Encyclopedia of Clinical Neuropsychology

2018 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan

Rumination Disorder

  • Kristin M. GrahamEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-57111-9_9186


Purging disorder


Rumination disorder is defined in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5 American Psychiatric Association 2013) as a feeding and eating disorder characterized by the repeated and frequent regurgitation of food. Regurgitation typically occurs after feeding or eating and the food may be re-chewed, reswallowed, or spit out.


The disorder is classified with the feeding and eating disorders in DSM-5.

Current Knowledge

Development and Course

The development of rumination disorder may occur across the lifespan. Risk factors include neglect, stress, and poor parent-child relationships. In infants, age of onset typically occurs between 3 and 12 months and is characterized by avoidant behaviors (e.g., straining and arching the back), irritability, increased hunger between episodes, weight loss, and malnutrition. Malnutrition is also common in older children and adults. Additionally, older children and adults...

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References and Readings

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5 ®). Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  2. Delaney, C. B., Eddy, K. T., Hartmann, A. S., Becker, A. E., Murray, H. B., & Thomas, J. J. (2015). Pica and rumination behavior among individuals seeking treatment for eating disorders or obesity. International Journal of Eating Disorders, 48(2), 238–248.PubMedCrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Physical Medicine and RehabilitationVirginia Commonwealth UniversityRichmondUSA