J Toro1, M Cervera, M H Feliu, N Garriga, M Jou, E Martinez, E Toro. 1. Servei de Psiquiatria i Psicologia Infantil i Juvenil, Hospital Clínic Universitari, University of Barcelona, Barcelona, Spain. jtoro@clinic.ub.es
Abstract
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. Copyright 2003 by Wiley Periodicals, Inc.
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. Copyright 2003 by Wiley Periodicals, Inc.
Authors: Katherine Schaumberg; Erin E Reilly; Sasha Gorrell; Cheri A Levinson; Nicholas R Farrell; Tiffany A Brown; Kathryn M Smith; Lauren M Schaefer; Jamal H Essayli; Ann F Haynos; Lisa M Anderson Journal: Clin Psychol Rev Date: 2020-11-11