Amari A, Grace N C, Fisher W W
Kennedy Krieger Institute, Baltimore, Maryland 21205, USA.
J Appl Behav Anal. 1995 Fall;28(3):341-2. doi: 10.1901/jaba.1995.28-341.
The ketogenic diet, a treatment for intractable epilepsy, is rarely initiated because it requires strict compliance with a diet that is perceived to be unpalatable. In a case study of a 15-year-old girl with uncontrolled epilepsy, we used a stimulus-choice procedure to assess relative preferences of 33 foods from the diet and to develop two treatments based on Premack's principle. The results of a multielement analysis showed that both treatments increased dietary compliance. Compliance was maintained with generalization of treatment across settings, and was associated with a 40% reduction in seizures.
生酮饮食作为一种治疗难治性癫痫的方法，很少被采用，因为它要求严格遵守一种被认为味道不佳的饮食。在一项针对一名癫痫未得到控制的15岁女孩的案例研究中，我们使用了刺激选择程序来评估生酮饮食中33种食物的相对偏好，并根据普雷马克原理制定了两种治疗方案。多因素分析结果表明，两种治疗方案均提高了饮食依从性。治疗在不同环境中的推广使依从性得以维持，并且癫痫发作减少了40%。
