Rumination Disorders

Wilder, David A.; Lipschultz, Joshua L.

doi:10.1007/978-3-319-27297-9_9

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2019

2024

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Cited by 4 publications

(1 citation statement)

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“…It is estimated that 6% to 10% of individuals with intellectual or developmental disabilities ruminate (Lang et al, ). Rumination can result in serious medical problems including malnutrition, dehydration, esophagitis, tooth decay, and ulcers (Wilder & Lipschultz, ). In addition, individuals who ruminate may be subject to social isolation or limited social interaction.…”

Section: Introductionmentioning

confidence: 99%

Empirically derived consequences to treat rumination

Migan‐Gandonou

Leon

2019

Behavioral Interventions

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We evaluated a contingent oral hygiene procedure on rumination emitted by a 9-year-old boy with autism. Results of a functional analysis screening suggested rumination was maintained by automatic reinforcement. We conducted a stimulus avoidance assessment to identify a hierarchy of potential consequences to be used in treatment. During treatment, contingent toothbrushing resulted in a 97% decrease in rumination. Finally, we transitioned to a less intrusive intervention (i.e., contingent mouthwash spray) and rumination remained at near-zero levels. Treatment effects generalized to different settings and caregivers and maintained over a 4-year period.

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Section: Introductionmentioning

confidence: 99%