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Published on: August 21, 2015
Transient eating disorder in early childhood--a case report
Shuji Honjo1, Yasuko Sasaki, Satomi Murase
1Department of Child Psychiatry, Nagoya University Center for Developmental Clinical Psychology and Psychiatry, Chikusa-ku, Nagoya 464-8601, Japan. e43195a@nucc.cc.nagoya-u.ac.jp
Insights
This study highlights a transient eating disorder in a young boy, emphasizing the need for better diagnostic tools for infant eating disorders. Early intervention with play therapy and maternal psychological support proved effective.
Area of Science:
- Pediatric Psychology
- Childhood Eating Disorders
Background:
- Diagnostic classification of infant eating disorders is notably insufficient.
- Children often present with diverse eating problems from infancy.
Observation:
- A 5-year-old boy presented with an inability to ingest food and liquids, starting with a specific food aversion.
- The case involved a transient eating disorder in early childhood.
Findings:
- Play therapy for the child and psychological interviews for the mother were implemented.
- The child's eating disorder symptoms improved within five sessions.
- Maternal interviews revealed co-occurring eating disorders (bulimia, vomiting) and marital sexual problems.
Implications:
- This case underscores the complexity of childhood eating disorders and their potential links to family dynamics.
- Long-term therapy was indicated due to the identified underlying issues.
- Further research is needed to refine diagnostic criteria for infant and early childhood eating disorders.
Abstract:
Although children in infancy present eating problems of multifarious nature, the diagnostic classification of infant eating disorders remains markedly deficient. The authors present a case exhibiting transient eating disorder in early childhood, alongside discussion of some considerations relevant to this age group. The subject was a boy aged 5 years 6 months at first presentation. Starting with an inability to swallow "sushi" at dinner, he was brought to the clinic for inability to ingest food or liquids. Treatment was planned as play therapy for the patient, and psychological interviews for the mother. The child's symptoms were improved in five sessions, but interviews of the mother revealed eating disorders such as bulimia and vomiting, and sexual problems in the marital relationship, necessitating long-term therapy.
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