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Evaluation of a behavioral medicine consultative treatment for chronic, ruminative vomiting
J K Luiselli1, S Haley, A Smith
1Psychological & Educational Resource Associates, Concord, MA 01742.
Insights
A behavioral medicine treatment effectively reduced chronic ruminating and vomiting in a child with multiple disabilities. This intervention, combining medical and psychological approaches, showed sustained positive results two years post-treatment.
Area of Science:
- Behavioral Medicine
- Pediatric Psychology
- Clinical Case Study
Background:
- Chronic ruminating and vomiting can significantly impact a child's health and quality of life, especially in cases of multiple disabilities.
- Multicomponent interventions are often necessary to address complex health issues in pediatric populations.
- A consultative model integrating various specialists can facilitate comprehensive care.
Observation:
- A 13-year-old child with multiple disabilities presented with chronic ruminating and vomiting.
- The child's condition posed significant health challenges requiring an integrated treatment approach.
- The case study focused on a residential-care setting.
Findings:
- A multicomponent behavioral medicine treatment package, including dietary and medication adjustments alongside behavioral interventions, was implemented.
- The treatment led to a steady decrease in the child's ruminative vomiting.
- The positive outcomes were maintained at a 2-year follow-up, demonstrating long-term effectiveness.
Implications:
- This case highlights the efficacy of combined medical and psychological interventions for severe pediatric feeding disorders.
- Collaboration between physicians and psychologists is crucial for developing effective treatments for health-threatening clinical disorders.
- Behavioral medicine offers a viable approach for managing complex conditions in children with multiple disabilities.
Abstract:
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.