Rumination Disorder Clinical Trial
Official title:
A Pilot Study of Cognitive-Behavioral Therapy for Rumination Disorder
The primary aim of this study is to pilot cognitive behavioral therapy (CBT-RD) for 10 individuals ages 10 and older who have rumination disorder
Rumination disorder (RD; also known as "rumination syndrome") is a disordered eating behavior
characterized by the repeated regurgitation of food during or soon after eating. The
frequency of repeated regurgitation of food typically occurs at least a few times per week,
frequently daily with subsequent re-chewing, re-swallowing, or spitting out of the
regurgitated material. The widely used technique for treatment of RD has typically been
diaphragmatic breathing, which works by serving as a competing response to abdominal wall
contractions, which is hypothesized to trigger regurgitation. However, the efficacy of
diaphragmatic breathing remains unknown and has mainly been delivered through a one-session
instruction with an occasional follow-up.
In the absence of evidence-based treatments for RD, the investigators, alongside a
collaboration with Dr. Jennifer Thomas at the Eating Disorders Clinical and Research Program
(EDCRP) at Massachusetts General Hospital, have created a manualized treatment,
Cognitive-Behavioral Therapy for Rumination Disorder (CBT-RD) informed by published case
reports and currently in use at EDCRP at Massachusetts General Hospital and the Psychological
Services Center at Drexel University. CBT-RD targets the habitual contraction of the
abdominal wall and preceding events through the use of habit reversal, using primarily
diaphragmatic breathing as a competing response.
This study involves a phone screen to determine eligibility, followed by 5-8 sessions of
CBT-RD (approximately 50 minutes each). A battery of questionnaires will be administered at
pre-treatment, post-treatment, and 3-month follow-up intervals.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT03062696 -
A Pilot Study of Cognitive-Behavioral Therapy for Rumination Disorder (CBT-RD)
|
N/A |