Cue exposure in the treatment of resistant bulimia nervosa
Version of Record online: 25 JUL 2003
Copyright © 2003 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 34, Issue 2, pages 227–234, September 2003
How to Cite
Toro, J., Cervera, M., Feliu, M.H., Garriga, N., Jou, M., Martinez, E. and Toro, E. (2003), Cue exposure in the treatment of resistant bulimia nervosa. Int. J. Eat. Disord., 34: 227–234. doi: 10.1002/eat.10186
- Issue online: 25 JUL 2003
- Version of Record online: 25 JUL 2003
- Manuscript Accepted: 4 JUL 2002
- bulimia nervosa;
- cue exposure;
- cognitive-behavioral treatment;
- response prevention;
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.
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.
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.
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. © 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: 227–234, 2003.