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Updated: Aug 8, 2026

Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
Published on: May 31, 2021
Physical and emotional development, appetite and body image in adolescents who failed to thrive as infants
R F Drewett1, S S Corbett, C M Wright
1Department of Psychology, University of Durham, UK. r.f.drewett@durham.ac.uk
Insights
Infants who experienced failure to thrive (FTT) showed no adverse emotional development by age twelve. This study tracked physical growth and psychological well-being in children with and without FTT history.
Area of Science:
- Child Development
- Pediatric Health
- Psychological Sequelae
Background:
- Previous research indicates potential long-term adverse effects of failure to thrive (FTT) in infancy.
- While cognitive outcomes are studied, other developmental aspects of FTT require more systematic investigation.
Purpose of the Study:
- To systematically investigate the long-term developmental outcomes beyond cognition in children with a history of infant failure to thrive.
- To compare physical growth, eating behaviors, body image, anxiety, depression, and behavioral issues between children with and without a history of FTT.
Main Methods:
- Longitudinal study following 89 children with infant FTT and 91 controls until age twelve.
- Utilized anthropometric measurements, self-report questionnaires (appetite, body image, eating behavior, self-perception, anxiety, mood), and parent/teacher reports (behavioral checklist).
Main Results:
- Children with infant FTT were significantly shorter, lighter, and had lower BMIs at age twelve.
- FTT group reported lower appetite relative to peers, higher body image satisfaction, and lower dietary restraint.
- No significant differences were found in anxiety, depression, or self-esteem between the FTT and control groups.
Conclusions:
- Infant failure to thrive is not associated with adverse emotional development or behavioral problems in childhood.
- Physical growth differences persist at age twelve, but emotional and psychological well-being appears unaffected by early FTT.
Background:
Previous studies suggest that failure to thrive in infancy may be associated with adverse sequelae in childhood. Although cognitive abilities have been extensively investigated, little systematic research is available on other aspects of development.
Methods:
Eighty-nine children who failed to thrive as infants and 91 controls were followed up when twelve years old and examined using anthropometric measurement, self-ratings of appetite and body image, the Dutch Eating Behaviour Questionnaire, the Self-perception Profile for Children, The Revised Children's Manifest Anxiety Scale, the parent and child form of the Mood and Feelings Questionnaire and the parent and teacher's form of the Child Behavior Checklist.
Results:
The children who failed to thrive were significantly shorter and lighter at twelve and had significantly lower BMIs, but they did not go into puberty any later. They were more likely to rate their appetite as lower than their best friend's, were generally more satisfied with their body shape, and had significantly lower restraint score on the Dutch Eating Behaviour Questionnaire. They were not significantly different from controls on any of the measures reflecting anxiety, depression or low self-esteem.
Conclusions:
Failure to thrive in infancy is not associated with adverse emotional development in childhood.
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