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Related Experiment Videos

Traumatically acquired conditioned dysphagia in children.

W J Di Scipio, K Kaslon, R J Ruben

    The Annals of Otology, Rhinology, and Laryngology
    |July 1, 1978
    PubMed
    Summary
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    A new diagnosis, conditioned dysphagia (CD), links eating difficulties to learned avoidance behaviors following trauma. Operant deconditioning therapy proved effective in treating this condition.

    Area of Science:

    • Behavioral Psychology
    • Gastroenterology
    • Pediatric Medicine

    Background:

    • Dysphagia, or difficulty swallowing, can stem from various organic causes.
    • Behavioral conditioning, particularly avoidance responses, can influence physiological functions.
    • Traumatic events linked to autonomic functions can lead to learned behavioral patterns.

    Observation:

    • A novel diagnosis, "conditioned dysphagia" (CD), is proposed, identifying a nonorganic basis for dysphagia linked to behavioral conditioning.
    • Case studies involving children with esophageal trauma suggest a correlation between early life trauma and the development of CD.
    • A pilot study indicated a higher incidence of CD in children post-pharyngeal flap surgery compared to controls.

    Findings:

    • Learned avoidance responses are rapidly acquired and persistent when autonomic functions coincide with traumatic physical events.

    Related Experiment Videos

  • Three pediatric cases with conditions like TE fistula, congenital heart disease, and pseudobulbar palsy showed a link between CD and early childhood esophageal trauma.
  • Operant deconditioning therapy demonstrated success in treating conditioned dysphagia.

    • Implications:

    • This research introduces conditioned dysphagia as a distinct diagnosis, broadening the understanding of swallowing disorders.
    • The findings highlight the potential impact of early life trauma on developing nonorganic causes of dysphagia.
    • Operant deconditioning offers a promising therapeutic approach for managing conditioned dysphagia, particularly in pediatric populations.