Donohue B, Thevenin D M, Runyon M K
Nova Southeastern University.
Behav Modif. 1997 Apr;21(2):231-51. doi: 10.1177/01454455970212006.
The present single case study evaluated the efficacy of a cognitive-behavioral intervention for the treatment of a patient diagnosed with globus hystericus, a conversion disorder characterized by a perceived lump in the throat. The patient was a non-mentally retarded 12-year-old female who refused to swallow solids because she thought that her throat muscles would involuntarily constrict and result in choking. She lost approximately .5 lbs. per week during the 6 months prior to treatment. Improvements in weight gain were demonstrated consequent to the implementation of behavior therapy, with weight gain being particularly pronounced after contingency contracting was added to therapy. Weight gain was maintained at 1, 6, and 10 months posttreatment.
本单病例研究评估了认知行为干预对一名被诊断为癔球症患者的治疗效果。癔球症是一种转换障碍，其特征为感觉喉咙有异物感。该患者是一名12岁非智障女性，因认为自己的咽喉肌肉会不由自主地收缩并导致窒息而拒绝吞咽固体食物。在治疗前的6个月里，她每周体重减轻约0.5磅。行为疗法实施后体重增加情况有所改善，在治疗中加入权变合约后体重增加尤为显著。治疗后1个月、6个月和10个月体重增加情况保持稳定。
