Reinhart J B, Evans S L, McFadden D L
Pediatrics. 1977 Mar;59(3):371-7.
Sixteen patients have been seen since 1956 at the Children's Hospital of Pittsburgh with a disgnosis of cyclic vomiting. Five of these patients were reverred for psychiatric consultation or treatment. Four of the 16 had laparotomies and no specific pathological condition was found; seven of the patients did not have surgery or psychiatric intervention. Descriptive follow-up is given for all patients, as well as various methods of handling the problem. The psychological conflicts were found to be parental anxiety, a prolonged symbiotic relationship with the mother, and the failure of the child to separate and individuate.
自1956年以来，匹兹堡儿童医院共接诊了16例周期性呕吐的患儿。其中5例患儿接受了精神科会诊或治疗。16例中有4例接受了剖腹手术，但未发现特定的病理状况；7例患儿未接受手术或精神科干预。本文对所有患儿进行了描述性随访，并介绍了处理该问题的各种方法。研究发现，心理冲突包括父母焦虑、与母亲长期的共生关系以及孩子未能实现分离和个体化。
