Objective: Cyclic vomiting syndrome (CVS) is difficult to diagnose, thus there is often a delay in diagnosis or a misdiagnosis. In the absence of an adequate understanding of the pathophysiology of the syndrome, it is under-recognised and treatment is difficult. The present case series aimed to assess and manage three adolescents with CVS. Method: The Children’s Apperception Test was administered on the three Asian adolescents who were referred for the management of CVS to the Department of Clinical Psychology at a tertiary care hospital in New Delhi, India. A treatment module was developed to treat CVS in these adolescents. Results: A strong link was found between the psychological stressors and their physical manifestations in the episodes of vomiting. Therapeutic management with a focus on behavioural modification, adaptive coping skills, and a healthy therapeutic relationship was found to be efficacious in gradually remitting this condition. Conclusions: Thus, the focus of treatment in cases of CVS should be to understand the psychological underpinning and help the adolescents to incorporate healthy coping strategies.

中文翻译：

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青少年循环性呕吐综合征的心理干预：一个病例系列

目的：循环性呕吐综合征（CVS）难以诊断，因此通常会延迟诊断或误诊。在缺乏对该综合征的病理生理学的充分了解的情况下，人们对该疾病的认识不足，治疗困难。本案例系列旨在评估和管理三个患有CVS的青少年。方法：对三名亚洲青少年进行了儿童知觉测试，这三名青少年因在印度新德里的一家三级医疗医院接受了CVS的治疗而被转诊至临床心理学系。开发了一种治疗模块来治疗这些青少年的CVS。结果：在呕吐发作中，心理压力源与他们的身体表现之间存在很强的联系。以行为修正，适应性应对技巧为重点的治疗管理，并且发现健康的治疗关系对于逐步缓解这种疾病是有效的。结论：因此，在CVS病例中的治疗重点应该是了解心理基础并帮助青少年采用健康的应对策略。