Exposure with response prevention and energy regulation in the treatment of bulimia

The separate and additive effects of exposure with response prevention (ERP) and energy balance training (EB) in the treatment of bulimia were evaluated in six female bulimics. A multiple-baseline design was used in which exposure with response prevention was designed to reduce vomiting frequency and energy balance training was designed to reduce the frequency of food intakes. The treatments were not independent as they led to changes in the target as well as the nontarget behaviors. Inconsistent self-monitoring and the small sample size limit definite conclusions beyond the fact that both treatments are potentially promising as interventions for bulimia.