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Rethinking psychological treatment targets for pediatric rumination syndrome: Clinical implications from a case
William A Piña-Anastasiadis1, Lilianne M Gloe2, Annalee Johnson-Kwochka3
1Children's Hospital Colorado Affiliated With the University of Colorado School of Medicine Aurora Colorado USA.
JPGN Reports
|November 17, 2025
Summary
Rumination syndrome in children may be effectively treated by conceptualizing it as a "tic disorder of the gut." This approach aids in managing pediatric gut-brain interaction disorders through targeted assessments and multidisciplinary care.
Area of Science:
- Pediatric Gastroenterology
- Pediatric Psychology
- Gut-Brain Interaction Disorders
Background:
- Rumination syndrome (RS) is a prevalent pediatric gut-brain interaction disorder.
- Limited research exists on effective treatments for pediatric RS, hindering clinical decision-making.
- Existing treatment strategies for similar conditions may offer valuable insights.
Purpose of the Study:
- To explore the clinical utility of conceptualizing pediatric RS as a
- tic disorder of the gut.
- To demonstrate how this conceptualization can guide treatment strategies for pediatric RS.
Main Methods:
- Presentation of two complex pediatric cases with RS.
- Analysis of symptom presentation and temporary alleviation of distress through rumination.
- Functional analysis and transdiagnostic symptom evaluation.
Main Results:
- Rumination episodes temporarily alleviated cognitive distress and physical discomfort in both cases, similar to pediatric tic disorders.
- The cases highlight the potential benefits of a
- tic disorder of the gut
- conceptualization.
Conclusions:
- A targeted diagnostic assessment, including functional analysis and transdiagnostic evaluation, is recommended for pediatric RS.
- Close comanagement between specialty physicians and psychologists is crucial for effective treatment.
- This conceptualization offers clinical utility for psychologists and allied health professionals treating pediatric RS.
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