Behavioral Intervention for the Treatment of Rumination

Wagaman, Joel R.; Williams, Donald E.; Camilleri, Michael

doi:10.1097/00005176-199811000-00019

Cited by 49 publications

(29 citation statements)

References 9 publications

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“…In another investigation of the effectiveness of habit reversal for a novel target behavior, Wagaman, Williams, and Camilleri (1998) used awareness and competing response training to treat rumination (regurgitating and reswallowing food following meals) exhibited by a 6-year-old child. Wagaman et al taught the girl a diaphragmatic breathing procedure to be implemented immediately following meals and contingent on an incident of rumination.…”

Section: Review Of Habit Reversal and Variationsmentioning

confidence: 99%

“…Although little research has evaluated the generality of habit reversal for target behaviors other than habits, tics, and stuttering, recent research suggests that it may be effective for other clinical problems (e.g., Allen, 1998;Wagaman et al, 1998). Researchers should continue to investigate the components of habit reversal for the treatment of other target behaviors.…”

Section: Conclusion and Suggestions For Future Researchmentioning

confidence: 99%

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Applying Behavior Analysis to Clinical Problems: Review and Analysis of Habit Reversal

Miltenberger

Fuqua

Woods

1998

J of App Behav Analysis

147

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This article provides a review and analysis of habit reversal, a multicomponent procedure developed by Nunn (1973, 1974) for the treatment of nervous habits, tics, and stuttering. The article starts with a discussion of the behaviors treated with habit reversal, behavioral covariation among habits, and functional analysis and assessment of habits. Research on habit reversal and simplified versions of the procedure is then described. Next the article discusses the limitations of habit reversal and the evidence for its generality. The article concludes with an analysis of the behavioral processes involved in habit reversal and suggestions for future research.DESCRIPTORS: habit reversal, habit disorders, tics, nervous habits, covariation, functional analysis, awareness training, competing response training, social supportThe early 1970s saw the development and evaluation of a number of new behavioral technologies. Azrin and colleagues were responsible for many applications of these behavioral procedures to treat clinical problems such as nervous habits (Azrin & Nunn, 1973), tics (Azrin, Nunn, & Frantz, 1980b), stuttering (Azrin & Nunn, 1974), alcohol abuse (Hunt & Azrin, 1973), enuresis (Azrin & Foxx, 1971), and aggressive and disruptive behaviors (Foxx & Azrin, 1972). Habit reversal, a procedure used to treat nervous habits, tics, and stuttering, was one of the successful treatments developed and evaluated in this era. Like many behavioral interventions at that time, habit reversal was a treatment package consisting of numerous individual treatment components implemented together to achieve maximum reductions in the targeted problem (Azrin & Address all correspondence to Raymond G. Miltenberger, Department of Psychology, North Dakota State University, Fargo, North Dakota 58105 (E-mail: miltenbe@badlands.nodak.edu). Nunn, 1973Nunn, , 1977. Because the goal of the early research on habit reversal was to produce immediate and lasting decreases in the occurrence of habit behaviors, analysis of the individual treatment components or elucidation of the behavioral mechanism responsible for the success of the procedure was not a focus of investigation at the time.More recently, researchers have investigated aspects of this robust treatment package, including simplified versions and variations

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Section: Review Of Habit Reversal and Variationsmentioning

confidence: 99%

Section: Conclusion and Suggestions For Future Researchmentioning

confidence: 99%

Applying Behavior Analysis to Clinical Problems: Review and Analysis of Habit Reversal

Miltenberger

Fuqua

Woods

1998

J of App Behav Analysis

147

View full text Add to dashboard Cite

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“…Behavioral interventions have been found to be effective for addressing numerous pediatric complaints. Support for behavioral strategies with rumination (i.e., biofeedback, cognitive therapy, and/or relaxation techniques including diaphragmatic breathing) are documented in the literature [3,[5][6][7]. Diaphragmatic breathing, which was also utilized in the current study, appears to be beneficial across many cases, presumably due to its reduction in abdominal wall tension/ contractions [7].…”

Section: Discussionmentioning

confidence: 80%

“…In the two largest studies on pediatric rumination [3,5], retrospective medical chart review provided support for multidisciplinary treatment strategies with an emphasis on behavioral techniques (i.e., biofeedback, relaxation techniques, diaphragmatic breathing, and/ or cognitive behavior therapy). Additionally, two case studies have provided support for behavioral techniques alone, specifically self-monitoring, diaphragmatic breathing, and social support with a 6-year-old female [6], and diaphragmatic breathing with an 18-year-old male [7]. Limited data support the use of pharmacotherapy [3].…”

Section: Introductionmentioning

confidence: 99%

Behavioral Treatment of Habitual Rumination: Case Reports

Dalton

Czyzewski

2008

Dig Dis Sci

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“…Other traits associated with rumination are high achievers, compulsive and perfectionist traits [32,33]. Treatment is based on behavioral modification (diaphragmatic breathing [34]). Some patients have evidence of impaired gastric accommodation [35].…”

Section: Differential Diagnosismentioning

confidence: 99%

Functional Dyspepsia and Gastroparesis

Camilleri¹

2016

Dig Dis

Self Cite

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Background: Upper gastrointestinal disorders typically present with common symptoms. The most relevant non-mucosal diseases are gastroparesis, functional dyspepsia and rumination syndrome. The literature pertaining to these 3 conditions was reviewed. Key Messages: Gastroparesis is characterized by delayed gastric emptying in the absence of mechanical obstruction of the stomach. The cardinal symptoms include postprandial fullness (early satiety), nausea, vomiting and bloating. The most frequently encountered causes of these symptoms are mechanical obstruction (pyloric stenosis), iatrogenic disease, gastroparesis, functional dyspepsia, cyclical vomiting and rumination syndrome. The most common causes of gastroparesis are neuropathic disorders such as diabetes, idiopathic, post-vagotomy and scleroderma among myopathic disorders. Principles of management of gastroparesis include exclusion of mechanical obstruction with imaging and iatrogenic causes with careful medication and past surgical history. Prokinetics and anti-emetics are the mainstays of treatment. Functional dyspepsia is characterized by the same symptoms as gastroparesis; in addition to delayed gastric emptying, pathophysiological abnormalities include accelerated gastric emptying, impaired gastric accommodation and gastric or duodenal hypersensitivity to distension and nutrients. Novel treatments include tricyclic antidepressants in patients with normal gastric emptying, acotiamide (acetyl cholinesterase inhibitor) and 5-HT_1A receptor agonists such as buspirone. Rumination syndrome is characterized by repetitive regurgitation of gastric contents occurring within minutes after a meal. Episodes often persist for 1-2 h after the meal, and the regurgitant consists of partially digested food that is recognizable in its taste. Regurgitation is typically effortless or preceded by a sensation of belching. This has been summarized as a ‘meal in, meal out, day in, day out' behavior for weeks or months, differentiating rumination from gastroparesis. Patients often have a background of psychological disorder or a prior eating disorder. Treatment is based on behavioral modification. Conclusion: Precise identification of the cause and pathophysiology of upper gastrointestinal symptoms is essential for optimal management.

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Behavioral Intervention for the Treatment of Rumination

Cited by 49 publications

References 9 publications

Applying Behavior Analysis to Clinical Problems: Review and Analysis of Habit Reversal

Applying Behavior Analysis to Clinical Problems: Review and Analysis of Habit Reversal

Behavioral Treatment of Habitual Rumination: Case Reports

Functional Dyspepsia and Gastroparesis

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