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Related Experiment Videos

Behavior as a diagnostic aid in failure-to-thrive.

G F Powell, J F Low, M A Speers

    Journal of Developmental and Behavioral Pediatrics : JDBP
    |February 1, 1987
    PubMed
    Summary

    Behavioral assessments can help suggest nonorganic failure-to-thrive (NOFTT) in infants when organic causes are ruled out. High intensity and frequency of certain behaviors, alongside treatment response, aid diagnosis.

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    Area of Science:

    • Pediatrics
    • Child Psychology
    • Developmental Biology

    Background:

    • Failure-to-thrive (FTT) in infants presents diagnostic challenges.
    • Distinguishing between organic FTT (OFTT) and nonorganic FTT (NOFTT) is crucial for effective intervention.
    • Behavioral patterns may offer insights into the etiology of FTT.

    Purpose of the Study:

    • To examine a defined set of behaviors in hospitalized infants.
    • To evaluate the utility of behavioral assessment in differentiating NOFTT from OFTT.
    • To identify specific behaviors indicative of NOFTT.

    Main Methods:

    • A cohort of 67 hospitalized infants (3-24 months) was studied.
    • Infants were categorized into OFTT (n=17), NOFTT (n=17), and control (n=33) groups.

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  • The frequency and intensity of specific behaviors were recorded and compared across groups.

    • Main Results:

    • Infants with NOFTT exhibited greater frequency and intensity of behaviors compared to OFTT infants.
    • The prevalence order of behaviors was similar between OFTT and NOFTT groups.
    • Four of the seven most common behaviors were significantly more frequent in NOFTT infants.

    Conclusions:

    • While specific behaviors do not definitively rule in NOFTT or out OFTT, their presence, especially with high intensity, suggests NOFTT when organic causes are absent.
    • Positive response to targeted treatment remains the most definitive diagnostic confirmation for NOFTT.