resourceid=13418167&pdfsource=13 Jul 27, 2016 - Anorexia nervosa (AN) is uniquely placed in the spec- ... portant gulf between extinction theory and the prac- tice of exposure therapy for AN. Extinction theory & anorexia nervosa: Deepening therapeutic ... isi-dl.com/item/90076 ... thejns.org, wiley.com, worldscientific.com. SEARCH. Extinction theory & anorexia nervosa: Deepening therapeutic mechanisms. sciencedirect.com. Source ... Sparrho | Extinction theory & anorexia nervosa: Deepening therapeutic https://www.sparrho.com/item/extinction-theory-and-anorexia-nervosa.../99aa3e/ Extinction theory & anorexia nervosa: Deepening therapeutic mechanisms. Imported: 01 Sep '16 | Published: 01 Sep '16. Stuart B SB Murray, Michael M Treanor ... Anorexia Nervosa, Theory and Treatment: Where Are We 35 Years on ... onlinelibrary.wiley.com/doi/10.1002/erv.2511/full?scrollTo=references Apr 12, 2017 - Meta-analysis of theory of mind in anorexia nervosa and bulimia ..... Extinction theory & anorexia nervosa: Deepening therapeutic mechanisms. Anxiety in anorexia nervosa and its management using family-based ... onlinelibrary.wiley.com/doi/10.1002/erv.1071/abstract by T Hildebrandt - 2012 - Cited by 41 - Related articles Dec 28, 2010 - Anorexia nervosa (AN) is characterized by its similarity to anxiety ... We present a theoretical argument and model, suggesting that FBT may ... FUNCTIONAL BEHAVIOR ANALYSIS OF ANOREXIA NERVOSA ... psycnet.apa.org/journals/bar/6/3/166.pdf&productCode=pa Key words: anorexia nervosa, functional analysis, behavior analysis, eating behavior, clinical applications. Anorexia ... (2003) have proposed a transdiagnostic theory and treat- ment of .... creased the number of eating occasions, an extinction. The Concise Corsini Encyclopedia of Psychology and Behavioral Science https://books.google.com/books?isbn=0471220361 W. Edward Craighead, Charles B. Nemeroff - 2004 - Medical See Anorexia Nervosa; Bulimia Nervosa Echolalia, 249 Fragile X and, 380 ... 232 See also Conditioning, conditioning-extinction theory Extrapyramidal side ...
