{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T04:04:44Z","timestamp":1763006684995,"version":"3.45.0"},"reference-count":9,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JPGN rep."],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Rumination syndrome (RS) is a common pediatric disorder of gut\u2013brain interaction. However, a dearth of research on efficacious treatment to help guide clinical decision\u2010making remains. Thus, relying on well\u2010established treatment recommendations for other conditions with similar mechanisms or symptom profiles may be helpful; for example, conceptualizing RS treatment targets to address it as a \u201ctic disorder of the gut\u201d could be beneficial. To demonstrate the clinical utility of this conceptualization, we presented two cases that provide broad implications for treating pediatric RS. In both cases, akin to pediatric tic and related disorders, cognitive distress and physical discomfort were alleviated temporarily by rumination episodes. Thus, we recommend a targeted diagnostic assessment, including a functional analysis incorporating a transdiagnostic evaluation of symptoms. Close comanagement with specialty physicians and psychologists is also highly recommended. The patients represent complex yet standard cases seen in pediatric psychology outpatient clinics, suggesting the clinical utility of implications for psychologists and allied health professionals.<\/jats:p>","DOI":"10.1002\/jpr3.70074","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T04:59:32Z","timestamp":1754542772000},"page":"382-386","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rethinking psychological treatment targets for pediatric rumination syndrome: Clinical implications from a case series analysis"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1586-2282","authenticated-orcid":false,"given":"William A.","family":"Pi\u00f1a\u2010Anastasiadis","sequence":"first","affiliation":[{"name":"Children's Hospital Colorado Affiliated With the University of Colorado School of Medicine Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilianne M.","family":"Gloe","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annalee","family":"Johnson\u2010Kwochka","sequence":"additional","affiliation":[{"name":"Carolina Psychological Assessment Center Asheville North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley M.","family":"Kroon Van Diest","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital Affiliated With the Ohio State University College of Medicine Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann M.","family":"Lagges","sequence":"additional","affiliation":[{"name":"Riley Hospital for Children Affiliated With Indiana University School of Medicine Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7751-2643","authenticated-orcid":false,"given":"Scott T.","family":"Wagoner","sequence":"additional","affiliation":[{"name":"Riley Hospital for Children Affiliated With Indiana University School of Medicine Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy E.","family":"Williams","sequence":"additional","affiliation":[{"name":"Riley Hospital for Children Affiliated With Indiana University School of Medicine Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon A.","family":"Sparks","sequence":"additional","affiliation":[{"name":"Riley Hospital for Children Affiliated With Indiana University School of Medicine Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Riley Hospital for Children Affiliated With Indiana University School of Medicine Indianapolis Indiana 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