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A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
A behavioural intervention in a child with feeding problems
1School of Psychology, University of Birmingham, Edgbaston, Birmingham, UK. j.blissett@blam.ac.uk
Insights
This case study shows a cognitive behavioural intervention for a child with feeding difficulties and growth problems. The approach reduced parental anxiety, empowering the child, leading to sustained improvements in feeding and growth.
Area of Science:
- Pediatric Gastroenterology
- Child Psychology
Background:
- Children with growth problems often experience feeding difficulties.
- Parental anxiety can exacerbate feeding issues in children.
- A lack of child autonomy in feeding can hinder progress.
Purpose of the Study:
- To describe an intervention for a 2-year-old child with growth problems and feeding difficulties.
- To evaluate the effectiveness of a cognitive behavioural approach in pediatric feeding issues.
Main Methods:
- Intervention based on cognitive behavioural principles and psycho-physiological techniques.
- Focus on reducing parental anxiety.
- Restoring feeding control to the child.
Main Results:
- Significant improvement in the child's feeding behaviour over 6 months.
- Marked increase in child's growth and weight.
- Positive outcomes maintained for a 3-year follow-up period.
Conclusions:
- Cognitive behavioural principles are effective for pediatric feeding problems.
- Reducing parental anxiety and empowering the child are key intervention components.
- The described approach is applicable to diverse pediatric feeding disorders.
Aim:
This case study aimed to describe an intervention with a 2-year-old child with growth problems and moderately severe feeding difficulties.
Method:
The intervention was based on cognitive behavioural principles and psycho-physiological techniques, and focused on reducing parental anxiety and returning the control of feeding to the child.
Results:
The child's feeding behaviour considerably improved over a 6-month period, and growth and weight were significantly increased. These positive changes have been maintained for a 3-year subsequent period.
Conclusion:
The principles described can be applied to children with a wide range of feeding problems with multivariate causes.
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