The Effects of a Brief Behavioral Intervention on Food Refusal in a Child With a Fear of Choking

Seiverling, Laura; Burns, Justine; Rodriguez, JoKathleen; Yamazaki, Hiro; Fernández, Ana Michelle; Yusupova, Stella

doi:10.1177/1534650115602065

Cited by 7 publications

(6 citation statements)

References 18 publications

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“…One study compared cohorts in their program with and without family involvement [264], and found that weight outcomes did not vary with family involvement, but there was a greater improvement observed in overall symptomatology, and in particular weight concerns and dietary restraint with family involvement. Only three small studies have examined the use of day treatment settings for patients with Avoidant/ Restrictive Food Intake Disorder [278,281,282] and one small study examined this setting for Bulimia Nervosa [279]. One high quality study observed no harm with the addition of a standardized resistance training program to day treatment care as usual for patients with mixed eating disorder diagnoses [283].…”

Section: Level Of Carementioning

confidence: 99%

Canadian practice guidelines for the treatment of children and adolescents with eating disorders

et al. 2020

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Objectives: Eating disorders are common and serious conditions affecting up to 4% of the population. The mortality rate is high. Despite the seriousness and prevalence of eating disorders in children and adolescents, no Canadian practice guidelines exist to facilitate treatment decisions. This leaves clinicians without any guidance as to which treatment they should use. Our objective was to produce such a guideline. Methods: Using systematic review, the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system, and the assembly of a panel of diverse stakeholders from across the country, we developed high quality treatment guidelines that are focused on interventions for children and adolescents with eating disorders. Results: Strong recommendations were supported specifically in favour of Family-Based Treatment, and more generally in terms of least intensive treatment environment. Weak recommendations in favour of Multi-Family Therapy, Cognitive Behavioural Therapy, Adolescent Focused Psychotherapy, adjunctive Yoga and atypical antipsychotics were confirmed. Conclusions: Several gaps for future work were identified including enhanced research efforts on new primary and adjunctive treatments in order to address severe eating disorders and complex co-morbidities.

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Section: Level Of Carementioning

confidence: 99%

Canadian practice guidelines for the treatment of children and adolescents with eating disorders

et al. 2020

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“…With acute onset packing not due to skill deficits or lack of experience, the original aetiology may be medical in nature (e.g., gastrointestinal issues; Hagopian et al, 1996; Williams et al, 2011) or a triggering event (e.g., choking episode, allergic reaction, major life changes such as in caregivers or schools; Lenz et al, 2018; Lesser et al, 2022; Seiverling et al, 2016; Tang et al, 2011). However, even once the original aetiology has resolved, packing may persist due to behavioural reasons (e.g., to gain interaction or preferred items or activities, to avoid nonpreferred tasks) (Girolami & Scotti, 2001; González et al, 2014; Piazza et al, 2003; Rivero & Borrero, 2019).…”

Section: Theoretical and Research Basis For Treatmentmentioning

confidence: 99%

Continuous Saliva Packing Resulting in Feeding Tube Dependence: In-Home Behaviour-Analytic Treatment

Taylor,

Roglić

2024

Clinical Case Studies

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Saliva packing can be one of the most severe life-threatening and challenging behaviours to treat. A 9-year-old male with autism spectrum disorder and intellectual disability had 100% nasogastric (NG) feeding tube dependence and significant adaptive behaviour regression (in speaking, using the toilet and his hands, school attendance, sleep). He participated in an intensive behaviour-analytic paediatric feeding treatment programme. Saliva packing, as an automatically-maintained undifferentiated behaviour that persisted in all waking contexts despite high engagement in activities, warranted an additional outside of meal approach. He began swallowing, met 100% of his 21 goals, gained weight, and eliminated tube dependence. He reached a variety of 94 across all food groups, drinks, and supplements. Caregivers were trained and reported high social validity, and gains generalised and maintained in 1-month follow-up. This is the first case to our awareness in Australia of an in-home solely behaviour-analytic intervention to eliminate tube dependence, and it was conducted without hunger provocation, weight loss, or limited nutritional variety.

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“…In addition, later studies demonstrated continued support for the use of brief behavior-based interventions for fears in this population. For example, one study demonstrated the success of a brief exposure program for treating fear of choking in a young child with ASD (Seiverling et al, 2016). In addition, a book chapter by Davis, Ollendick, and Öst (2012) suggests OST as a potential treatment for specific phobias when comorbid with ASD for several reasons such as the potential for quicker gains in a setting that allows for repeated practice and the potential for real-time parent coaching and involvement.…”

Section: Theoretical and Research Basis For Treatmentmentioning

confidence: 99%

Brief, Intensive, and Concentrated Treatment of Specific Phobia in a Child With Minimally Verbal Autism Spectrum Disorder

Muskett

Radtke

Ollendick

2019

Clinical Case Studies

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This case study illustrates a brief, intensive, cognitive behavioral therapy (CBT) for a young male client with a specific phobia of dogs and comorbid autism spectrum disorder (ASD). CBT has been shown to be an effective treatment for anxiety in children with ASD; however, this work has not often been extended to children with language impairment. This case study presents significant modifications to one-session treatment (OST) for specific phobia to make it applicable to a child with minimally verbal ASD. The intervention included four 3-hr treatment sessions conducted over the course of four consecutive days. Assessment sessions were conducted before treatment, and 1 week and 3 months following treatment. The client’s phobia symptoms decreased following the intervention at both the posttreatment and follow-up sessions. The Reliable Change Index (RCI) was calculated to evaluate changes from pretreatment to posttreatment and follow-up and demonstrated a clinically significant decrease in phobia symptomology following intervention. The results suggest the potential efficacy for a brief, intensive, and concentrated CBT treatment for a child with minimally verbal ASD and a severe phobia.

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The Effects of a Brief Behavioral Intervention on Food Refusal in a Child With a Fear of Choking

Cited by 7 publications

References 18 publications

Canadian practice guidelines for the treatment of children and adolescents with eating disorders

Canadian practice guidelines for the treatment of children and adolescents with eating disorders

Continuous Saliva Packing Resulting in Feeding Tube Dependence: In-Home Behaviour-Analytic Treatment

Brief, Intensive, and Concentrated Treatment of Specific Phobia in a Child With Minimally Verbal Autism Spectrum Disorder

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