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Self-Injurious Behavior During Treatment of Pediatric Feeding Disorder: An Evaluation of Treatment Outcomes

Sarah D Haney McDevitt1,2, Hailey E Ripple3, Racheal R Clark4

  • 1Department of Behavioral Psychology, Kennedy Krieger Institute, N. Broadway, Baltimore, MD, 21205, USA. mcdevitt@kennedykrieger.org.

Journal of Autism and Developmental Disorders
|March 17, 2025
PubMed

Insights

Children with pediatric feeding disorder engaging in self-injurious behavior (SIB) during meals showed similar treatment outcomes to peers without SIB. Intensive behavior-analytic feeding therapy effectively improved target behaviors for all children.

Area of Science:

  • Behavioral Science
  • Pediatric Medicine
  • Clinical Psychology

Background:

  • Pediatric feeding disorder (PFD) is characterized by inappropriate mealtime behaviors.
  • A subset of children with PFD also exhibit self-injurious behavior (SIB) during meals.
  • Behavior-analytic interventions are evidence-based for PFD, but outcomes for those with SIB are less understood.

Purpose of the Study:

  • To compare treatment outcomes for children with PFD who exhibit SIB during meals versus those who do not.
  • To investigate the effectiveness of behavior-analytic interventions in children with PFD and comorbid SIB.
  • To identify potential differences in treatment approaches between groups.

Main Methods:

  • A comparative study design was employed.
  • Participants were divided into a SIB Group (children with PFD and SIB during meals) and a Control Group (children with PFD without SIB).
  • Treatment outcomes, including problem behavior and target behavior improvement, were assessed.

Main Results:

  • No significant differences in problem behavior were found between the SIB Group and Control Group.
  • All target behaviors significantly improved by the end of treatment for both groups.
  • Statistically significant differences in treatment types used between the groups were observed, though SIB group children benefited equally from intensive behavior-analytic feeding therapy.

Conclusions:

  • Children with PFD who engage in SIB during meals demonstrate comparable treatment outcomes to those without SIB.
  • Intensive behavior-analytic feeding therapy is effective for children with PFD, including those with SIB.
  • Individualized treatment considerations are important for children with PFD and SIB during meals.

Keywords:
Behavior-analytic interventionsPediatric feeding disorderSelf-injurious behaviorTreatment outcomes

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