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A multi-component approach to the treatment of chronic rumination

✍ Scribed by Monica Wrigley; Katherine Kahn; Pam Winder; Timothy R. Vollmer; Jolene R. Sy


Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
145 KB
Volume
25
Category
Article
ISSN
1072-0847

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✦ Synopsis


Abstract

A multi‐component intervention was used to treat chronic rumination exhibited by an adult female diagnosed with a developmental disability. The intervention consisted of: (a) interruption of precursor behavior, (b) the alternation of 10‐min periods of continued instruction that involved walking and working with (c) 10‐min periods in which instructions were not delivered but a variable time 5‐s schedule of noncontingent attention was programmed, and (d) a 1‐min differential reinforcement of other behavior (DRO) schedule. During the intervention, rumination decreased by 82% relative to baseline. Next, components of the multi‐component intervention were systematically removed to evaluate their individual contribution. Results suggested that each individual component contributed to the overall treatment effects. Copyright Β© 2010 John Wiley & Sons, Ltd.


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