Document Detail

Behavioural treatment of severe food refusal in five toddlers with developmental disabilities.
MedLine Citation:
PMID:  17944775     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Young children with developmental disabilities are at risk of food refusal. In case of severe food refusal, children are being fed by nasal or gastrostomy tube. Behavioural treatment may be effective in establishing oral food intake. METHODS: A behavioural treatment package was implemented in an outpatient setting for the treatment of severe food refusal in five toddlers with developmental disabilities. During the course of treatment, treatment principles were generalized to parents in the home setting. RESULTS: Treatment resulted in oral acceptance of a variety of food items in each child and was successfully generalized. Treatment effects were maintained during follow-up between 3 and 12 months. Tube feeding was discontinued in each child and health status of each child improved. CONCLUSIONS: Behavioural treatment may be highly effective in establishing oral food intake in children with developmental disabilities (in the absence of organic causes). As a side-effect of this treatment, tube-feeding may be discontinued and general heath status improved.
J de Moor; R Didden; H Korzilius
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Child: care, health and development     Volume:  33     ISSN:  0305-1862     ISO Abbreviation:  Child Care Health Dev     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-10-19     Completed Date:  2008-04-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7602632     Medline TA:  Child Care Health Dev     Country:  England    
Other Details:
Languages:  eng     Pagination:  670-6     Citation Subset:  IM    
Department of Special Education, Radboud University Nijmegen, Nijmegen, The Netherlands.
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MeSH Terms
Behavior Therapy / methods*
Child Behavior Disorders / complications,  psychology,  therapy*
Child, Preschool
Developmental Disabilities / psychology*
Enteral Nutrition
Feeding and Eating Disorders of Childhood / psychology,  therapy*
Treatment Outcome

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