Adolescent rumination syndrome - the
Adolescent Rumination Syndrome ARS is a relatively uncommon disorder, defined by the involuntary regurgitation of recently ingested food from the stomach to the mouth, where it is either expelled or re-swallowed. Although the disorder itself is not life-threatening, it typically has a significant medical and psychosocial impact on the patient and family. There continues to be limited awareness about the clinical presentation, diagnosis, and treatment of ARS among clinicians. As such, adolescents presenting with symptoms of ARS often are misdiagnosed and typically undergo avoidable, extensive, invasive, and costly testing. This article seeks to increase awareness and knowledge about ARS, and to provide the clinician with practical guidelines regarding the pathogenesis, assessment, diagnosis, and treatment of ARS. Abstract Adolescent Rumination Syndrome ARS is a relatively uncommon disorder, defined by the involuntary regurgitation of recently ingested food from the stomach to the mouth, where it is either expelled or re-swallowed. Publication types Review.Can ask: Adolescent rumination syndrome
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| OPERANT LEARNING DEFINITION | 1 day ago · High Cost and Low Yield: The Diagnostic Evaluation of Rumination Syndrome in Pediatrics. January 01, [ MEDLINE Abstract] Differential Effects of the Single-Family Room Neonatal Intensive Care Unit on to Month Bayley Scores of Preterm Infants. January 01, [ MEDLINE Abstract] Reply. January 01, [ MEDLINE Abstract]. 14 hours ago · Then I think to myself "this is rumination" But am simultaneously thinking "this is a normal and healthy thing to do!" Back and forth many times per day on many MANY subjects, from conversations I had yesterday to shitty conversations from childhood/adolescence. My brain hurts. I feel like I'm wasting my life and energy. 3 days ago · Rumination syndrome A postprandial manometry of a patient with rumination syndrome showing intra-abdominal pressure. The "spikes" are characteristic of the abdominal wall contractions responsible for the regurgitation in rumination. Specialty Psychiatry Rumination syndrome, or merycism, is a chronic motility disorder characterized by effortless. |
Background: Severe irritability is a common, impairing problem among youth referred for syndfome health services, but evidence to guide care is limited. Treatment research can be advanced by adopting a transdiagnostic perspective, leveraging existing evidence-based treatment EBT techniques, and situating irritability within the context of emotion dysregulation. Adolescent rumination syndrome, this study examined treatment outcomes for youth with different levels of irritability and dysregulation who received cognitive-behavioral therapy CBT or behavioral parent training BPT in a modular EBT framework.
Original Research ARTICLE
Adolescwnt We analyzed data from a community-based implementation trial of a transdiagnostic youth psychotherapy. First, latent profile analysis was applied to adolescent rumination syndrome irritability and emotion dysregulation data; then, latent growth curve models were used to examine outcome trajectories, controlling for covariates. Across measures, both groups showed statistically and clinically significant improvements over time. High-dysregulation youth had greater baseline severity than low-dysregulation youth, but otherwise their longitudinal trajectories were mostly similar, with few adolescent rumination syndrome slope differences. There was virtually no evidence of differential effects for BPT vs. CBT on clinical outcomes. Conclusions: Youth with severe irritability and dysregulation, treated with a transdiagnostic, modular, EBT approach, showed significant within-person improvements over time.
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Findings extend the literature on modular, transdiagnostic, and EBT approaches for irritability and dysregulation, suggesting here benefits associated with BPT and CBT when treatment selection is guided by comprehensive assessment. Clinical Trial Registration: www. Although some degree of irritability is normative across development, severe irritability is defined as a problem of emotion dysregulation characterized by a heightened proneness toward anger 2 adolescent rumination syndrome 4.
A transdiagnostic symptom, irritability is an essential or associated feature of many different diagnostic categories e. Despite recent advances in the developmental psychopathology of irritability 5 — 7research to guide assessment and treatment remains adolescent rumination syndrome. The best available evidence points to behavioral parent training BPT and cognitive-behavioral techniques CBT as being effective for irritability 23 adolescwnt, 8and some research suggests these approaches may be more effective in a personalized, transdiagnostic format 9.
However, CBT and BPT are seldom investigated together in the same study, making it hard to draw conclusions about relative effects. Further, it is challenging to interpret the evidence on treatment adolescent rumination syndrome irritability and related constructs [e. Responding to these challenges, researchers have emphasized the need to examine irritability from more established conceptual frameworks, including emotion regulation theory 4712 — The current study advances this literature by investigating clinical outcomes among youth with elevated irritability and emotion dysregulation, treated primarily with BPT or CBT click a transdiagnostic, personalized framework.
Broadly, emotion dysregulation refers to a maladaptive pattern of emotional management and expression 15 Theorists have come to view emotion dysregulation as a common feature across many, if not most, forms of psychopathology 16 It has been proposed that emotion dysregulation arises from dysfunctions source the processes that generate emotion and occurs due to problematic emotional arousal and reactivity—i. Others have focused on emotion dysregulation that arises from dysfunctions in the processes that regulate emotions—i. These views are not mutually exclusive, and various attempts at synthesis have been made [e. adolescent rumination syndrome
In the context of youth psychopathology, emotion dysregulation has been characterized 17 by the occurrence emotions that a enduredespite attempts at regulation; b interfere adolescent rumination syndrome appropriate behavior; c are context-inappropriate ; and d change atypicallythat is, too abruptly or too slowly. Indeed, the two components of emotion dysregulation—generation and regulation—are involved in the development and maintenance of youth internalizing and externalizing problems. Youth with internalizing symptoms are also more likely to use emotion regulation strategies that increase negative emotion and functional impairment.]
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