Brief, Intensive Behavioral Treatment of Food Refusal Secondary to Emetophobia

Emetophobia, a fear of vomiting, has been reported in both adults and children but is not well documented. This study describes the treatment of an 8-year-old girl who developed emetophobia and food refusal after an acute illness. The intervention consisted of an exposure-based treatment conducted over 7 days at a feeding program. The girl was discharged consuming all of her nutrition by mouth, and her gastrostomy tube feedings were eliminated.

[1]  Janet B W Williams,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[2]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[3]  K. Williams,et al.  Jump start exit criterion: Exploring a new model of service delivery for the treatment of childhood feeding problems , 2009 .

[4]  K. Williams,et al.  Combining repeated taste exposure and escape prevention: An intervention for the treatment of extreme food selectivity , 2007, Appetite.

[5]  K. Williams,et al.  Intensive Behavioral Treatment for Severe Feeding Problems: A Cost-effective Alternative to Tube Feeding? , 2007 .

[6]  S. Whitton,et al.  Cognitive-Behavioral Treatment of Generalized Anxiety , 2006 .

[7]  T. Linscheid,et al.  Rapid Inpatient Behavioral Treatment for Choking Phobia in Children , 2004 .

[8]  F. Dattilio Emetic Exposure and Desensitization Procedures in the Reduction of Nausea and a Fear of Emesis , 2003 .

[9]  K. Williams,et al.  Correlates of specific childhood feeding problems , 2003, Journal of paediatrics and child health.

[10]  M. Nock A multiple-baseline evaluation of the treatment of food phobia in a young boy. , 2002, Journal of behavior therapy and experimental psychiatry.

[11]  D. Klein,et al.  Emetophobia: Preliminary results of an internet survey , 2001, Depression and anxiety.

[12]  Sandra M. Neer,et al.  The Screen for Child Anxiety Related Emotional Disorders (SCARED): scale construction and psychometric characteristics. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[13]  Sang-mo Kang Bowel syndrome. , 1995, Treatment review.

[14]  I. Chatoor,et al.  Food refusal after an incident of choking: a posttraumatic eating disorder. , 1988, Journal of the American Academy of Child and Adolescent Psychiatry.

[15]  I. Marks Fears, phobias, and rituals , 1987 .

[16]  J. Ballenger,et al.  Can panic disorder present as irritable bowel syndrome? , 1986, The Journal of clinical psychiatry.

[17]  H. Philips Return of fear in the treatment of a fear of vomiting. , 1985, Behaviour research and therapy.

[18]  E. Klonoff,et al.  Fear of nausea and vomiting: The interaction among psychosocial stressors, development transitions, and adventitious reinforcement , 1984 .