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Bulimia Nervosa: Group Behavior Therapy with Exposure Plus Response Prevention
- Source :
- Psychological Reports. 66:667-674
- Publication Year :
- 1990
- Publisher :
- SAGE Publications, 1990.
-
Abstract
- Exposure plus response prevention has been demonstrated to be effective in the treatment of bulimia nervosa. However, when done individually, it is labor intensive and cost-ineffective. In the present study exposure plus response prevention was used in the context of a 6-wk., 12-session behavioral group. In addition to the exposure plus response-prevention component, other techniques included self-monitoring, cognitive restructuring, eating-habit stabilization and problem-solving. Eight bulimic women, vomiting a minimum of five times per week for at least a year, participated in the group. At the end of treatment significant reductions in bingeing and vomiting behaviors were reported by all but one subject, substantiated by significantly lower depression scores (Beck Depression Inventory) and binge-eating scores (Binge Eating Scale). At 6 mo. and 1 yr. posttreatment, 6 of 8 subjects reported averaging less than one binge-purge episode per week, one subject continued unchanged, and one subject had relapsed. A group of wait-list control subjects reported essentially no change in binge-purge frequency over the treatment period. Exposure plus response prevention conducted in a behavioral group context appears to be a cost-effective alternative to individual treatment.
- Subjects :
- Adult
Psychotherapist
Adolescent
medicine.medical_treatment
Group behavior
MEDLINE
050109 social psychology
Feeding behavior
Behavior Therapy
medicine
Humans
Combined Modality Therapy
0501 psychology and cognitive sciences
Bulimia
General Psychology
Bulimia nervosa
05 social sciences
050301 education
Feeding Behavior
medicine.disease
Desensitization (psychology)
Psychotherapy, Group
Female
Desensitization, Psychologic
Psychology
0503 education
Clinical psychology
Subjects
Details
- ISSN :
- 1558691X and 00332941
- Volume :
- 66
- Database :
- OpenAIRE
- Journal :
- Psychological Reports
- Accession number :
- edsair.doi.dedup.....4cbf49162617fd0e39d86c0c0c68e517