Azrin Nathan H, Kellen Michael J, Ehle Christopher T, Brooks Jeannie S
Nova Southeastern University, USA.
Behav Modif. 2006 Sep;30(5):673-80. doi: 10.1177/0145445505277149.
Studies of self-induced vomiting of retarded persons have found that the rate of eating and the amount eaten alter this problem. The present study attempted to determine whether this same relation was exhibited by the nonretarded bulimic. A nonretarded bulimic woman provided her subjective ratings of her desire to vomit after eating her taboo foods at a fast versus slowed versus normal rate using a within participant experimental design. The desire to vomit was found to be near absent after the slowed eating of the taboo foods but was at a high level that endured after the rapid or normal eating. These results suggest a neglected determinant of adult bulimia that may be used in clinical treatment, pending confirmation by a larger sample with measures of actual vomiting as was previously evidenced by the inpatient retarded vomiters.
对智力迟钝者自我催吐的研究发现,进食速度和进食量会改变这一问题。本研究试图确定非智力迟钝的贪食症患者是否也表现出同样的关系。一名非智力迟钝的贪食症女性采用参与者内实验设计,在快速、缓慢和正常进食速度下食用禁忌食物后,提供了她想要呕吐的主观评分。结果发现,缓慢进食禁忌食物后几乎没有呕吐欲望,但快速或正常进食后呕吐欲望处于高水平且持续存在。这些结果表明,成人贪食症存在一个被忽视的决定因素,在有更大样本并采用实际呕吐测量方法进行确认之前,这一因素可用于临床治疗,此前住院的智力迟钝呕吐者已有相关证据。