Management of chronic rumination with a contingent exercise procedure employing topographically dissimilar behavior

Daniel, William H.

doi:10.1016/0005-7916(82)90058-1

Cited by 14 publications

(4 citation statements)

References 12 publications

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“…This is often taken to imply the use of nonaversive treatments. While the use of AE is clearly not based on a punishment model, the fact that contingent exercise also reduces maladaptive behaviors (Belcher, 1988; Borreson, 1980; Daniel, 1982; DeCatanzaro & Baldwin, 1978; Gordon, Handleman, & Harris, 1987; Luce, Delqua‐dri, & Hall, 1980) suggests that exercise can function as an aversive stimulus for some individuals under some circumstances.…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

Antecedent exercise in the treatment of disruptive behavior: A meta-analytic review.

Allison¹,

Faith²,

Franklin³

1995

Clinical Psychology: Science and Practice

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A review and meta-analysis of 42 group and ringlecase studies evaluating antecedent exercise (AE) as a means of reducing disrupti-behaviors was conducted.Of 16 group studies, 12 produced positive results and 4 produced negative results. The weighted mean effect size, expressed as Cohen's d, was .33 with a standard error of .08. Moderator analysis indicated that studies using direct behavioral obsewation, hyperactive subjects, or nonaerobic exercise obtained greater effects, and that studies of higher quality obtained weaker effects. Of 26 single-use studies, 22 produced positive msults, 1 produced no effect, and 3 produced negative results. The weighted mean effect size, expressed as d, was 1.99 with a standard error of .411. Among the single-subject studies, moderator analyses were unable t o detect statistically significant moderatom of effect size. Information was reviewed suggesting that AE is socially acceptable, can be implemented with treatment integrity, and has a benign side effoct profile. The extent t o which AE is functionally based remains open to question due to a lack of understanding regarding mechanism of action. Ten hypothesized mechanisms of action are briefly discussed.

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Section: Recommendations For Future Researchmentioning

confidence: 99%

Antecedent exercise in the treatment of disruptive behavior: A meta-analytic review.

Allison¹,

Faith²,

Franklin³

1995

Clinical Psychology: Science and Practice

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“…Due to the serious health and social problems associated with rumination, interventions that produce rapid results are especially important. A variety of interventions have been used to reduce rumination, including the contingent presentation of aversive stimuli (e.g., Linscheid & Cunningham, 1977; Sajwaj et al, 1974), noncontingent food delivery (e.g., Lyons, Rue, Luiselli, & DiGennaro, 2007; Rast et al, 1981), differential reinforcement of other behavior (DRO; e.g., Conrin, Pennypacker, Johnston, & Rast, 1982), and contingent exercise (e.g., Daniel, 1982). All of these interventions have been found to reduce rumination relative to baseline levels.…”

Section: Introductionmentioning

confidence: 99%

A multi‐component approach to the treatment of chronic rumination

Wrigley¹,

Kahn²,

Winder³

et al. 2010

Behavioral Interventions

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A multi-component intervention was used to treat chronic rumination exhibited by an adult female diagnosed with a developmental disability. The intervention consisted of: (a) interruption of precursor behavior, (b) the alternation of 10-min periods of continued instruction that involved walking and working with (c) 10-min periods in which instructions were not delivered but a variable time 5-s schedule of noncontingent attention was programmed, and (d) a 1-min differential reinforcement of other behavior (DRO) schedule. During the intervention, rumination decreased by 82% relative to baseline. Next, components of the multi-component intervention were systematically removed to evaluate their individual contribution. Results suggested that each individual component contributed to the overall treatment effects.

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“…Among people with mental retardation, rumination is a fairly common behavior, with estimates ranging from 6% to 10% (Ball, Hendrickson, & Clayton, 1974;Rast, Johnston, Drum, & Conrin, 1981;Singh, 1981). Chronic rumination poses a potentially serious health hazard if left untreated for an extended period of time (Daniel, 1982;Johnston, Greene, Rawal, Vazin, & Winston, 1991). Damage to the teeth (e.g., erosion, caries) and oral soft tissue may also occur when highly acidic stomach content is regurgitated into the mouth, in combination with poor oral hygiene and diet (Roberts & Tylenda, 1989).…”

mentioning

confidence: 99%

“…Other punishment-based procedures that have been shown to be effective in treating rumination include pinching (Minness, 1980), overcorrection (Duker & Seys, 1977), and exercise (Daniel, 1982). Although application of aversive consequences is an effective and the most common treatment for rumination (Starin & Fuqua, 1987), there is considerable controversy surrounding the use of aversives with the developmentally disabled population.…”

mentioning

confidence: 99%

Case study: Initiating and maintaining a nonruminative response in an adult male who is profoundly retarded

Watson

Scott

1994

Behavioral Interventions

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A 51-year-old male with profound retardation and an 11-year history of rumination was treated using a simple intervention that included shaping, time-out, and stimulus control. An A-B-A-B design was used to evaluate treatment. Results indicated that the mean rate of rumination decreased from an average of 16.1 times per day during baseline to less than once per day at the conclusion of treatment. The potential prosocial effects of eliminating rumination and the implications of using less aversive interventions for serious and potentially life-threatening disorders in individuals with developmental disabilities are discussed. Correspondence may be addressed to the first author at P.O. Drawer GE, Mississippi State, MS 39762, USA by e-mail at TSWQRa. MsState.Edu., or by phone at (601)325-3815.The authors wish to thank Dr. Chris Skinner for his helpful comments on an earlier draft of this manuscript. Our appreciation is also extended to the hospital staff who assisted in data collection and treatment implementation.

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Management of chronic rumination with a contingent exercise procedure employing topographically dissimilar behavior

Cited by 14 publications

References 12 publications

Antecedent exercise in the treatment of disruptive behavior: A meta-analytic review.

Antecedent exercise in the treatment of disruptive behavior: A meta-analytic review.

A multi‐component approach to the treatment of chronic rumination

Case study: Initiating and maintaining a nonruminative response in an adult male who is profoundly retarded

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