The International journal of eating disorders · 2003
Cue exposure in the treatment of resistant bulimia nervosa.
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Toro J, Cervera M, Feliu M H, Garriga N, Jou M, Martinez E, Toro E
Аннотация
OBJECTIVE: It was hypothesized that binge eating (bulimia nervosa [BN]) may be caused by the anticipatory and immediate anxiety associated with certain types of food. Consequently, an extinction schedule should reduce binge eating.
METHODS: Cue exposure was carried out with 6 bulimic women who had responded poorly or not at all to the usual pharmacologic or cognitive-behavioral treatments.
RESULTS: Binge eating and vomiting were almost totally suppressed in the 6 patients. Symptom suppression was maintained at two follow-ups, one at 4-20 months and another at 2.5-3 years.
DISCUSSION: Cue exposure may be effective with BN that is resistant to conventional treatments. The anxiety associated with food plays an important role in provoking and/or maintaining binge eating. Motivation to change is likely to be an important mediator.
METHODS: Cue exposure was carried out with 6 bulimic women who had responded poorly or not at all to the usual pharmacologic or cognitive-behavioral treatments.
RESULTS: Binge eating and vomiting were almost totally suppressed in the 6 patients. Symptom suppression was maintained at two follow-ups, one at 4-20 months and another at 2.5-3 years.
DISCUSSION: Cue exposure may be effective with BN that is resistant to conventional treatments. The anxiety associated with food plays an important role in provoking and/or maintaining binge eating. Motivation to change is likely to be an important mediator.
Предметные рубрики MeSH
AdolescentAdultAnorexia NervosaArousalBulimiaCognitive Behavioral TherapyComorbidityCuesDesensitization, PsychologicDiet, ReducingFemaleFollow-Up StudiesFood PreferencesHumansInternal-External ControlMotivationOutcome and Process Assessment, Health CareRisk FactorsSecondary PreventionTreatment Failure