Cognitive-Behavioral Treatment of Health-Impairing Food Phobias in Children

Singer, Lynn T.; Ambuel, Bruce; Wade, Shari L.; Jaffe, Arthur C.

doi:10.1097/00004583-199209000-00011

Cited by 56 publications

(21 citation statements)

References 14 publications

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“…Food neophobia has largely been considered a normal developmental stage that begins to appear during the toddler period, is at its height during the preschool years, and is thought to dissipate over time (1,2). Food neophobia can be a significant clinical issue and is related to anxiety and phobias (3,4).…”

Section: Introductionmentioning

confidence: 99%

Young Children's Food Neophobia Characteristics and Sensory Behaviors Are Related to Their Food Intake ,

Johnson

Davies

Boles

et al. 2015

The Journal of Nutrition

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Section: Introductionmentioning

confidence: 99%

Young Children's Food Neophobia Characteristics and Sensory Behaviors Are Related to Their Food Intake ,

Johnson

Davies

Boles

et al. 2015

The Journal of Nutrition

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“…Peluso et al (1994) observaram melhora dos sintomas alimentares e do comportamento evitativo em uma paciente com FA, submetida a TCC, utilizando técnicas de dessensibilização sistemática e exposição. Singer et al (1992) sugerem que a TCC consista de uma combinação individualizada de manejo de contingências, compartilhamento, dessensibilização, relaxamento e reestruturação cognitiva.…”

Section: Discussionunclassified

Fobia alimentar associada a magreza: um diagnóstico diferencial com anorexia nervosa

Silva

Papelbaum

2009

J. bras. psiquiatr.

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Palavras-chaveComportamento alimentar, fagofobia, caso clínico, fobia alimentar. rEsumoA fobia alimentar (FA) ou fagofobia é um transtorno caracterizado pelo medo condicionado e excessivo de comer e engolir, muitas vezes precipitado por um evento de vômito ou engasgo. Existem poucos casos de FA descritos na literatura científica, o que dificulta a definição da sua prevalência. Apesar disso, a fagofobia apresenta importância clínica em função do risco de complicações clínicas e da possibilidade de erro diagnóstico por confusão com outras condições que acarretem restrição alimentar, como a anorexia nervosa. O objetivo deste artigo é apresentar um caso de FA e discutir a psicopatologia desse transtorno, as dificuldades diagnósticas e recomendações terapêuticas, tendo como base a evolução clínica do caso e as evidências científicas atuais. AbsTrAcTFood phobia (FP) iNTroDuÇÃoA fobia alimentar (FA), ou fagofobia, é caracterizada pelo medo excessivo e condicionado de comer ou engolir, levando à recusa alimentar por mais de um mês. Muitas vezes, é desencadeada após um evento traumático em que tenham ocorrido vômitos ou sensação de asfixia provocada pela comida. É mais comum o início na infância (principalmente em mulheres), podendo se iniciar após alguma infecção ou evento que tenha cursado com vômito associado. A vivên-cia traumática desse episódio pode ocasionar um comportamento mal-adaptativo, como a recusa alimentar. Nenhum dos sistemas classificatórios atuais (DSM e CID) inclui a FA como um diagnóstico independente. Sendo assim, ela poderia ser classificada com um transtorno alimentar não especificado ou uma fobia específica. Higgs et al. (1989) apresentaram, num estudo retrospectivo e longitudinal, um grupo de crianças que teria um

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“…Food refusal has been defined previously as the refusal of food at least once a day for a period of one month or more 7,12 , on the DSM-III-R criteria for eating disorders not otherwise specified (EDNOS) 8 present a potential grouping strategy for food refusal that has both theoretical grounding and practical application. Within their paper, they offer three umbrella terms of unpredictable food refusal, selective food refusal, and fear-based food refusal.…”

Section: Grouping the Various Terms For Food Refusalmentioning

confidence: 99%

“…The incidence of feeding problems can be elevated when reported by caregivers (50.9% reporting food refusal at 11 months 6 ), but appears to be much lower when they are identified by health care professionals (1.4% identifying food refusal, vomiting and colic between 3 and 12 months 7 ). Prevalence rates are further increased if other developmental disorders are also considered, as around 80% of children with disorders associated with cognitive delay exhibit feeding disorders 8 .…”

Section: Introductionmentioning

confidence: 99%

When Does Food Refusal Require Professional Intervention?

Dovey¹,

Farrow²,

Martin³

et al. 2009

CNF

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Food refusal can have the potential to lead to nutritional deficiencies, which increases the risk of a variety of communicable and non-communicable diseases. Deciding when food refusal requires professional intervention is complicated by the fact that there is a natural and appropriate stage in a child's development that is characterised by increased levels of rejection of both previously accepted and novel food items. Therefore, choosing to intervene is difficult, which if handled badly can lead to further food refusal and an even more limited diet. Food refusal is often based on individual preferences; however, it can also be defined through pathological behaviours that require psychological intervention. This paper presents and discusses several different types of food refusal behaviours; these are learningdependent, those that are related to a medical complication, selective food refusal, fear-based food refusal and appetite-awareness-autonomy-based food refusal. This paper describes the behaviours and characteristics that are often associated with each; however, emphasis is placed on the possibility that these different types of food refusal can often be co-morbid. The decision to offer professional intervention to the child and their family should be a holistic process based on the level of medical or psychological distress resulting from the food refusal.

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Cognitive-Behavioral Treatment of Health-Impairing Food Phobias in Children

Cited by 56 publications

References 14 publications

Young Children's Food Neophobia Characteristics and Sensory Behaviors Are Related to Their Food Intake ,

Young Children's Food Neophobia Characteristics and Sensory Behaviors Are Related to Their Food Intake ,

Fobia alimentar associada a magreza: um diagnóstico diferencial com anorexia nervosa

When Does Food Refusal Require Professional Intervention?

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