Columbia University, New York State Psychiatric Institute, New York 10032, New York, USA.
Int J Eat Disord. 2011 Mar;44(2):134-41. doi: 10.1002/eat.20784.
Anorexia nervosa (AN) is a life threatening and difficult to treat illness with a high relapse rate. Current treatments are inadequate and new approaches to treatment are needed.
We review the data on anxiety in AN, the relationship between anxiety disorders and AN, and the use of Exposure and Response Prevention in treatment.
The overlap between AN and anxiety disorders suggest a model of AN in which baseline anxiety features yield eating related fears, avoidance behaviors, and ritualized safety behaviors that promote the underweight state and the perpetuation of the disorder. We propose an Exposure and Response Prevention treatment to prevent relapse in AN.
Overlap between AN and anxiety disorders suggests that Exposure and Response Prevention may be a new and beneficial approach to preventing relapse in individuals with AN.
神经性厌食症（AN）是一种危及生命且难以治疗的疾病，复发率很高。目前的治疗方法不够充分，需要新的治疗方法。
我们回顾了 AN 中的焦虑数据、焦虑障碍与 AN 的关系，以及暴露和反应预防在治疗中的应用。
AN 与焦虑障碍之间的重叠表明，AN 存在一种模型，其中基线焦虑特征产生与进食相关的恐惧、回避行为和仪式化的安全行为，促进体重不足状态和疾病的持续存在。我们提出了一种暴露和反应预防治疗方法，以预防 AN 的复发。
AN 与焦虑障碍之间的重叠表明，暴露和反应预防可能是预防 AN 患者复发的一种新的有益方法。
