Behavioral treatment of night bingeing and rumination in an adult case of bulimia nervosa.
A 24-year-old female, diagnosed as bulimia nervosa with night bingeing and rumination, was treated by individual and group behavior therapy. A changing criterion design progressively adjusted the criterion for reinforcement as the treatment obtained diminution of night bingeing. Night bingeing was finally eliminated, without evidence of recurrence at 3 month and 2 year follow-ups. Rumination was regarded as a collateral behavior and diminished in tandem with reduction of night bingeing. Other improvements in bulimia nervosa were observed over the course of treatment.
Department of Psychology, Louisiana State University, Baton Rouge 70803.
D A
DA
Williamson
O D
OD
Lawson
S M
SM
Bennett
L
L
Hinz
D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D002032:Bulimia / Q000523:psychology / Q000628:therapy*; D002940:Circadian Rhythm; D003131:Combined Modality Therapy; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D011615:Psychotherapy, Group / Q000379:methods; D014040:Token Economy; D014839:Vomiting / Q000523:psychology / Q000628:therapy*