使用多组分行为干预重建外伤性脑损伤患者的固体食物消费和延长食物避免/限制

IF 0.8 4区心理学 Q4 PSYCHIATRY

Clinical Case Studies Pub Date : 2020-09-04 DOI:10.1177/1534650120950528

J. Ricciardi, J. Luiselli, Jodi Tretheway

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引用次数: 1

摘要

我们描述并报告了一名26岁女性的多组分行为干预结果，该女性在创伤性脑损伤后出现了长期的食物回避和限制。通过在几个月内直接测量每日膳食消耗量来评估干预措施，包括延长随访时间，并成功恢复了口服喂养。一种复杂的阵发性运动障碍在治疗过程中得到了解决，并且症状的解决使生活质量得到了显著改善。我们讨论了症状与回避型/限制性食物摄入障碍以及顶叶发生严重损伤时出现的食物排斥行为的关系。该案例说明了基于评估的个性化干预设计和综合神经行为案例概念化的价值。

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Re-Establishing Solid Food Consumption in a Person With Traumatic Brain Injury and Extended Food Avoidance/Restriction Using a Multicomponent Behavioral Intervention

We describe and report the results of a multicomponent behavioral intervention for re-establishing solid food consumption in a 26-year-old woman with prolonged food avoidance and restriction which developed following a traumatic brain injury. The intervention was evaluated by direct measurement of daily meal consumption over a period of several months, including an extended follow-up, and resulted in successful resumption of oral feeding. A complicating paroxysmal movement disorder resolved during treatment as well and resolution of the presenting problem led to significant quality of life improvements. We discuss the relationship of the presenting symptoms to avoidant/restrictive food intake disorder and to food rejection behavior seen when substantial damage has occurred to the parietal lobe. The case illustrates the value of assessment-based, individualized intervention design and an integrated neurobehavioral case conceptualization.

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来源期刊

Clinical Case Studies Multiple-

CiteScore

1.80

自引率

20.00%

发文量

期刊介绍： Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.