Overview of the treatment of rumination disorder for adults in a residential setting

Carr, James E.

doi:10.1016/s0005-7916(98)00002-0

Cited by 30 publications

(11 citation statements)

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“…Others have confirmed that increased consumption is associated with reduced rumination in people with profound LD (Clauser & Scibak, 1990;Foxx, Snyder, & Schroeder, 1979). However, studies are difficult to compare as they used different definitions of satiation ranging from the point of food refusal (Jackson, Johnson, Ackron, & Crowley, 1975), to double portions or unlimited starches (Foxx et al, 1979) and different satiation procedures (Fredericks et al, 1998).…”

Section: Treatment Of Ed In Ldmentioning

confidence: 99%

The diagnosis of eating disorders in adults with learning disabilities: Conceptualisation and implications for clinical practice

Jones

Samuel²

2010

Euro Eating Disorders Rev

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Section: Treatment Of Ed In Ldmentioning

confidence: 99%

The diagnosis of eating disorders in adults with learning disabilities: Conceptualisation and implications for clinical practice

Jones

Samuel²

2010

Euro Eating Disorders Rev

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“…Prevalence in institutionalized individuals with mental retardation has been estimated at 6 to 10% (Fredericks et al, 1998); however, the prevalence and incidence of ruminative behavior among this population at large has not been studied. Moreover, no estimates are available for typically developing individuals (Parry-Jones, 1994) although recent case studies have documented the occurrence of rumination in normally-developing adults (Amarnath, Abell, & Malagelada, 1986), adolescents (Khan, Hyman, Cocjin, & DiLorenzo, 2000), and school-age children (Reis, 1994).…”

Section: Chapter 12mentioning

confidence: 99%

Tic Disorders, Trichotillomania, and Other Repetitive Behavior Disorders

Woods¹,

Miltenberger²

2006

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^Spri inger Library of Congress Cataloging-in-Publication DataTic disorders, trichotillomania, and other repetitive behavior disorders: behavioral approaches to analysis and treatment / edited by Douglas W. Woods and Raymond G. Miltenberger. p. cm. Includes bibliographical references and index. ISBN 0-7923-7319-7 (alk. paper) 1. Stereotyped behavior (Psychiatry) 2. ISBN: 0-7923-7319-7 hardcoverPrinted on acid-free paper.First softcover printing, 2006 ), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights.Printed in the United States of America. 987654321springer.com

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“…The only contraindications are psychosis or intellectual inability to understand and participate in the biofeedback instructions. It has been used effectively in adults [22,23].…”

Section: Biofeedback Therapymentioning

confidence: 99%

Rumination

Olden

2001

Curr Treat Options Gastro

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Rumination is an unusual gastrointestinal symptom that is characterized by the repetitive regurgitation of gastric contents into the oropharynx. The regurgitation occurs very soon after a meal and tends to persist for 1 to 2 hours. Rumination is defined by the setting in which it occurs. It is seen in three distinct populations: infants; individuals with psychiatric and neurologic disorders, particularly developmental disabilities; and adults who do not have overt psychiatric or neurologic disorders. The hallmark of rumination, which separates it from other disorders of the upper gastrointestinal tract (such as gastroesophageal reflux disease or cyclic vomiting syndrome), is the fact that in patients with rumination, the gastric contents appear in the oropharynx without retching or nausea. Rather, the patient makes a conscious decision on how to handle the regurgitated material after it presents into the oropharynx. The regurgitated meal usually consists of undigested or partially digested food. The regurgitation is effortless or at most is preceded by a sensation of belching immediately prior to the regurgitation itself. The management of patients with rumination needs to be accomplished in a highly individualized manner. Children with infant rumination syndrome often have symptoms related to significant defects in bonding with their mother. Thus, problems of mother-child bonding in pediatric patients with rumination syndrome should be identified and appropriately addressed. The management of adult patients with developmental disabilities or neurologic impairments who ruminate focuses mainly on behavioral modalities, including adversive conditioning and contingency management. The healthy adult who ruminates and has no evidence of neurologic or developmental disability is best seen as someone with a habit. Management in these patients is directed towards adjunctive therapies (ie, the use of proton pump inhibitors or H(2 )receptor antagonists to decrease acid injury to the esophagus) as well as identifying situations and emotions that trigger the patient's symptoms. Randomized controlled trials of various treatment modalities need to be undertaken; likewise, the evaluation strategy needed to best diagnose rumination is yet to be well defined. At this time, the challenge for gastroenterologists is to understand the nature of rumination, to identify individuals at high risk, and to use the management strategies most associated with good outcomes in patients with rumination in various clinical settings.

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Overview of the treatment of rumination disorder for adults in a residential setting

Cited by 30 publications

References 30 publications

The diagnosis of eating disorders in adults with learning disabilities: Conceptualisation and implications for clinical practice

The diagnosis of eating disorders in adults with learning disabilities: Conceptualisation and implications for clinical practice

Tic Disorders, Trichotillomania, and Other Repetitive Behavior Disorders

Rumination

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