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Updated: Jul 5, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
In-depth mental health evaluation of a community sample of nonreferred infants with feeding difficulties
J Martin Maldonado-Duran1, Peter Fonagy, Linda Helmig
1Department of Psychiatry, University of Missouri, Kansas City School of Medicine and Truman Medical Centers, Kansas City, Missouri 64108, USA. martin.maldonado@tmcmed.org
Objective:
Evaluate the clinical characteristics of feeding difficulties in 30 community (i.e., nonreferred) infants in the first 2 years of life, and their correlation with mother/child interactions.
Method:
An "in depth" mental health evaluation of feeding difficulties, and the psychosocial functioning of the child in other areas. The mother-infant relationship and the feeding interactions were also assessed.
Results:
Four "groups" were identified. (1) Young infant with difficulties in regulating states and sucking. (2) Older infant with difficulties in self-regulation, focusing, hyper-alert, and with aversion to feeding. (3) Older infants hypersensitive to stimuli (taste, odor) and with difficulties in chewing. (4) Group of with varied and unique feeding problems (pica, rumination).
Conclusion:
Feeding problems tend to have patterns according to the age of the baby in a nonreferred sample. They are not associated with an altered parent-infant relationship nor poor feeding technique. Parents often adapt successfully to the uniqueness of the baby to maintain weight gain.
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