Empirically supported treatments in pediatric psychology: severe feeding problems

Kerwin, Mary Louise E.

doi:10.1093/jpepsy/24.3.193

Cited by 244 publications

(198 citation statements)

References 74 publications

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“…47 In more severe cases, "fading" and "shaping" (gradually altering the taste, color, texture, and exposure to the food) are coupled with positive reinforcement. [57][58][59][60] In children with delayed oral motor development, the oral motor therapist may also have a critical role.…”

Section: Management Of Selectivitymentioning

confidence: 99%

A Practical Approach to Classifying and Managing Feeding Difficulties

Kerzner¹,

et al. 2015

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Many young children are thought by their parents to eat poorly. Although the majority of these children are mildly affected, a small percentage have a serious feeding disorder. Nevertheless, even mildly affected children whose anxious parents adopt inappropriate feeding practices may experience consequences. Therefore, pediatricians must take all parental concerns seriously and offer appropriate guidance. This requires a workable classification of feeding problems and a systematic approach. The classification and approach we describe incorporate more recent considerations by specialists, both medical and psychological. In our model, children are categorized under the 3 principal eating behaviors that concern parents: limited appetite, selective intake, and fear of feeding. Each category includes a range from normal (misperceived) to severe (behavioral and organic). The feeding styles of caregivers (responsive, controlling, indulgent, and neglectful) are also incorporated. The objective is to allow the physician to efficiently sort out the wide variety of conditions, categorize them for therapy, and where necessary refer to specialists in the field.Parents of young children worldwide are concerned about feeding difficulties. When asked, more than 50% of mothers claim that at least 1 of their children eats poorly; this implicates ∼20% to 30% of children.

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Section: Management Of Selectivitymentioning

confidence: 99%

A Practical Approach to Classifying and Managing Feeding Difficulties

Kerzner¹,

et al. 2015

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“…In a literature review, Kerwin (1999) and Volkert and Piazza (2012) identified physical guidance (e.g., hand-over-hand guidance or graduated guidance) often combined with a reinforcement component as the only well-established intervention for increasing self-feeding behavior in individuals with feeding difficulties (e.g., Luiselli, 1988a, b;Luiselli, 1993;O'Brien, Bugle, & Azrin, 1972;Piazza, Anderson, & Fisher, 1993;Sisson & Dixon, 1986a, b). For example, in a study conducted by Luiselli (1988b), for one of the participants, Kay, the feeder placed Kay's hand around the feeding utensil and together they lifted the utensil to her mouth if she did not take the bite after 40 s. The feeder then removed guidance to allow Kay to place the bite in her mouth.…”

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confidence: 99%

Further Manipulations in Response Effort or Magnitude of an Aversive Consequence to Increase Self-Feeding in Children with Feeding Disorders

Volkert

Piazza

Ray-Price

2016

Behav Analysis Practice

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Although some children with feeding disorders may have the necessary skills to feed themselves, they may lack motivation to self-feed solids and liquids. Rivas, Piazza, Roane, Volkert, Stewart, Kadey, and Groff (Journal of Applied Behavior Analysis, 47, 1-14, 2014) and Vaz, Volkert, and Piazza (Journal of Applied Behavior Analysis, 44, 915-920, 2011) successfully increased self-feeding for children who lacked motivation to self-feed by manipulating either the quantity or the quantity and quality of bites that the therapist fed the child if he or she did not self-feed. In the current investigation, we present three case examples to illustrate some challenges we faced when using these procedures outlined in the aforementioned studies and how we addressed these challenges.

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“…Ранние поведенческие расстройства приема пищи вкупе с состояниями недостаточного питания -распро-страненные проблемы в индустриально развитых странах, где они составляют до 80% у детей первых лет жизни с на-рушениями общего психического развития и 25-40% у детей с нормальным онтогенезом [60,61].…”

Section: расстройства пищевого поведения в раннем детствеunclassified

Mental health disorders in the first years of life: disorders mostly related with psychogenic factors

Skoblo

Trushkina

2016

Z. nevrol. psikhiatr. im. S.S. Korsakova

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Empirically supported treatments in pediatric psychology: severe feeding problems

Cited by 244 publications

References 74 publications

A Practical Approach to Classifying and Managing Feeding Difficulties

A Practical Approach to Classifying and Managing Feeding Difficulties

Further Manipulations in Response Effort or Magnitude of an Aversive Consequence to Increase Self-Feeding in Children with Feeding Disorders

Mental health disorders in the first years of life: disorders mostly related with psychogenic factors

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