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A multi‐component approach to the treatment of chronic rumination
Author(s) -
Wrigley Monica,
Kahn Katherine,
Winder Pam,
Vollmer Timothy R.,
Sy Jolene R.
Publication year - 2010
Publication title -
behavioral interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.605
H-Index - 34
eISSN - 1099-078X
pISSN - 1072-0847
DOI - 10.1002/bin.313
Subject(s) - rumination , psychology , differential reinforcement , intervention (counseling) , schedule , component (thermodynamics) , alternation (linguistics) , clinical psychology , reinforcement , developmental psychology , psychotherapist , cognition , psychiatry , social psychology , linguistics , philosophy , physics , computer science , thermodynamics , operating system
Abstract A multi‐component intervention was used to treat chronic rumination exhibited by an adult female diagnosed with a developmental disability. The intervention consisted of: (a) interruption of precursor behavior, (b) the alternation of 10‐min periods of continued instruction that involved walking and working with (c) 10‐min periods in which instructions were not delivered but a variable time 5‐s schedule of noncontingent attention was programmed, and (d) a 1‐min differential reinforcement of other behavior (DRO) schedule. During the intervention, rumination decreased by 82% relative to baseline. Next, components of the multi‐component intervention were systematically removed to evaluate their individual contribution. Results suggested that each individual component contributed to the overall treatment effects. Copyright © 2010 John Wiley & Sons, Ltd.