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A behavioural programme for the management of anorexia nervosa
The Australian and New Zealand Journal of Psychiatry
|March 1, 1978
Summary
This study introduces a behavioral treatment program for weight gain, emphasizing patient involvement and reinforcement for weight gain, not eating. The program also uses contracting and family therapy for sustained results.
Area of Science:
- Behavioral psychology
- Clinical psychology
- Health psychology
Background:
- Behavioral principles are effective in modifying patient behaviors.
- Weight gain can be a therapeutic goal in certain clinical contexts.
Purpose of the Study:
- To describe a novel treatment program utilizing behavioral principles for weight gain.
- To outline key components of the program, including patient participation and reinforcement strategies.
Main Methods:
- Active patient involvement in treatment planning.
- Contingent reinforcement focused on weight gain, not eating behavior.
- Frequent progress feedback and reduced "response cost" for eating.
- Contracting, random follow-up scheduling, and family therapy for maintenance.
Main Results:
- The program was applied to an initial group of 5 female patients.
- Preliminary results regarding weight gain in these patients are discussed.
Conclusions:
- Behavioral principles can be effectively applied to achieve therapeutic weight gain.
- A multi-component approach including reinforcement and family therapy aids in maintaining weight gain post-discharge.