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Psychogenic vomiting: a review

L D Wruble, R H Rosenthal, W L Webb

The American Journal of Gastroenterology

|May 1, 1982

Summary

This summary is machine-generated.

Psychogenic vomiting, often linked to stress, typically improves with physician support. Most patients do not require specialized psychiatric treatment but benefit from discussing stressors.

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Area of Science:

Gastroenterology
Psychiatry
Behavioral Medicine

Background:

Psychogenic vomiting is often an escalation of stress-related vomiting episodes.
A small subset of patients presents with severe psychiatric conditions requiring specialized care.

Purpose of the Study:

To explore the nature of psychogenic vomiting.
To assess the need for psychiatric referral in these patients.
To identify effective management strategies.

Main Methods:

Clinical observation of patients presenting with psychogenic vomiting.
Assessment of psychiatric disturbance levels.
Evaluation of patient response to physician support and stress ventilation.

Main Results:

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Most patients with psychogenic vomiting are not severely psychiatrically disturbed.
Patients often resist psychiatric referrals.
Ventilating stresses to a physician and supportive contact are effective interventions for the majority.

Conclusions:

Psychogenic vomiting management can often be handled by the treating physician.
Focus on stress management and supportive care is crucial.
Psychiatric referral is typically unnecessary for most patients.