The application of exposure therapy and D-cycloserine to the treatment of anorexia nervosa: a preliminary trial

J Psychiatr Pract. 2007 Jul;13(4):238-45. doi: 10.1097/01.pra.0000281484.89075.a8.

Abstract

Objective: Novel approaches to the treatment of anorexia nervosa (AN) are needed. This preliminary study examined the utility and safety of an exposure therapy intervention and D-cycloserine (DCS) in a population of patients with AN.

Method: Eleven participants completed a series of 6 laboratory meals, including pre- and post-exposure test meals and four exposure sessions. Participants were randomly assigned to receive either DCS or placebo in double-blind fashion before each of the 4 exposure sessions. These results were compared to data from a previously studied group of patients who received treatment as usual.

Results: Total caloric intake increased significantly from the baseline meal session to the post-test meal session in the patients who received the exposure therapy intervention. Caloric intake did not increase significantly in the comparison group.

Conclusion: These data suggest that an exposure therapy intervention specifically focused on meal consumption may be helpful in increasing intake of a test meal.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Anorexia Nervosa / diagnosis
  • Anorexia Nervosa / psychology
  • Anorexia Nervosa / therapy*
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy
  • Body Mass Index
  • Combined Modality Therapy
  • Cycloserine / therapeutic use*
  • Desensitization, Psychologic*
  • Double-Blind Method
  • Eating* / drug effects
  • Energy Intake / drug effects
  • Excitatory Amino Acid Agonists / therapeutic use*
  • Female
  • Follow-Up Studies
  • Humans
  • Pain Measurement
  • Patient Admission
  • Receptors, N-Methyl-D-Aspartate / drug effects*

Substances

  • Excitatory Amino Acid Agonists
  • Receptors, N-Methyl-D-Aspartate
  • Cycloserine