{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T21:00:36Z","timestamp":1780606836339,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Behavioral therapy has proved effective as rumination therapy. Our objective was to treat rumination patients using multidisciplinary behavioral therapy aimed at reducing \u22652 of the rumination score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients fulfilled Rome IV criteria for rumination and were referred to speech therapy for psychoeducation, diaphragmatic breathing exercises and guided eating, physiotherapy for exercises to relax the thoracic and abdominal muscles, and consultation with the psychologist and the dietitian. Symptoms, depression, anxiety, health\u2010related quality of life (HRQoL), and functional capacity were evaluated by questionnaires (Rome IV, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), 15D, and World Health Organization Disability Assessment Schedule (WHODAS) 2.0) at baseline and at 6\u2010month control. Esophageal manometry was performed at 6\u2010month control.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Results<\/jats:title><jats:p>The study enrolled 11 patients (19\u201364\u2009years, 10 female). Rumination score: 6.5 (5\u20138) at baseline, 4.0 (3\u20135) at the 6\u2010month control, <jats:italic>p<\/jats:italic>\u2009=\u20090.005. BDI\/8 (6\u201313), BAI\/15 (8\u201329) at baseline; BDI\/7 (4\u20138), BAI\/15 (7\u201327) at the 6\u2010month control, NS. 15D score: 0.800 at baseline, 0.845 at the 6\u2010month control, NS. WHODAS 2.0 score: 15 (7\u201333) at baseline, 11 (7\u201326) at the 6\u2010month control, NS. Rumination could be evoked in manometry in six of nine (67%) patients at 6\u2010month control.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and Inferences<\/jats:title><jats:p>Behavioral multidisciplinary therapy significantly reduces the self\u2010assessed frequency of rumination. These patients have more depression, anxiety and a lower HRQoL compared to the normal population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nmo.14919","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T07:55:05Z","timestamp":1726818905000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Multidisciplinary behavioral therapy reduces rumination"],"prefix":"10.1111","volume":"36","author":[{"given":"M.","family":"Nyyss\u00f6nen","sequence":"first","affiliation":[{"name":"Head and Neck Center Helsinki University Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Vilpponen","sequence":"additional","affiliation":[{"name":"Clinical Nutrition Unit Helsinki University Hospital  Helsinki 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