Document Detail

Observation of feeding in the diagnosis of posttraumatic feeding disorder of infancy.
MedLine Citation:
PMID:  11349705     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To delineate diagnostic criteria for posttraumatic feeding disorder (PTFD) of infancy and to differentiate PTFD from infantile anorexia (IA) via observation of feeding interactions. METHOD: Three groups of infants (aged 6-32 months) participated: PTFD (n = 30), IA (n = 30), and healthy eater controls (n = 30). The three groups were matched with regard to age, gender, ethnicity, and socioeconomic status. Child psychiatrists used infants' medical and feeding histories and observed 20-minute mother-infant feeding interactions to determine diagnoses and group placement. Feeding interactions were also videotaped, and two raters assessed infants' resistance to feeding situations and to swallowing, as well as specific qualities of mother-infant feeding interactions. RESULTS: Overall, the clinical groups (PTFD and IA) demonstrated more problematic feeding interactions than did the control group. However, the PTFD group exhibited more resistance during feeding interactions than did the other two groups. In particular, the PTFD group displayed the most resistance to swallowing food. CONCLUSIONS: Infants' medical and feeding histories, as well as observations of feeding, are important to making the diagnosis of PTFD and differentiating it from other feeding disorders. Implications for treatment of PTFD are discussed.
I Chatoor; J Ganiban; J Harrison; R Hirsch
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Academy of Child and Adolescent Psychiatry     Volume:  40     ISSN:  0890-8567     ISO Abbreviation:  J Am Acad Child Adolesc Psychiatry     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-05-14     Completed Date:  2001-07-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8704565     Medline TA:  J Am Acad Child Adolesc Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  595-602     Citation Subset:  IM    
Department of Psychiatry, George Washington University, Washington, DC, USA.
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MeSH Terms
Child, Preschool
Eating Disorders / complications*,  diagnosis*,  epidemiology
Feeding Behavior / psychology*
Mother-Child Relations
Stress Disorders, Post-Traumatic / complications*,  diagnosis*,  epidemiology

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