Breaking the cycle: Cognitive behavioral therapy and biofeedback training in a case of cyclic vomiting syndrome

Slutsker, Barak; Konichezky, Andres; Gothelf, Doron

doi:10.1080/13548506.2010.498893

Cited by 41 publications

(25 citation statements)

References 15 publications

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“…There is a recent case report of cognitive behavioral therapy and biofeedback training providing a benefit in CVS. 41 The role of diet and supplements in adults is unknown, and coenzyme Q10 is of uncertain benefit. Therefore, the treatment of CVS remains challenging and further research is warranted.…”

Section: Discussionmentioning

confidence: 99%

Cyclic vomiting syndrome and functional vomiting in adults: association with cannabinoid use in males

Choung

Locke

Lee

et al. 2011

Neurogastroenterology Motil

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Background Cyclic vomiting syndrome (CVS) is characterized by stereotypical episodes of vomiting separated by symptom-free intervals. However, the difficulty encountered in the management of patients with CVS may be a reflection of a deficiency in our understanding of the disorder. We aimed to evaluate whether clinical or gastric emptying (GE) data discriminate patients labeled as having CVS from functional vomiting (FV) or IBS. Methods The medical records of patients diagnosed with any vomiting (including CVS, FV) over a 13-year period (1993–2006) at our institution were carefully reviewed. Disease controls were age and gender matched subjects with IBS. GE was performed by scintigraphy (99mTc-egg meal). The associations of clinical factors and gastric emptying data with patient status (CVS vs. FV or IBS) were analyzed. Key Results A total of 82 patients with CVS and 62 FV patients were identified. Younger age (per 10 years, OR=0.7 [0.5, 0.9]), male gender (OR=0.4 [0.2, 0.9]), and cannabinoid use (OR=2.9 [1.2, 7.2]) were significantly associated with CVS compared to FV. However, there were no significant associations between patient status (CVS vs. FV) and age, BMI, smoking, alcohol use, gastrointestinal symptoms, or GE. The proportion of cannabinoid users was significantly higher in subjects with CVS compared to subjects with IBS, while proportions for headaches and psychiatric disease were higher in subjects with IBS. Conclusions CVS (vs. FV) was not associated with clinical factors, but was associated with younger age, male gender and cannabinoid use. A larger proportion of CVS (vs. IBS) patients had used cannabinoids.

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Section: Discussionmentioning

confidence: 99%

Cyclic vomiting syndrome and functional vomiting in adults: association with cannabinoid use in males

Choung

Locke

Lee

et al. 2011

Neurogastroenterology Motil

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“…There is scant literature addressing the use of complementary techniques in adult CVS. Relaxation and biofeedback combined with cognitive behavioral therapy were successful in reducing the frequency of CVS episodes in one adolescent case study …”

Section: Treatment Of Comorbid Conditionsmentioning

confidence: 97%

Guidelines on management of cyclic vomiting syndrome in adults by the American Neurogastroenterology and Motility Society and the Cyclic Vomiting Syndrome Association

Venkatesan

Levinthal

Tarbell

et al. 2019

Neurogastroenterology Motil

122

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The increasing recognition of cyclic vomiting syndrome (CVS) in adults prompted the development of these evidence‐based guidelines on the management of CVS in adults, which was sponsored by the American Neurogastroenterology and Motility Society (ANMS) and the Cyclic Vomiting Syndrome Association (CVSA). GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) framework was used and a professional librarian performed the literature search. The expert committee included the President of the CVSA who brought a patient perspective into the deliberations. The committee makes recommendations for the prophylaxis of CVS, treatment of acute attacks, diagnosis, and overall management of CVS. The committee strongly recommends that adults with moderate‐to‐severe CVS receive a tricyclic antidepressant (TCA), such as amitriptyline, as a first‐line prophylactic medication and receive topiramate or aprepitant as alternate prophylactic medications. Zonisamide or levetiracetam and mitochondrial supplements (Coenzyme Q10, L‐carnitine, and riboflavin) are conditionally recommended as alternate prophylactic medications, either alone or concurrently with other prophylactic medications. For acute attacks, the committee conditionally recommends using serotonin antagonists, such as ondansetron, and/or triptans, such as sumatriptan or aprepitant to abort symptoms. Emergency department treatment is best achieved with the use of an individualized treatment protocol and shared with the care team (example provided). The committee recommended screening and treatment for comorbid conditions such as anxiety, depression, migraine headache, autonomic dysfunction, sleep disorders, and substance use with referral to appropriate allied health services as indicated. Techniques like meditation, relaxation, and biofeedback may be offered as complementary therapy to improve overall well‐being and patient care outcomes.

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“…Foram revisados 31 artigos publicados entre janeiro de 2000 e junho de 2012. Esses artigos investigaram os efeitos da aplicação da técnica do biofeedback em transtornos de ansiedade (Reiner, 2008;Sherlin, Gevirtz, Wyckoff & Muench, 2009), asma, (Lehrer et al, 2004;Lehrer et al, 2006), depressão (Karavidas et al, 2007;Siepmann, Aykac, Unterdorfer, Petrowski & Mueck-Weymann, 2008), fibromialgia (Hassett et al, 2007), doenças coronarianas e cardíacas (Del Pozo, Gevirtz, Scher & Guarneri, 2004;Nolan et al 2005;Swanson et al, 2009), inflamação induzida (Lehrer et al, 2010), hipertensão (Lin et al, 2012;Nolan et al, 2010), efeito barorreflexo e ressonância cardiovascular (Lehrer et al, 2003;Reyes del Paso & González, 2004;, saúde mental em escolares (Pop-Jordanova, 2009), dor (Chalaye, Goffaux, Lafrenaye & Marchand, 2009;Hallman, Olsson, Von Schéele, Melin, & Lyskov, 2011;Sowder, Gevirtz, Shapiro, & Ebert, 2010), desempenho no trabalho (Sutarto, Wahab & Zin, 2010), transtorno de estresse pós-traumático (TEPT) (Ginsberg, Berry, & Powell, 2010;Tan, Dao, Farmer, Sutherland, & Gevirtz, 2011;Zucker, Samuelson, Muench, Greenberg & Gevirtz, 2009), qualidade do sono (Ebben, Kurbatov & Pollak, 2009), esportes (Lagos et al, 2008;Paul, Garg, & Sandhu, 2012;Raymond, Sajid, Parkinson & Gruzelier, 2005), estresse (Goodie & Larkin, 2001;McCraty, Atkinson, Lipsenthal, & Arguelles, 2009) e vômito cíclico (Slutsker, Konichezky & Gothelf, 2010). Dess...…”

Section: Resultsunclassified

“…Dentre os artigos revisados, apenas 1 (Reiner, 2008) (Chalaye et al, 2009;Del Pozo et al, 2004;Lin et al, 2012;Vaschillo et al, 2006); não descreveram na metodologia quais instrumentos foram utilizados (Slutsker et al, 2010); ou, ainda, usaram medidas indiretas, como variação na quantidade de medicação Lehrer et al, 2004)…”

Section: Resultsunclassified

“…A autora não apresentou resultados relacionados a alterações comportamentais. Já Slutsker et al (2010) obtiveram a remissão das crises de vômito cíclico de um jovem de 13 anos, associando o biofeedback de variabilidade da frequência cardíaca a um programa psicoeducacional de controle de ansiedade. A duração do tratamento não foi relatada, e ao final a razão LF/HF foi reduzida de 1.43 para 0.94.…”

Section: Transtornosunclassified

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Biofeedback Cardiovascular e suas aplicações: revisão de literatura

Gomes¹,

Coghi²,

Coghi³

2014

Av. Psicol. Latinoam.

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Avances en Psicología Latinoamericana/Bogotá (Colombia)/Vol. 32(2)/pp. 199-216/2014/ISSNe2145-4515 199 Resumo O biofeedback cardiovascular é uma técnica de automodulação fisiológica mediada pela ressonância entre dois mecanismos de regulação cardiovascular: o reflexo barorreceptor e a arritmia sinusal respiratória. Quando esse fenômeno ocorre, é possível visualizar um aumento significativo na amplitude da frequência em torno de 0.1Hz, chamada baixa frequência (low frequency, LF). Nesse trabalho, consultou-se a base de dados Pubmed e foram revisados 31 trabalhos, publicados entre 2000 e junho de 2012. O protocolo mais utilizado (em 41.94 % dos artigos) foi desenvolvido por Lehrer, Vaschillo, & Vaschillo (2000), e envolve 10 sessões semanais, durante 20 minutos cada, e treinamento doméstico diário, duas vezes ao dia, cada um durante 20 minutos. O treinamento com biofeedback tem apresentado resultados promissores como terapia complementar em diferentes transtornos, com redução significativa nas escalas de ansiedade e depressão, seja quando essas patologias apresentam-se como queixa única ou como comorbidade em outros transtornos. Os efeitos sobre alterações cognitivas apresentaram resultados inconsistentes. Palavras-chave: Biofeedback cardiovascular, regulação autonômica, retroalimentação fisiológica, coerência cardíaca ResumenEl biofeedback cardiovascular es una técnica de automodulación fisiológica mediada por la resonancia entre dos mecanismos de regulación cardiovascular: el reflejo barorreceptor y la arritmia sinusal respiratoria. Cuando ese fenómeno ocurre, es posible visualizar un aumento significativo en la amplitud de la frecuencia en torno a 0.1Hz, llamada baja frecuencia (low frequency, LF). En ese trabajo, se consultó la base de datos Pubmed y fueron revisados 31 trabajos, publicados entre 2000 y junio del 2012. El protocolo más utilizado (en 41.94% de los artículos) fue desarrollado por Lehrer, Vaschillo, & Vaschillo (2000), e involucra diez sesiones semanales, de veinte minutos cada una, y entrenamiento doméstico diario, dos veces al día durante veinte minutos. El entrenamiento con biofeedback ha presentado resultados promisorios como terapia complementar en diferentes trastornos, con reducción significativa en las escalas

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Breaking the cycle: Cognitive behavioral therapy and biofeedback training in a case of cyclic vomiting syndrome

Cited by 41 publications

References 15 publications

Cyclic vomiting syndrome and functional vomiting in adults: association with cannabinoid use in males

Cyclic vomiting syndrome and functional vomiting in adults: association with cannabinoid use in males

Guidelines on management of cyclic vomiting syndrome in adults by the American Neurogastroenterology and Motility Society and the Cyclic Vomiting Syndrome Association

Biofeedback Cardiovascular e suas aplicações: revisão de literatura

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