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A look in the mirror - body exposure in clinical practice

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Datum

2025

Autor:innen

Werthmann, Jessica
Naumann, Eva
Vocks, Silja
Svaldi, Jennifer
Hartmann, Andrea S.

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Published

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Journal of Eating Disorders. Springer. 2025, 13(1), 69. eISSN 2050-2974. Verfügbar unter: doi: 10.1186/s40337-025-01262-6

Zusammenfassung

Background The dissemination of evidence-based techniques is critical for the successful treatment of eating disorders in clinical practice. A growing number of studies suggests that body exposure is an effective technique to treat body image disturbance in eating disorders. However, the dissemination of body exposure among psychotherapists in clinical practice remains unclear.

Methods An online survey was conducted among licensed psychotherapists in Germany. The dissemination of body exposure in clinical practice, psychotherapists’ characteristics (such as clinical training, attitudes towards exposure, confidence), and therapists’ experiences with benefits and side-effects of body exposure were assessed.

Results Data of 230 psychotherapists were analysed. More than half of them (58.3%) applied body exposure in their clinical practice. Yet, body exposure was only offered to 37.3% of their eating disorder patients. Moreover, 56.7% of psychotherapists delivering body exposure indicated that they have not received any training in this technique. Self-reported confidence in delivering body exposure correlated significantly with the number of patients treated with body exposure. Psychotherapists who applied body exposure reported minor side-effects and that the majority of their patients profited from this technique.

Conclusions Our results offer insights into the dissemination of body exposure in clinical practice in Germany. Overall, body exposure is still underused considering the empirical evidence demonstrating the potential of body exposure to treat body image disturbances effectively. Moreover, with regard to potential barriers of using body exposure, our data suggest that training opportunities for clinicians may facilitate the dissemination of this technique in clinical practice.

Zusammenfassung in einer weiteren Sprache

Fachgebiet (DDC)
150 Psychologie

Schlagwörter

Body exposure, Exposure therapy, Cognitive-Behavioural therapy, Eating disorders, Dissemination, Evidence-based practice, Clinician anxiety, Therapist drift, Therapist’s characteristics, Research-Practice gap

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ISO 690WERTHMANN, Jessica, Eva NAUMANN, Silja VOCKS, Jennifer SVALDI, Andrea S. HARTMANN, 2025. A look in the mirror - body exposure in clinical practice. In: Journal of Eating Disorders. Springer. 2025, 13(1), 69. eISSN 2050-2974. Verfügbar unter: doi: 10.1186/s40337-025-01262-6
BibTex
@article{Werthmann2025-04-18mirro-73298,
  title={A look in the mirror - body exposure in clinical practice},
  year={2025},
  doi={10.1186/s40337-025-01262-6},
  number={1},
  volume={13},
  journal={Journal of Eating Disorders},
  author={Werthmann, Jessica and Naumann, Eva and Vocks, Silja and Svaldi, Jennifer and Hartmann, Andrea S.},
  note={Article Number: 69}
}
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The dissemination of evidence-based techniques is critical for the successful treatment of eating disorders in clinical practice. A growing number of studies suggests that body exposure is an effective technique to treat body image disturbance in eating disorders. However, the dissemination of body exposure among psychotherapists in clinical practice remains unclear.

Methods
An online survey was conducted among licensed psychotherapists in Germany. The dissemination of body exposure in clinical practice, psychotherapists’ characteristics (such as clinical training, attitudes towards exposure, confidence), and therapists’ experiences with benefits and side-effects of body exposure were assessed.

Results
Data of 230 psychotherapists were analysed. More than half of them (58.3%) applied body exposure in their clinical practice. Yet, body exposure was only offered to 37.3% of their eating disorder patients. Moreover, 56.7% of psychotherapists delivering body exposure indicated that they have not received any training in this technique. Self-reported confidence in delivering body exposure correlated significantly with the number of patients treated with body exposure. Psychotherapists who applied body exposure reported minor side-effects and that the majority of their patients profited from this technique.

Conclusions
Our results offer insights into the dissemination of body exposure in clinical practice in Germany. Overall, body exposure is still underused considering the empirical evidence demonstrating the potential of body exposure to treat body image disturbances effectively. Moreover, with regard to potential barriers of using body exposure, our data suggest that training opportunities for clinicians may facilitate the dissemination of this technique in clinical practice.</dcterms:abstract>
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