Evaluation of a behavioral medicine consultative treatment for chronic, ruminative vomiting.
This case study evaluated a multicomponent behavioral medicine treatment package for chronic ruminating and vomiting in a 13-year-old child with multiple disabilities. Treatment incorporated dietary and medication manipulations combined with behavioral intervention. The treatment package was designed and evaluated via a consultative model in a residential-care setting. The child's ruminative vomiting decreased steadily with implementation of treatment and reduced rates were maintained 2 years later. This case illustrates collaboration between physicians and psychologists in developing comprehensive behavioral medicine interventions for health-threatening clinical disorders.
Psychological & Educational Resource Associates, Concord, MA 01742.
J K
JK
Luiselli
S
S
Haley
A
A
Smith
D000293:Adolescent; D000818:Animals; D001521:Behavior Therapy; D001921:Brain / Q000503:physiopathology; D001927:Brain Diseases / Q000150:complications / Q000151:congenital; D003680:Deglutition Disorders / Q000150:complications / Q000503:physiopathology* / Q000628:therapy; D004035:Diet Therapy; D005764:Gastroesophageal Reflux / Q000150:complications / Q000503:physiopathology; D006801:Humans; D008607:Intellectual Disability / Q000150:complications / Q000503:physiopathology; D008297:Male; D013279:Stomach, Ruminant / Q000503:physiopathology*; D014839:Vomiting / Q000150:complications / Q000503:physiopathology* / Q000628:therapy