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Cognitive‐behavioral treatment of adult rumination behavior in the setting of disordered eating: A single case experimental design
Author(s) -
Thomas Jennifer J.,
Murray Helen B.
Publication year - 2016
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.22566
Subject(s) - rumination , psychology , binge eating , cognition , eating disorders , clinical psychology , intervention (counseling) , multiple baseline design , developmental psychology , psychiatry
The integration of feeding and eating disorders into a single DSM‐5 chapter introduces an opportunity to explore common mechanisms and transdiagnostic treatment approaches. In contrast to a robust literature on the evidence‐based treatment of eating disorders, very few data guide the treatment of rumination disorder (RD). In a single case experimental design, we describe the treatment of a 27‐year‐old woman who presented to an eating‐disorder clinic with a 15‐year history of untreated rumination and intermittent binge eating. According to time series analysis, she reduced rumination frequency at trend‐level during the initial baseline phase (self‐monitoring only), and exhibited significant reductions during the active intervention phase (self‐monitoring + cognitive‐behavioral techniques including diaphragmatic breathing and behavioral experimentation). She maintained these gains at 23 weeks post‐intervention. Although more rigorous systematic investigation is needed, these data suggest that selected cognitive and behavioral techniques already familiar to eating‐disorder clinicians may have heuristic value for RD treatment. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:967–972)