Alioto Anthony, Di Lorenzo Carlo
Section of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital, and Department of Pediatrics, The Ohio State University.
Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH.
J Pediatr Gastroenterol Nutr. 2018 Jan;66(1):21-25. doi: 10.1097/MPG.0000000000001632.
Although several studies have demonstrated the short-term benefit of the behavioral treatment of rumination syndrome, few have investigated the long-term outcomes. Studies reporting long-term benefit have involved combined pediatric and adult samples or have examined outcomes of patients involved in various types of treatment. The purpose of the present study was to examine several aspects of long-term outcome in adolescent patients who took part in the same intensive, interdisciplinary, inpatient behavioral treatment approach.
Self-report measures were completed by 47 adolescent patients (mean age = 15.9) around 1 year or more from discharge from our inpatient program. Measures indexed changes in rumination, medical outcomes (eg, use of supplemental nutrition), somatic symptoms, and quality of life.
Most patients reported continued improvement in their rumination over time, with 20% reporting cessation of rumination for at least 6 months. The majority of patients no longer required supplemental nutrition and reported improvements in somatic symptoms and quality of life. Patients who reported greater improvement in rumination also reported more significant improvements in their somatic symptoms and quality of life.
Intensive behavioral treatment of rumination syndrome leads to long-term improvement in rumination as well as other related factors, including somatic symptoms and quality of life.
尽管多项研究已证明反刍综合征行为治疗的短期益处，但很少有研究调查其长期结果。报告长期益处的研究涉及儿科和成人样本的组合，或研究了参与各种治疗类型的患者的结果。本研究的目的是检查参与相同强化、跨学科住院行为治疗方法的青少年患者长期结果的几个方面。
47名青少年患者（平均年龄=15.9岁）在出院约1年或更长时间后完成了自我报告测量。测量指标包括反刍的变化、医学结果（如补充营养的使用）、躯体症状和生活质量。
大多数患者报告随着时间的推移反刍症状持续改善，20%的患者报告反刍停止至少6个月。大多数患者不再需要补充营养，并报告躯体症状和生活质量有所改善。反刍改善较大的患者在躯体症状和生活质量方面也有更显著的改善。
反刍综合征的强化行为治疗可导致反刍以及其他相关因素（包括躯体症状和生活质量）的长期改善。
