THE USE OF A VERBAL REPRIMAND TO DECREASE RUMINATION IN A CHILD WITH AUTISM

After a pre‐treatment screening analysis suggested that rumination exhibited by a boy with autism occurred in the absence of social consequences, we evaluated the effect of a verbal reprimand contingent on the target behavior via a reversal design. The reprimand reduced rumination to near‐zero levels; we then thinned the reprimand schedule and rumination remained infrequent. Follow‐up data collected 6, 12, and 18 months after initial treatment suggested that intervention effects were maintained. Copyright © 2014 John Wiley & Sons, Ltd.     

Assessment and treatment of rumination in a young man with autism

After a pretreatment screening analysis suggested that rumination by a 19‐year‐old man with autism was maintained by automatic reinforcement, we evaluated his preference for three snack foods and the frequency of his rumination after consuming each. Rumination was more common after eating high‐preference foods. We then examined noncontingent access to a type of lollipop (i.e., a Ring Pop?) to decrease rumination. The Ring Pop? reduced rumination to moderately low levels. Next, to further decrease rumination, we added a reprimand, which reduced rumination to near zero levels. Finally, we evaluated the reprimand by itself, which resulted in a reduction in rumination roughly equivalent to that produced by the Ring Pop?. Results are discussed in terms of the source of reinforcement for rumination and the behavioral mechanisms responsible for intervention effects.     

Decreasing rumination using a starchy food satiation procedure

A starchy food satiation procedure was evaluated in an ABAB withdrawal design on the post‐meal rumination of a nine‐year‐old girl with autism. During treatment unlimited quantities of starchy foods were provided following each meal. High rates of rumination occurred during baseline conditions, followed by an immediate decrease in rumination during treatment. Rumination decreased to 82 and 97% of baseline during the first and second treatment conditions, respectively. In addition, follow‐up probes were conducted at irregular intervals for 4 years following treatment, during which zero or near‐zero rates of rumination were sustained. This study extends the literature on the functional relation between increased starchy food quantity and rumination in adults to rumination with a young child, and demonstrates maintenance of the treatment effect for 4 years. Copyright © 2002 John Wiley & Sons, Ltd.     

The combined effects of noncontingent reinforcement and punishment on the reduction of rumination

The current study extends the literature on the assessment and treatment of rumination through the evaluation of a combined reinforcement‐ and punishment‐based intervention. The study included a single participant with a history of rumination maintained by automatic reinforcement, as identified via a functional analysis. Both noncontingent reinforcement (NCR) with preferred edible items and punishment, in the form of a facial screen, were implemented separately to evaluate their independent effects on the occurrence of rumination. The final treatment package included both NCR and punishment procedures. Implementation of the combined treatment resulted in a 96.5% reduction in rumination relative to baseline. Procedural modifications and integrity errors also were evaluated.     

Alternative response training with contingent practice as intervention for pica in a school setting

Pica is a serious challenging behavior displayed by some persons with developmental disabilities. We report the near‐elimination of automatically reinforced pica in a 7‐year‐old boy diagnosed with autism by having him practice an alternative response (discarding objects) contingent on attempted or actual pica. Intervention was implemented 6 hours per day, under naturalistic conditions in a school setting, with outcome maintained through a 4 month follow‐up phase of evaluation. Copyright © 2003 John Wiley & Sons, Ltd.     

REDUCTION OF RUMINATION USING A SUPPLEMENTAL STARCH FEEDING PROCEDURE

A supplemental starch feeding (SSF) procedure was used to decrease rumination in a 27‐year‐old man. A multiple baseline across mealtimes design determined treatment efficacy, followed by 26 months of maintenance and fading implemented by direct‐care staff. Following intermittent meals, four slices of bread were offered in a paced manner, after which the frequency of rumination was measured. Subsequent to the SSF sessions, the participant's rumination reduced 47%, from 0.19 per minute (8.5 per session) after baseline sessions to 0.09 per minute (4.1 per session) after treatment sessions. Ongoing measures in the natural setting continued to show reductions through maintenance and fading of the supplemental feeding. No weight gain was noted during the time the procedure was in place. Copyright © 2011 John Wiley & Sons, Ltd.     

FUNCTIONAL ANALYSIS AND TREATMENT OF RUMINATION USING FIXED‐TIME DELIVERY OF A FLAVOR SPRAY

A functional analysis suggested that rumination exhibited by an adult with autism was maintained by automatic reinforcement. Next, a preference assessment with three flavor sprays (i.e., flavored sprays used by dieters) showed that apple pie spray was most preferred. Finally, the effects of fixed‐time delivery of the apple pie spray on levels of rumination were evaluated. The spray reduced rumination, and the participant was taught to self‐administer the spray.     

Brief assessment and treatment of multiple challenging behaviors

We conducted a brief assessment of multiple challenging behaviors in a 19‐year‐old man with developmental disabilities. The results of the brief assessment suggested that spitting and aggression were attention maintained, whereas property destruction was related to escape and tangibles. Spitting also appeared to have a sensory component. Based on the results of the brief assessment, three treatments were evaluated. For attention, treatment involved noncontingent attention and teaching an alternative attention‐gaining gesture. For the escape and tangible functions, opportunities to request tangibles were made contingent on task participation. The third treatment involved provision of leisure materials to provide an alternative source of sensory stimulation. All three treatments were associated with reduced challenging behavior and increased alternative behaviors. These findings suggest that a combination of brief assessment and treatment evaluation may be a useful component in the provision of behavioral support to individuals with developmental disabilities who present with multiple forms of challenging behaviors. Copyright © 2000 John Wiley & Sons, Ltd.     

Responses to positive affect,life satisfaction and self‐esteem: A cross‐lagged panel analysis during middle adolescence

During middle adolescence, elevated stress and a greater presence of psychological disorders have been documented. The research has paid little attention to the regulation of positive affective states. Fredrickson's broaden‐and‐build theory suggests that cultivating positive emotions helps to build resources that boost well‐being. The current research aimed to examine the longitudinal associations between responses to positive affect (emotion‐focused positive rumination, self‐focused positive rumination, and dampening) and psychological adjustment (self‐esteem and life satisfaction) during middle adolescence. A longitudinal study with two waves separated by one year was conducted, assessing 977 adolescents (M = 13.81, SD = 0.79; 51.5% boys) with self‐report measures. A cross‐lagged panel analysis was performed by including within the same model the relationships between all of the variables in the two assessment points. The results indicated cross‐lagged positive relationships of self‐focused positive rumination with both self‐esteem and life satisfaction, while dampening showed a negative cross‐lagged relationship with self‐esteem. Moreover, higher self‐esteem predicted more emotion‐focused positive rumination, and more dampening predicted lower life satisfaction. Thus, the use of adaptive responses to positive affect and a better psychological adjustment were found to be prospectively interrelated at the one‐year follow‐up during middle adolescence. The discussion argues for the need to implement programmes to promote more adaptive responses to positive affect to enhance psychological adjustment in the adolescent transition to adulthood.     

Assessment and treatment of elopement maintained by access to stereotypy

We evaluated a treatment for elopement maintained by access to stereotypic door play. First, we conducted a functional analysis of elopement that produced undifferentiated results. Next, we conducted an assessment in which we evaluated the relation between elopement and door play. Results suggested a functional relation between the 2 behaviors (i.e., elopement was maintained by contingent access to door play). Finally, we implemented functional communication training as a treatment for elopement in which access to door play was made contingent on a target appropriate communication response.     

Liquid rescheduling for the treatment of rumination

A pre‐intervention assessment was conducted to determine the conditions under which rumination by a 19‐year‐old man with autism was most and least likely to occur. The results of the assessment suggested that rumination was least likely when the participant did not consume liquids with meals and when he consumed peanut butter during meals. Based upon the results of the assessment, an intervention consisting of rescheduling access to liquids (i.e., no liquids during meals) was evaluated across both breakfast and lunch at the participant's school placement. Results suggest that the intervention was effective in reducing rumination. Copyright © 2003 John Wiley & Sons, Ltd.     

Diaphragmatic breathing as treatment for escape‐maintained aggression

Coping skills, such as diaphragmatic breathing, are commonly recommended to help individuals work through challenging situations. We evaluated diaphragmatic breathing as treatment for aggression of three individuals diagnosed with autism spectrum disorder or Angelman syndrome. Functional analysis results demonstrated that each participant engaged in aggression maintained by social‐negative reinforcement. Diaphragmatic breathing treatment without extinction was conducted in a work context and involved prompting diaphragmatic breathing contingent on precursors to aggression; treatment was effective in reducing the rate of aggression for one of three participants. For the two other participants, other reinforcement‐based interventions (differential reinforcement of other behavior or functional communication training with extinction) were necessary to decrease aggression.     

Impact of rumination versus distraction on anxiety and maladaptive self-beliefs in socially anxious individuals

A large body of experimental evidence has demonstrated the adverse effects of rumination on depressive mood and cognitions. In contrast, while prominent models of social phobia (Clark & Wells, 1995; Rapee & Heimberg, 1997) have proposed rumination as a key maintaining factor, the effects of rumination in social anxiety have not been extensively explored. In a sample of (N = 93) undergraduates, this study investigated the impact of rumination versus distraction following a social-evaluative task on anxiety and another key component of social phobia: maladaptive self-beliefs. Relative to distraction, rumination maintained anxiety in both high and low socially anxious individuals, and maintained unconditional beliefs in high socially anxious individuals. The results support models of social phobia and also suggest important theoretical extensions. Implications for the treatment of social anxiety are discussed.     

Contingent on contingencies: Connections between anger rumination,self-esteem,and aggression

Mixed findings have engendered debate regarding the relationship between self-esteem and aggression. The present study tested the hypothesis that the contingency of perceived self-worth on external factors (i.e., contingent self-esteem) predicts aggression, particularly reactive, over and above global self-esteem, and that anger rumination exacerbates this relationship. The potential moderating role of gender was also considered. Regression analyses on a sample of 729 undergraduates revealed that contingent self-esteem interacts with both anger rumination and gender to predict reactive aggression. In combination with observations for proactive aggression, results of the present study suggest that the variation in previous findings may be at least partly explained by failure to account for the influences of self-esteem contingency, gender, and functional subtypes of aggression.     

Functional analysis and treatment of self‐injurious feather plucking in a black vulture (Coragyps atratus)

The etiology and maintenance of self‐injurious feather plucking (FP) have been attributed to biological and environmental processes, yet a definitive solution has not been found. The current study investigated the application of a functional analysis and function‐based treatment to reduce the FP of a black vulture (Coragyps atratus). FP was found to be maintained by positive reinforcement in the form of contingent attention. A treatment consisting of noncontingent reinforcement decreased FP, and levels of FP remained low during schedule thinning. The current study further demonstrates the validity of function‐based assessment and treatment with captive animals.     

主动反刍、创伤后应激障碍与创伤后成长的关系:一项来自汶川地震后青少年的长程追踪研究

本文以追踪研究的方式, 在汶川地震后3.5年、4.5年和5.5年三个时间点, 采用反刍问卷、创伤后应激障碍问卷和创伤后成长问卷对汶川地震后245名中学生进行调查。通过建立交叉滞后模型, 考察主动反刍、创伤后应激障碍与创伤后成长的相互作用关系。结果发现, 震后3.5~5.5年间, 创伤后应激障碍对主动反刍具有跨时间点的正向预测作用, 主动反刍对创伤后应激障碍跨时间点的预测作用不显著;主动反刍与创伤后成长之间存在跨时间点的相互正向预测关系;创伤后应激障碍与创伤后成长之间跨时间点的直接预测作用不显著, 但震后3.5年的创伤后应激障碍可以通过震后4.5年的主动反刍间接地正向预测震后5.5年的创伤后成长;创伤后应激障碍与创伤后成长的横断关系随着时间历程的变化而逐渐减弱。     

A meta‐mood model of rumination and depression: Preliminary test in a non‐clinical population

Depressive rumination and trait meta‐mood (emotional attention, emotional clarity and emotional repair) have been suggested as vulnerability factors leading to depression, but less is known about the associations among them. In this study, we examined the relationships between trait meta‐mood, rumination and depressive symptomatology. Using structural equation analysis in a large sample of a non‐clinical population we found a preliminary test of the role of trait meta‐mood dimensions in rumination and depressive symptomatology. Results indicated that attention to feelings has two pathways in its relation with rumination and depressive mood. On the one hand, emotional attention was associated with emotional clarity, and emotional clarity with emotional repair, which was related to lower depressive symptomatology, in part, by reducing rumination. On the other hand, emotional attention was directly associated with ruminative thoughts which, in turn, were related to higher depressive mood. Findings are discussed in terms of the implications of beliefs about emotions in the treatment of depression.     

Adolescents' co‐rumination and stress predict affective changes in a daily‐diary paradigm

Co‐rumination has been related to both high quality friendship and depressive symptoms. However, little is known regarding the extent to which co‐rumination may be detrimental, its distinction from rumination and potential gender differences in co‐rumination. This study used a modified version of Rose's Co‐rumination Questionnaire (Rose, 2002) to examine the behaviour of daily co‐rumination with daily stress and negative affect among adolescents. Results demonstrated that co‐rumination did not have a main effect in predicting negative affect, but did evidence a significant interaction with life stress. Additionally, co‐rumination demonstrated incremental utility above that of rumination. Finally, gender differences were not supported. In conclusion, this investigation revealed that co‐rumination exacerbates the effects of life stress and is predictive of increased internalising symptoms.     

Treatment of rumination maintained by automatic reinforcement: a comparison of extra portions during a meal and supplemental post‐meal feedings

This study evaluated the effects of two satiation procedures, large portions and supplementary feedings, as interventions for rumination maintained by automatic reinforcement for an individual with developmental disabilities. Results showed that supplemental feedings produced a greater reduction in the rate of rumination than the large portions treatment. Additionally, 30 min supplemental feedings were more effective than 15 min supplemental feedings. Copyright © 2007 John Wiley & Sons, Ltd.     

Differential reinforcement of high rate behavior to increase the pace of self‐feeding

Although numerous studies have examined treatments for increasing food consumption among children with pediatric feeding disorders, very few have examined treatment of other mealtime‐related difficulties. One such problem is a slow pace of self‐feeding, which can lead to caregivers failure to adhere to treatments or be disruptive to others. We examined the effects of a differential reinforcement of high rate (DRH) intervention to increase a 9‐year‐old boy's pace of self‐feeding. During treatment, the child received reinforcement contingent on consuming his meal within 30 min. Results showed an increase in the pace of self‐feeding and a concomitant decrease in meal duration as compared to baseline. Copyright © 2008 John Wiley & Sons, Ltd.