Online Relapse Prevention Methods for Eating Disorders

(ORP Trial)

This trial tests two online methods to help prevent relapses in individuals who have recently completed intensive treatment for eating disorders like anorexia or bulimia. One method uses imaginal exposure therapy, where participants face their fears through guided imagery, while the other focuses on writing and thinking exercises. The goal is to determine which method more effectively reduces symptoms and fears associated with eating disorders. Individuals who completed intensive treatment for an eating disorder within the last four months and continue to meet specific eating disorder criteria might be suitable for this study. As an unphased trial, this study offers a unique opportunity to explore innovative methods that could enhance recovery and prevent relapse.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research has shown that both imaginal exposure therapy and writing exercises are generally well-received by participants. Imaginal exposure therapy effectively reduces anxiety and behaviors related to eating disorders. Studies have not reported any major safety concerns, indicating that this treatment is safe for most people.

For the writing and thinking exercises, research has explored various expressive writing methods for those with eating disorders. Although participants sometimes felt sad after writing, no major safety issues were reported. This suggests that the writing exercises are safe for most individuals.

Researchers are excited about these online relapse prevention methods for eating disorders because they offer innovative approaches compared to traditional therapy. For instance, the Imaginal Exposure Condition provides a unique way to confront fears and triggers by using mental imagery in a structured online setting, making it more accessible and less intimidating than in-person exposure therapy. Meanwhile, the Writing and Thinking Condition lets participants engage in introspective exercises that combine cognitive and emotional processing, which can enhance self-awareness and coping skills. These methods are particularly appealing because they can be done remotely, offering flexibility and convenience that standard in-person therapies often lack.

Research has shown that imaginal exposure therapy, one of the treatments in this trial, can effectively reduce anxiety and symptoms of eating disorders. This therapy helps individuals confront their fears about food and weight, making symptom management easier. Participants in this trial may also receive the writing and thinking intervention, which has been reviewed as helpful in reducing eating disorder symptoms by decreasing the tendency to avoid feelings. While cognitive behavioral therapy (CBT) is often regarded as highly effective for eating disorders, writing therapy offers a promising alternative with positive results. Both treatments in this trial aim to address core fears and improve emotional processing, which are crucial for managing eating disorders.⁵⁶⁷⁸⁹