Behavioral medicine treatment of ruminative vomiting and associated weight loss in an adolescent with autism.
Treated persistent ruminative vomiting of a 15-year-old boy with autism using a multicomponent behavioral medicine program within a residential facility. Preceding intervention the boy had lost 15 pounds associated with high-rate ruminating. The treatment program included a combination of dietary, nutritional, and behavioral procedures that emphasized food restrictions, satiation, and setting condition manipulations. Ruminative vomiting was reduced to near-zero levels and weight gain was achieved following treatment implementation. These therapeutic gains were sustained during a maintenance programming phase and at 1- through 4-month follow-up assessments. Issues related to functional assessment and treatment formulation in behavioral medicine intervention for ruminative vomiting are discussed.
Luiselli
J K
JK
Psychological & Educational Resource Associates, Concord, Massachusetts 01742.
Medeiros
J
J
Jasinowski
C
C
Smith
A
A
Cameron
M J
MJ
D000293:Adolescent; D001321:Autistic Disorder / Q000523:psychology / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D005247:Feeding Behavior / Q000523:psychology; D006801:Humans; D007855:Lead Poisoning / Q000523:psychology / Q000628:therapy; D008297:Male; D010348:Patient Care Team; D012114:Residential Treatment; D013239:Stereotyped Behavior; D014839:Vomiting / Q000523:psychology / Q000628:therapy*; D015431:Weight Loss