Emetophobia, an emotional and behavioral disorder, is characterized by a specific phobia of vomiting. Evidence suggests that emetophobia is a chronic and disabling condition that causes significant impairment in daily functioning with a surprising number of students affected. This article provides educators with information about emetophobia. In addition, the article highlights evidence-informed strategies and recommendations to address the needs of students struggling with emetophobia in educational settings.
ArredondoP.ShealyC.NealeM.WinfreyL. L. (2004). Consultation and interprofessional collaboration: Modeling for the future. Journal of Clinical Psychology, 60, 787–800. https://doi.org/10.1002/jclp.20015
3.
BernsteinE. R.O’NealC. (2023). School-based application of the brief coping cat program for children with anxiety and autism spectrum disorder. Contemporary School Psychology, 29, 21–31. https://doi.org/10.1007/s40688-023-00483-3
4.
BoschenM. J.JonesK. (2024). A clinician’s quick guide to evidence-based approaches: Emetophobia (specific phobia of vomiting). Clinical Psychologist, 28(1), 75–78. https://doi.org/10.1080/13284207.2023.2295276
5.
BoschenM. J.VealeD.EllisonN.ReddellT. (2013). The emetophobia questionnaire (EmetQ-13): Psychometric validation of a measure of specific phobia of vomiting (emetophobia). Journal of Anxiety Disorders, 27(7), 670–677. https://doi.org/10.1016/j.janxdis.2013.08.004
6.
BrewinC. R. (1996). Theoretical foundations of cognitive-behavioral therapy for anxiety and depression. Annual Review of Psychology, 47, 33–57. https://doi.org/10.1146/annurev.psych.47.1.33
7.
Briggs-GownM. J.HorwitzS. M.Schwab-StoneM. E.LevennthalJ. M.LeafP. J. (2000). Mental health in pediatric settings: Distribution of disorders and factors related to service use. Journal of the American Academy of Child and Adolescent Psychiatry, 39(7), 841–849. https://doi.org/10.1097/00004583-200007000-00012
8.
BruhnA.McDanielS.KreighC. (2015). Self-monitoring interventions for students with behavior problems: A systematic review of current research. Behavioral Disorders, 40(2), 102–121. https://doi.org/10.17988/bd-13-45.1
9.
ClarkeC.HillV.CharmanT. (2017). School based cognitive behavioural therapy targeting anxiety in children with autistic spectrum disorder: A quasi-experimental randomised controlled trial incorporating a mixed methods approach. Journal of Autism and Developmental Disorders, 47, 3883–3895. https://doi.org/10.1007/s10803-016-2801-x
10.
CorcoranS. (2022). Bibliotherapy: Strengthening social and emotional learning with books. Reading Paradigm, 15(1), 4–9. https://doi.org/10.25215/0902.094
11.
DavidsonA. L.BoyleC.LauchlanF. (2008). Scared to lose control? General and health locus of control in females with a phobia of vomiting. Journal of Clinical Psychology, 64, 30–39. https://doi.org/10.1002/jclp.20431
12.
DavisK.WilsonT. L. Y. (1992). Bibliotherapy and children’s award-winning books. AR: ERIC Clearinghouse on Counseling and Personnel Services (ERIC Document Reproduction Service No. ED 354 470).
GeeB. L.HanJ.BenassiH.BatterhamP. J. (2020). Suicidal thoughts, suicidal behaviours and self-harm in daily life: A systematic review of ecological momentary assessment studies. Digital Health, 6, 2055207620963958. https://doi.org/10.1177/2055207620963958
15.
GoodmanK. (2020). The emetophobia manual: Free yourself from the fear of vomit and reclaim your life. Anxiety and OCD Treatment of the Valley.
16.
HarperS. K.WebbT. L.RaynerK. (2013). The effectiveness of mindfulness-based interventions for supporting people with intellectual disabilities: A narrative review. Behavior Modification, 37(3), 431–453. https://doi.org/10.1177/0145445513476085
17.
HeathM. A.SheenD.LeavyD.YoungE. L.MoneyK. (2005). Bibliotherapy: A resource to facilitate emotional healing and growth. School Psychology International, 26, 563–580. https://doi.org/10.1177/0143034305060792
18.
HeathM. A.SmithK.YoungE. L. (2017). Using children’s literature to strengthen social and emotional learning. School Psychology International, 38(5), 541–561. https://doi.org/10.1177/0143034317710070
19.
HöllerY.van OverveldM.JutglarH.TrinkaE. (2013). Nausea in specific phobia of vomiting. Behavioral Sciences, 3, 445–458. https://doi.org/10.3390/bs3030445
20.
KanewischerE. (2013). Do you ever feel that way? A story and activities about families and feelings. Journal of Creativity in Mental Health, 8(1), 70–80. https://doi.org/10.1080/15401383.2013.763686
21.
KeyesA.VealeD. (2018). Atypical eating disorders and specific phobia of vomiting: Clinical presentation and treatment approaches. In AndersonL. K.MurrayS. B.KayeW. H. (Eds.), Clinical handbook of complex and atypical eating disorders (pp. 270–289). Oxford University Press.
22.
KeyesA.VealeD. (2021). Free yourself from emetophobia: A CBT self-help guide for a fear of vomiting. Jessica Kingsley Publishers.
23.
KilluK.MarcR.CrundwellA. (2016). Students with anxiety in the classroom: Educational accommodations and interventions. Beyond Behavior, 25(2), 30–40. https://doi.org/10.1177/107429561602500205
24.
LeeE. O.AnsonL. E.TindolK. V.ChirimwamiV. (2023). How mindfulness strategies can support social and emotional learning skill development for elementary grade students with emotional and behavioral disorders. Beyond Behavior, 32(1), 45–52. https://doi.org/10.1177/10742956221145198
25.
LipsitzJ. D.FyerA. J.PaternitiA.KleinD. F. (2001). Emetophobia: Preliminary results of an internet survey. Depression and Anxiety, 14(2), 149–152. https://doi.org/10.1002/da.1058
26.
McKennaK.BrayM. A.FitzmauriceB.ChoiD.DeMaioE.BrayC. R.BernsteinC. (2023). Self-monitoring with goal-setting: Decreasing disruptive behavior in children with attention-deficit/hyperactivity disorder. Psychology in the Schools, 60, 5167–5188. https://doi.org/10.1002/pits.23026
27.
McLeanS. (2012). Barriers to collaboration on behalf of children with challenging behaviors: A large qualitative study of five constituent groups. Child & Family Social Work, 17, 478–486. https://doi.org/10.1111/j.1365-2206.2011.00805.x
28.
MillerF. A.KatzJ. H. (2014). 4 keys to accelerating collaboration. OD Practitioner, 46, 6–11.
29.
MusseyS. (2019). Mindfulness in the classroom: Mindful principles for social and emotional learning. Prufrock Press.
30.
NancarrowS. A.BoothA.ArissS.SmithT.EnderbyP.RootsA. (2013). Ten principles of good interdisciplinary team work. Human Resources for Health, 11(19), 1–11. https://doi.org/10.1186/1478-4491-11-19
31.
PardeckJ. (1995). Bibliotherapy: An innovative approach for helping children. Early Child Development and Care, 110, 83–88. https://doi.org/10.1080/0300443951100106
32.
PardeckJ.PardeckJ. (1997). Recommended books for helping youth children deal with social and developmental problems. Early Child Development and Care, 136(1), 57–63. https://doi.org/10.1080/0300443971360105
33.
PerryV.AlbegL.TungC. (2012). Meta-analysis of single-case design research on self-regulatory interventions for academic performance. Journal of Behavioral Education, 21, 217–229. https://doi.org/10.1007/s10864-012-9156-y
34.
PettellJ.BilskyS. (2023). An examination of the association between emotion regulation and emetophobia symptoms. Psychological Reports, 128(5), 3412–3427. https://doi.org/10.1177/00332941231213855
35.
RockM. L. (2005). Use of strategic self-monitoring to enhance academic engagement, productivity, and accuracy of students with and without exceptionalities. Journal of Positive Behavior Interventions, 7(1), 3–17. https://doi.org/10.1177/10983007050070010201
36.
RodskiS. (2019). The neuroscience of mindfulness. HarperCollins Publishers.
37.
Schonert-ReichlK. A.LawlorM. S. (2010). The effects of a mindfulness-based education program on pre- and early adolescents’ well-being and social and emotional competence. Mindfulness, 1, 137–151. https://doi.org/10.1007/s12671-010-0011-8
38.
SimonsM.VloetT. D. (2018). Emetophobia—A metacognitive therapeutic approach for an overlooked disorder. Z Kinder Jugendpsychiatr Psychotherapy [Journal of Child and Adolescent Psychiatry and Psychotherapy], 46(1), 57–66. https://doi.org/10.1024/1422-4917/a000464
39.
SullivanA. K.StrangH. R. (2003). Bibliotherapy in the classroom: Using literature to promote the development of emotional intelligence. Childhood Education, 79(2), 74–80. https://doi.org/10.1080/00094056.2003.10522773
40.
SutherlandM.LussierC.NelsonG.SuhrM. P.FongJ.TurturaJ.ClarkeB. (2024). A quantitative systematic literature review of self-monitoring components within mathematics instruction and intervention. Exceptional Children, 90(3), 235–254. https://doi.org/10.1177/00144029241230322
41.
SykesM.BoschenM. J.ConlonE. G. (2016). Comorbidity in emetophobia (specific phobia of vomiting). Clinical Psychology and Psychotherapy, 23(4), 363–367. https://doi.org/10.1002/cpp.1964
42.
VanderbiltA. (2005). Designed for teachers: How to implement self-monitoring in classroom. Beyond Behavior, 15, 21–24. https://www.jstor.org/stable/24011436
43.
van HoutW. J.BoumanT. K. (2012). Clinical features, prevalence and psychiatric complaints in subjects with fear of vomiting. Clinical Psychology and Psychotherapy, 19, 531–539. https://doi.org/10.1002/cpp.761
44.
VealeD.EllisonN.BoschenM. J.CostaA.WhelanC.MuccioF.HenryK. (2013). Development of an inventory to measure specific phobia of vomiting (emetophobia). Cognitive Therapy and Research, 37(3), 595–604. https://doi.org/10.1007/s10608-012-9495-y
45.
VealeD.HennigC.GledhillL. (2015). Is a specific phobia of vomiting part of the obsessive compulsive and related disorders?Journal of Obsessive-Compulsive and Related Disorders, 7, 1–6. https://doi.org/10.1016/j.jocrd.2015.08.002
WoleryM.BusickM.ReichowB.BartonE. (2010). Comparison of overlap methods for quantitatively synthesizing single-subject data. The Journal of Special Education, 44, 18–28. https://doi.org/10.1177/0022466908328009
48.
WuM. S.RudyB. M.ArnoldE. B.StorchE. A. (2015). Phenomenology, clinical correlates, and impairment in emetophobia. Journal of Cognitive Psychotherapy, 29, 356–368. https://doi.org/10.1891/0889-8391.29.4.356
