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[Child food refusal: when will we call a child psychiatrist?]

M-F Le Heuzey1

  • 1Service de psychopathologie de l'enfant et de l'adolescent, hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France. marie-france.leheuzey@rdb.aphp.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|June 21, 2011
PubMed

Insights

Pediatric feeding disorders in infants and toddlers often improve with treatment. However, some cases require child psychiatrist intervention based on child and family factors.

Area of Science:

  • Pediatric medicine
  • Child psychiatry
  • Developmental psychology

Context:

  • Food refusal is a common issue in infants and toddlers.
  • Many feeding difficulties are resolved through standard pediatric care.
  • Persistent or severe cases may necessitate specialized intervention.

Purpose:

  • To outline the criteria for involving child psychiatric services in managing infant and toddler feeding disorders.
  • To highlight the factors influencing the decision for psychiatric intervention in feeding difficulties.

Summary:

  • Feeding disorders are prevalent in early childhood, with many cases responding to pediatric interventions.
  • Child psychiatric assessment becomes crucial when feeding issues are severe or persistent, impacting growth (failure to thrive).
  • Indications for psychiatric involvement consider the child's medical and psychiatric status, developmental progress, and the family's psychosocial context, including parental mental health.

Impact:

  • Informing pediatricians and healthcare providers on when to escalate care for feeding disorders.
  • Improving diagnostic and treatment pathways for complex pediatric feeding issues.
  • Enhancing outcomes for children with feeding disorders by integrating mental health perspectives.

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