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Parent-child Interaction Treatment for Preschoolers with Feeding Disorders

Sandra Maestro1, Maria Rosaria Cordella1, Olivia Curzio2

  • 1IRCCS Stella Maris Foundation, Pisa, Italy.

The Israel Journal of Psychiatry and Related Sciences
|May 12, 2017
PubMed

Insights

Preschoolers with feeding disorders (FD) like Sensory Food Aversion and Feeding Disorder of Caregiver-Infant Reciprocity showed improvement with family treatment. However, Infantile Anorexia presented challenges, indicating a need for tailored interventions.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology
  • Family Therapy

Background:

  • Feeding Disorders (FD) significantly impact preschoolers' development and family well-being.
  • Early intervention is crucial for managing pediatric feeding issues.
  • The Cerco Asilo family treatment program offers a potential avenue for addressing FD in young children.

Purpose of the Study:

  • To evaluate the immediate treatment outcomes for preschoolers diagnosed with various Feeding Disorders.
  • To assess the effectiveness of the Cerco Asilo family treatment program.
  • To identify specific FD subtypes that respond differently to family-based interventions.

Main Methods:

  • A cohort of 21 preschoolers (mean age 39 months) diagnosed with FD participated in a 24-week family treatment program.
  • Participants were categorized into three diagnostic groups: Infantile Anorexia (IA), Sensory Food Aversion (SFA), and Feeding Disorder of Caregiver-Infant Reciprocity (FDCIR).
  • Treatment outcomes were assessed based on the resolution of feeding disorder symptoms.

Main Results:

  • A significant majority of children with Sensory Food Aversion (SFA) and Feeding Disorder of Caregiver-Infant Reciprocity (FDCIR) experienced resolution of their feeding disorder.
  • Children diagnosed with Infantile Anorexia (IA) demonstrated a poor response to the family treatment program.
  • The study highlights differential treatment efficacy across FD subtypes.

Conclusions:

  • Improvements in the parent-child relationship appear to facilitate FD resolution, with the exception of IA.
  • The findings suggest that current family-based interventions may not be optimal for all FD subtypes, particularly IA.
  • There is a clinical need for developing specialized intervention protocols for children with IA and their families.
Abstract

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