Jansen A, Van den Hout M A, De Loof C, Zandbergen J, Griez E
Limburg University, Maastricht, The Netherlands.
J Behav Ther Exp Psychiatry. 1989 Dec;20(4):327-32. doi: 10.1016/0005-7916(89)90064-5.
In the present case-study, a 22-year-old female patient with a 7-year history of bulimia nervosa was treated by cue-exposure. During cue-exposure sessions the relationship between CS (stimuli associated with binge-eating behaviour) and UCS (the sensations related to the intake of binge food) was broken. As predicted, the patients' craving for food declined within as well as between cue exposure sessions and a radical decrease in the frequency of binge-eating persisted for at least nine months. Although during the therapy no explicit attention was paid to the patient's low mood and irrational self-talk, mood was improved and beliefs were less irrational after cue-exposure and at the follow-ups. The data suggest that cue exposure may be an effective part of the treatment of bulimia nervosa.
在本案例研究中，一名患有神经性贪食症7年的22岁女性患者接受了线索暴露疗法。在线索暴露治疗过程中，条件刺激（与暴饮暴食行为相关的刺激）和无条件刺激（与摄入大量食物相关的感觉）之间的联系被打破。正如预期的那样，患者在线索暴露治疗期间以及治疗期间对食物的渴望都有所下降，暴饮暴食频率的显著降低持续了至少九个月。尽管在治疗过程中没有明确关注患者的低落情绪和不合理的自我对话，但在进行线索暴露治疗后以及随访时，患者的情绪得到了改善，信念也变得不那么不合理了。数据表明，线索暴露可能是神经性贪食症治疗的有效组成部分。
