Rumination Syndrome

Diest, Ashley M. Kroon Van; Yacob, Desale

doi:10.1007/978-3-031-15229-0_40

Cited by 3 publications

(8 citation statements)

References 27 publications

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“…Rumination syndrome differs from other vomiting-related DGBIs (e.g., cyclic vomiting, functional vomiting, and gastroparesis) due to timing in relation to oral intake and the effortless manner in which it occurs. It occurs in otherwise healthy children and adolescents, although prevalence rates are largely unknown due to under/misdiagnosis of the condition (Kroon Van Diest & Yacob, 2022; O’Brien et al, 1995). A recent review acknowledges the low prevalence rates of Rumination syndrome likely due to underdiagnosis, but reports 0%–5.1% prevalence in population studies of patients 5 years of age and older (Martinez et al, 2021).…”

Section: Treatment Of Rumination Syndromementioning

confidence: 99%

“…While diagnosed as a medical condition, the treatment of Rumination syndrome is largely behavioral and often led by psychologists (Kroon Van Diest & Yacob, 2022). Medical treatment is limited to management of supplemental tube feedings (when medically indicated), and prescribing baclofen or other medications to address comorbid symptoms such as abdominal pain, nausea, or constipation.…”

Section: Treatment Of Rumination Syndromementioning

confidence: 99%

“…Primary behavioral strategies used that are incompatible with Rumination syndrome include diaphragmatic breathing and reswallowing of regurgitation (Alioto & Di Lorenzo, 2018; Kroon Van Diest & Yacob, 2022). Diaphragmatic breathing is used to alleviate abdominal wall tension and pressure on the stomach, which in-turn prevents regurgitation when used in the correct manner and at optimal times in regard to meals (Chitkara et al, 2006).…”

Section: Treatment Of Rumination Syndromementioning

confidence: 99%

“…Reswallowing regurgitation is used to teach the stomach to keep food down rather than rejecting contents, and is “incompatible” with regurgitation followed by expulsion of gastric contents (Mousa et al, 2014). Other helpful strategies include consuming small amounts of food at a time to reduce volume of gastric contents and make reswallowing regurgitation easier, slowing pace of eating and drinking, and minimizing fluids consumed with solid foods (Kroon Van Diest & Yacob, 2022; Lamparyk & Stephens, 2022).…”

Section: Treatment Of Rumination Syndromementioning

confidence: 99%

“…All prior medical testing, medications trialed, and procedures conducted are reviewed with the family. The diagnosis of Rumination syndrome is then confirmed by the gastroenterologist and psychologist based on clinical history, given Rumination syndrome is a diagnosis made primary based on clinical symptomatology (Kroon Van Diest & Yacob, 2022). Providing patients with a clear diagnosis and explanation of the physiological nature of Rumination syndrome is the first step to treatment and helps to provide reassurance and reduce resistance to the diagnosis and treatment of Rumination syndrome.…”

Section: Treatment Of Rumination Syndromementioning

confidence: 99%

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Intensive Outpatient Treatment of Pediatric Rumination Syndrome

Kroon Van Diest

2023

Clinical Practice in Pediatric Psychology

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Objective: Rumination syndrome is a disorder of gut-brain interaction that involves effortless postprandial regurgitation of gastric contents. It frequently occurs in otherwise healthy children and adolescents, and is associated with significant physical and psychological consequences. Treatment of Rumination syndrome is largely behavioral, and more severe illness was traditionally treated with intensive inpatient treatment. While largely successful, inpatient treatment is very costly and frequently denied by insurance. Method: As such, the intensive outpatient program (IOP) for treating Rumination syndrome was developed. This paper describes the novel IOP approach to treating pediatric Rumination syndrome in detail. Results: Data on both treatment and cost-effectiveness of the IOP are reviewed, demonstrating that IOP is as effective yet significantly cheaper than intensive inpatient treatment. The tiered method of care used within this model, adaptation to telehealth, and translatability of the program to other providers and institutions are also reviewed. Conclusions: Intensive outpatient treatment for pediatric Rumination syndrome is an effective form of treatment that is significantly less costly than inpatient care, more readily approved by insurance, and more easily translated to telehealth or other institutions and providers for use. Implications for Impact StatementThe intensive outpatient program for treating pediatric Rumination syndrome is effective while costing significantly less than previously relied upon inpatient treatment and is described in detail in this article. Adaptation to telehealth as well as ability of other providers or institutions to use this model to treat pediatric Rumination syndrome is reviewed.

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Section: Treatment Of Rumination Syndromementioning

confidence: 99%

Section: Treatment Of Rumination Syndromementioning

confidence: 99%

Section: Treatment Of Rumination Syndromementioning

confidence: 99%

Section: Treatment Of Rumination Syndromementioning

confidence: 99%

Section: Treatment Of Rumination Syndromementioning

confidence: 99%

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Intensive Outpatient Treatment of Pediatric Rumination Syndrome

Kroon Van Diest

2023

Clinical Practice in Pediatric Psychology

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Innovations in the Psychological Care of Pediatric Disorders of Gut–Brain Interaction

Essner,

Boyle

2023

Clinical Practice in Pediatric Psychology

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Objective: Disorders of gut-brain interaction (DGBI, formerly known as functional gastrointestinal disorders [FGIDs]) are highly prevalent in the pediatric population. DGBIs in youth are often associated with academic, physical, and psychosocial impairments. Assessment and treatment of DGBIs are best conceptualized using a biopsychosocial approach. The inclusion of psychological therapies as part of integrated care for pediatric DGBIs is well supported. The purpose of this special issue is to present innovations in the psychological treatment of pediatric DGBIs. Method: Articles inclusive of topics on novel assessment and treatment approaches, quality improvement work, program development, case examples, and commentaries addressing pediatric DGBIs were considered for this special issue. Results: This special issue includes eight articles that highlight innovations in the psychological treatment of pediatric DGBIs. Articles cover a wide range of conditions, treatment delivery models, and intervention modalities. Future directions for areas of study, as well as discussion of clinical challenges, disparities in care, program development initiatives, and dissemination opportunities within pediatric psychogastroenterology are also offered. Conclusions: The articles included in this issue are expected to guide future evidence-based assessment and treatment of pediatric DGBIs across various settings. Implications for Impact StatementThis special issue seeks to expand the current research base on psychological assessment and intervention for pediatric disorders of gut-brain interaction. Guidance regarding ethical, logistical, financial, and other potential barriers to expansion and delivery of psychological DGBI-related care are embedded throughout the special issue.Editor's Note. This is an introduction to the Special Issue "Innovations in the Psychological Care of Pediatric Disorders of Gut-Brain Interaction." Please see the Table of Contents here: https://psycnet.apa.org/journals/cpp/11/4.-CLD Bonnie S. Essner https://orcid.org/0000-0002-1225-8151We extend our sincere appreciation to the authors who submitted manuscripts to this special issue, the CPPP editorial staff and reviewers for their guidance and feedback, our professional colleagues with whom we partner on patient-centered research and clinical care, the patients and families whom we serve, and our own families for their never-ending support. As coguest editors of this special issue of Clinical Practice in Pediatric Psychology, we follow the practice of the CPPP editorial leadership team in offering this positionality statement: We are able-bodied, cisgender professionals with PhDs in clinical psychology, with expertise in pediatric psychology. We identify as White, heterosexual, and with Jewish and universalist/ spiritual religious identities. We are Millennial, assistant professors, with roles in the direct delivery of clinical services, clinical supervision of trainees, interdisciplinary collaboration and program development, formal trainee education, and ...

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Body image and willingness to change it—A study of university students in Poland

Platta,

Mikulec,

Radzymińska

et al. 2023

PLoS ONE

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The present study aimed to identify declared patterns of ideal appearance among students at selected higher education institutions in Poland. In the present study, we set out to identify the body image and the propensity to change it. In order to achieve the goal of the study, a nationwide survey was carried out using a voluntary diagnostic survey. A total of 810 respondents took part in the survey. The study was conducted using a custom-made self-designed survey questionnaire with an indirect interview technique via a web-based platform (CAWI). The study results indicate that women were far more eager to maintain an attractive appearance through dieting than men. Importantly, the respondents, both women and men, did not identify influencers as role models of attractive appearance. Results of the present survey reveal that attitudes towards one’s physical appearance are diverse and influenced by the considered factors. The attributes that determined the perception of oneself as an attractive person included height, weight, and body build. Normal body weight is a key feature of an attractive appearance, according to the respondents; nevertheless, students show a higher tolerance for being overweight than for being underweight. Furthermore, preferences in this respect are largely conditioned by individual personal characteristics. According to young people, a person with an attractive appearance is one who eats and exercises regularly, and who does not fall into extremes in terms of their appearance. On the other hand, the fear of growing fat and losing one’s attractive appearance was frequently indicated among the concerns over personal appearance. Only one in five respondents expressed complete satisfaction with how they looked, with men and those with a normal BMI significantly more likely to do so. Respondents expressed readiness to undertake a range of activities related to increased exercise regime, changes in their eating habits, or seeking assistance (e.g., of a personal trainer) to achieve the desired body shape. Our findings can be used as a basis for discussion and consideration in developing educational activities on nutrition, as well as on overweight- and obesity-related health issues.

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Rumination Syndrome

Cited by 3 publications

References 27 publications

Intensive Outpatient Treatment of Pediatric Rumination Syndrome

Intensive Outpatient Treatment of Pediatric Rumination Syndrome

Innovations in the Psychological Care of Pediatric Disorders of Gut–Brain Interaction

Body image and willingness to change it—A study of university students in Poland

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