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Updated: Sep 22, 2025

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Feeding/Eating Problems in Children Who Refrained From Treatment in the Past: Who Did (Not) Recover?
Eric Dumont1,2,3, Anita Jansen2, Pieter C Duker1
1Department of Research and Development, SeysCentra, Malden, Netherlands.
Most young children with disordered feeding do not improve without treatment, with predictors of persistent issues including older age, male sex, and autism spectrum disorder. Early intervention is recommended for these vulnerable children.
Area of Science:
- Pediatric Nutrition
- Developmental Psychology
- Clinical Research
Background:
- Disordered feeding in young children can predict future eating problems.
- This study investigates predictors of persistent feeding difficulties in children who did not receive behavioral treatment.
Purpose of the Study:
- To identify predictors of age-adequate food intake in young children with feeding disorders.
- To understand the long-term outcomes of untreated feeding problems.
Main Methods:
- Retrospective study of 236 children with disordered feeding.
- Logistic regression analysis using baseline characteristics and follow-up data (average 6.3 years).
- Predictor variables included demographics, medical history, and feeding patterns; outcome was age-appropriate food intake.
Main Results:
- 63% of children did not achieve age-adequate food intake at follow-up.
- Predictors of inadequate intake included older age, male sex, longer follow-up duration, autism spectrum disorder, selective texture preferences, and lack of nutritional variety.
Conclusions:
- Untreated feeding problems in young children often persist.
- Early intervention is crucial, particularly for male children with autism spectrum disorder and selective eating patterns.
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