A case of bulimia successfully treated by cue exposure

Jansen, Anita; Hout, Marcel A. van den; Loof, C. De; Zandbergen, J.; Griez, Eric

doi:10.1016/0005-7916(89)90064-5

Cited by 57 publications

(59 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Such successful extinction of responses to food cues is thought to increase one's ability to abstain from eating, and ultimately, result in improved weight loss success (Jansen, 1998;Jansen et al, 2011;Jansen, Stegerman, Roefs, Nederkoorn, & Havermans, 2010;Wardle, 1990). In support, the few studies conducted on cue exposure therapy (CET), in which overweight individuals or those with eating psychopathology are repeatedly exposed to food cues without eating, indeed suggest CET to be effective in reducing cue-elicited cravings and eating binges (e.g., Boutelle et al, 2014;Jansen, Broekmate, & Heymans, 1992;Jansen, Van Den Hout, De Loof, Zandbergen, & Griez, 1989;Martinez-Mallén et al, 2007;Schyns, Roefs, Mulkens, & Jansen, 2015;Toro, Cervera, Feliu, Garriga, Jou, Martinez, & Toro, 2003). Despite these very promising findings, the evidence for a superiority of CET over control treatments at follow-up is mixed (Boutelle et al, 2014;Jansen et al, 1992).…”

Section: Introductionmentioning

confidence: 77%

“…This is the aim of cue exposure therapy (the clinical equivalent of extinction), in which individuals with overweight and/or eating psychopathology are repeatedly exposed to food cues (e.g., the sight and smell of high-calorie foods, food-associated contexts). In line with a learning-based interpretation of food cue reactivity and overeating, the few studies that have been conducted on cue exposure therapy indeed suggest it effectively reduces cue-elicited cravings and eating binges (Boutelle et al, 2014;Jansen, Broekmate, & Heymans, 1992;Jansen, Van Den Hout, De Loof, Zandbergen, & Griez, 1989;Martinez-Mallén et al, 2007;Schyns, Roefs, Mulkens, & Jansen, 2016;Toro, Cervera, Feliu, Garriga, Jou, Martinez, & Toro, 2003) -although evidence for its long-term efficacy is mixed (Boutelle et al, 2014;Jansen et al, 1992). A deeper understanding of the role of learning in food cue reactivity can shed light on the etiology of food cravings and binge eating, and can ultimately help optimize treatments.…”

Section: Food Cue Reactivity and Pavlovian Conditioningmentioning

confidence: 96%

“…In cue exposure therapy, obese individuals and/or those with eating psychopathology are repeatedly exposed to stimuli associated with food intake -such as the sight or smell of food, environments, and emotions. Although studies indeed suggest cue exposure therapy to effectively reduce US expectancies, cravings, overeating, and eating psychopathology (Boutelle et al, 2014;Jansen, Broekmate, & Heymans, 1992;Jansen, Van Den Hout, De Loof, Zandbergen, & Griez, 1989;Martinez-Mallén et al, 2007;Schyns, Roefs, Mulkens, & Jansen, 2016;Toro, Cervera, Feliu, Garriga, Jou, Martinez, & Toro, 2003), there is also room for improvement: evidence for its long-term effectiveness is mixed (Boutelle et al, 2014;Jansen et al, 1992). Focusing on strengthening extinction learning and reducing magnitudes of returns of responses may increase the (long-term) effectiveness of cue exposure therapy.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Learned desires

Akker¹

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 77%

Section: Food Cue Reactivity and Pavlovian Conditioningmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Learned desires

Akker¹

View full text Add to dashboard Cite

“…Cue reactivity and reward sensitivity may be reduced by a method called cue exposure with response prevention (CERP), in which the association between the food-cues and the binges are extinguished (Jansen et al 1989, Toro et al 2003Martinez-Mallén et al 2007, Frankort et al 2014. During CERP treatment for binge eating, Pavlovian conditioning is broken down: the association between the food and the food cue (i.e.…”

Section: Cognitive and Behavioral Therapiesmentioning

confidence: 99%

Dürtüsellik ve Aşırı Yeme Arasındaki İlişki: Psikolojik ve Nörobiyolojik Yaklaşımlar

Atalayer¹

2018

Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry

View full text Add to dashboard Cite

ÖzEn temel tanımıyla dürtüsellik özdenetim olmadan davranma eğilimidir. Dürtüsellik eğilimi, aşırı yeme ve bununla ilgili belirtilerin ortaya çıkışı ve devamında da önemli bir rol oynamaktadır. Daha detaylı olarak; yüksek düzeydeki dürtüselliğin ve bununla ilişkili olan tepki kontrolünde zorluk, heyecana eğilim, ödül zafiyeti ve olumsuz duygulanım durumlarının, tıkınırcasına yeme bozukluğu-na ve obeziteye kadar ilerleyebilen duygusal yeme üzerinde bir etkileşim etkisine sahip olduğu bulunmuştur. Bu derlemenin amacı, dürtüselliğin aşırı yeme üzerindeki olası rolüne yönelik bilişsel ve nöropsikoloji alanında yapılan çalışmalardan elde edilen kanıtları bir araya getirmek ve bunun yanında obezite ve tıkınırcasına yemek bozukluğunun tedavi yöntemlerine, dürtüsellik özelliği göz önüne alınarak yapılabilecek olası değişiklik ve eklemelere önerme yapmaktır.Anahtar sözcükler: Dürtüsellik, aşerme, tıkınırcasına yeme, obezite, dışsal yeme örüntüsü. AbstractIn most basic terms impulsivity is defined as a tendency to act without control. Impulsivity has been implicated in the onset, symptomatic expression, and maintenance of overeating. Specifically, high impulsivity and associated poor inhibitory control, along with sensation seeking and reward sensitivity, as well as negative affect have been found to have an interaction effect on emotional eating, which may lead to binge eating and obesity. Moreover, associations between overeating and impulsive behaviors such as difficulty in response inhibition, planning, attention, addiction, or risk taking etc. have been previously shown. The purpose of this review is to summarize the evidence from psychology regarding the potential role of the impulsivity trait in overeating, with implications on the treatments for obesity and binge eating.

show abstract

“…En los estudios en que se ha empleado la terapia de exposición a señales para el tratamiento de la BN se ha empleado la exposición en vivo, ya fuese en consulta (Martínez-Mayén et al, 2007;Toro et al, 2003) o en la situación real en que la persona suele llevar a cabo la conducta de atracón (Jansen et al, 1992;Jansen et al, 1989;Schmidt y Marks,1988). Aun contando con claras ventajas, la exposición en vivo tiene ciertas limitaciones que deben tenerse en cuenta (Gutiérrez-Maldonado, Ferrer-Garcia, Caqueo-Urízar, y Moreno, 2010).…”

unclassified

Inducción de craving por comida mediante realidad virtual no inmersiva

Agliaro-López

Ferrer-García

Pla-Sanjuanelo

et al. 2015

RPPC

View full text Add to dashboard Cite

Resumen: La terapia de exposición a señales se ha propuesto como un tratamiento eficaz para las conductas de atracón al propiciar la extinción de la asociación entre los estímulos relacionados con la ingesta compulsiva y la respuesta de craving. El objetivo de este estudio es evaluar si la exposición a alimentos en entornos de realidad virtual (RV) es capaz de producir niveles de craving consistentes con diferencias individuales en craving-rasgo y craving-estado, de manera que puedan ser utilizados en programas de tratamiento basados en exposición a señales. Los participantes fueron expuestos a 10 alimentos en cuatro entornos virtuales. Las personas que presentaban mayores niveles de craving-rasgo y cravig-estado mostraron mayores deseos de comer durante la exposición a los entornos virtuales. Estos resultados constituyen un indicador de validez del uso de procedimientos basados en la exposición virtual a comida para llevar a cabo intervenciones basadas en técnicas de exposición a señales. Palabras clave:Craving; exposición a señales; realidad virtual; bulimia nerviosa; trastorno por atracón. Inducing food craving by means of non immersive virtual realityAbstract: The binge behavior has been associated with elevated levels of food craving. Cue exposure therapy has been proposed as an effective treatment for binge behavior, facilitating the extinction of the association between the stimuli associated with binge eating and the craving response. The aim of this study is to evaluate whether exposure to food in virtual environments can produce craving levels consistent with individual differences in trait-craving and state-craving, such that they can be used in treatment programs based on cue exposure. The participants were exposed to 10 foods in four virtual environments using non immersive devices. Consistent with the predictions, individuals who had higher levels of trait-craving and state-craving showed a greater desire to eat during exposure to different virtual environments. These results are indicative of the validity of procedures based on food exposure in virtual environments to carry out interventions based on cue exposure techniques. Keywords:Craving; cue exposure; virtual reality; bulimia nervosa; binge eating disorder. INTRODUCCIÓNLos trastornos de la conducta alimentaria (TCA) se caracterizan por alteraciones de la inRecibido: 9 junio 2014; aceptado: 29 junio 2014. Correspondencia: José Gutiérrez-Maldonado, Facultad de Psicología, Departamento de personalidad, evaluación y tratamientos psicológicos, Universidad de Barcelona. Paseo Valle de Hebrón, 171, 08035 Barcelona, España. Correo-e: jgutierrezm@ub.edu Agradecimientos: Este estudio ha sido realizado gracias a la fi nanciación del Ministerio de Ciencia e Innovación (Proyecto PSI2011-28801: "Exposición a señales mediante realidad virtual para el tratamiento de la bulimia nerviosa"). gesta que, ya sea por exceso o por defecto, conllevan importantes cambios en el peso y/o graves perturbaciones en la relación que se establece con la comida. Como consecuen...

show abstract

A case of bulimia successfully treated by cue exposure

Cited by 57 publications

References 12 publications

Learned desires

Learned desires

Dürtüsellik ve Aşırı Yeme Arasındaki İlişki: Psikolojik ve Nörobiyolojik Yaklaşımlar

Inducción de craving por comida mediante realidad virtual no inmersiva

Contact Info

Product

Resources

About