Abstract
Rumination is a relatively rare, potentially fatal syndrome in infants. This article reviews the historical and current treatment of rumination. Two cases are presented: a six-month-old who narrowly escaped surgery when the disorder was not recognized, and a complicated case from the neonatology intensive care unit. Environmental changes and enhanced mothering are described as being critical to correction of rumination and appropriate weight gain.
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Maas H: Zur casuistic der rumination beim saugling.Med Klinik 3:926, 1907.
Rumination disorder of infancy. InDiagnostic and Statistical Manual of Mental Disorders, 3rd Edit. Revised. Washington DC: American Psychiatric Association, 1987.
Richmond JB, Eddy E, Green M: Rumination: a psychosomatic syndrome of infancy.Pediat 22:49–55, 1958.
Cameron HC: Some forms of vomiting in infancy.Br Med J, 1:872–876, 1925.
Grulee, CG:Rumination in the first year of life.Am J Dis Child, 14:210–218, 1917.
Sauvage D, Leddet I, Hameury L, Barthélémy C: Infantile rumination: diagnosis and follow-up study of twenty cases.J Amer Acad Child Psychiatry, 24:197–203, 1985.
Menking M, Wagnitz JG: Rumination: a near fatal psychiatric disease of infancy.NEJM 280:802–804, 1969.
Gaddini RD, Gaddini E: Rumination in infancy. InDynamic Psychopathology in Childhood, ed. Jessner L. New York: Grune & Stratton, 1959.
Mayes SD, Humphrey FJ, Handford, HA, Mitchell, JF: Rumination disorder: differential diagnosis.J Amer Acad Child Adolesc Psychiatry 27:300–302, 1988.
Libby DG, Phillips E: Eliminating rumination behavior in a profoundly retarded adolescent: an exploratory study.Ment Retard 17:94–95, 1979.
Jackson GM, Johnson, CR, Ackron GS, Crowley R: Food satiation as a procedure to decelerate vomiting.Amer J Mental Deficiency 80:223–227, 1975.
Glasscock, SG, Friman PC, O'Brien S, Christophersen ER: Varied citrus treatment of rumination gagging in a teenager with Batten's Disease.J Behav Ther and Exp Psychiat 17:129–133, 1986.
Wright MM, Menolascino FJ: Rumination, mental retardation, and interventive therapeutic nursing. InPsychiatric Approaches to Mental Retardation, ed. Menolascino, FJ. New York Basic Books, 1970.
Sheinbein M: Treatment for the hospitalized infantile rumination.Clin Pediat 14: 719–724, 1975.
Singh NN, Manning PJ, Angell MJ: Effects of the oral hygiene punishment procedure on chronic rumination and collateral behaviors in monozygous twins.J Appl Behav Anal 15;309–314, 1982.
Murray ME, Keele DK, McCarver JW: Behavioral treatment of ruminations.Clin Pediatr 15:591–596, 1976.
Holvoet JF: The etiology and management of rumination and psychogenic vomiting: a review.Monographs Amer Assoc of Mental Deficiency 5:29–77, 1982.
Herbst J, Friedland GW, Zboralske FF: Hiatal hernia and rumination in infants and children.J of Pediat 78:261–265, 1971.
Sajwaj T, Libet J, Agras S: Lemon juice therapy: the control of life threatening rumination in a six month old infant.J Appl Behav Anal 7:557–563, 1974.
Mestre JR, Resnick RJ, Berman WF: Behavior modification in the treatment of rumination.Clinical Pediatrics 22:488–491, 1983.
Flanagan CH: Rumination in infancy—past and present.J Am Acad Child Psychiatry 16:140–149, 1977.
Fleisher DR: Infant rumination syndrome.Am J Dis Child 133:266–269, 1979.
Wright DF, Brown RA, Andrews ME: Remission of chronic ruminative vomiting through reversal of social contingencies.Behav Res Ther 16:134–136, 1978.
Clark FH: Rumination.Arch. Pediat., 73:12–19, 1956.
Fullerton DT: Infantile rumination.Arch Gen Psychiat 9:593–600, 1963.
Lourie RS: Experience with therapy of psychosomatic infants. InPsychopathology of Childhood. Ed. Hoch PH, Zubin J, New York: Grune & Stratton, 1955.
Sheagren TG, Mangurten HH, Brea F, Lutostanski S: Rumination—a new complication of neonatal intensive care.Pediatrics 66:551–555, 1980.
Jaffe AC, Singer LT: Atypical eating disorders in young children.Inter J Eating Disorders 8:575–582, 1989.
Armstrong JG, Roth DM: Attachment and separation difficulties in eating disorders: a preliminary investigation.Inter J Eating Disorders, 8:141–155, 1989.
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Franco, K., Campbell, N., Tamburrino, M. et al. Rumination: The Eating disorder of infancy. Child Psych Hum Dev 24, 91–97 (1993). https://doi.org/10.1007/BF02367262
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DOI: https://doi.org/10.1007/BF02367262