Yorkshire Centre for Eating Disorders, Leeds Partnership NHS Foundation Trust, Leeds, UK.
Int J Eat Disord. 2012 Mar;45(2):298-301. doi: 10.1002/eat.20919. Epub 2011 Mar 3.
This report offers the first detailed description of repetitive eructation (belching) in a patient with bulimia nervosa. The case was a man in his 30's with bulimia nervosa characterized by daily bingeing and purging behavior. Detailed assessment revealed repetitive eructation which was construed as a learned behavior precipitated and maintained by aerophagia (air swallowing) secondary to regular binge-eating. Eructation was associated with a strong sense of "relief" that shared a common phenomenology with other purging behaviors. Repetitive eructation was addressed as part of outpatient treatment using a cognitive-therapy approach. Eructation became less frequent during outpatient treatment but the patient disengaged after six sessions. We define a new term "eructophilia" where repetitive eructation takes on an ego-syntonic, self-contained, and autonomous quality which serves as a reinforcing stimulus in itself. Issues of phenomenology and motivating factors are further discussed.
本报告首次详细描述了一位神经性贪食症患者的反复呃逆（嗳气）。该病例为一名 30 多岁的男性，患有神经性贪食症，表现为每日暴食和催吐行为。详细评估显示，反复呃逆是一种习得行为，由常规暴食引起的吞气（吞气）引发并维持。呃逆伴随着一种强烈的“解脱感”，与其他催吐行为具有共同的现象学特征。呃逆作为门诊治疗的一部分，采用认知疗法进行处理。在门诊治疗期间，呃逆的频率降低，但患者在六次治疗后退出。我们定义了一个新术语“呃逆癖”，其中反复呃逆具有自我协调、自我包含和自主的特点，本身就是一种强化刺激。进一步讨论了现象学和动机因素的问题。
