Pediatric Feeding Disorders: A Quantitative Synthesis of Treatment Outcomes
Abstract
A systematic review of the literature regarding treatment of pediatric feeding disorders was conducted. Articles in peer-reviewed scientific journals (1970-2010) evaluating treatment of severe food refusal or selectivity were identified. Studies demonstrating strict experimental control were selected and analyzed. Forty-eight single-case research studies reporting outcomes for 96 participants were included in the review. Most children presented with complex medical and developmental concerns and were treated at multidisciplinary feeding disorders programs. All studies involved behavioral intervention; no well-controlled studies evaluating feeding interventions by other theoretical perspectives or clinical disciplines met inclusion criteria. Results indicated that behavioral intervention was associated with significant improvements in feeding behavior. Clinical and research implications are discussed, including movement toward the identification of key behavioral antecedents and consequences that promote appropriate mealtime performance, as well as the need to better document outcomes beyond behavioral improvements, such as changes in anthropometric parameters, generalization of treatment gains to caregivers, and improvements in nutritional status.
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The only empirically supported treatment for food selectivity and mealtime problems in children with ASD is behavioral intervention based on ABA.
“Concerning food selectivity and mealtime problems, the only empirically supported treatment for children with ASD is behavioral intervention based on applied behavioral analysis (ABA) [45,64,65].”
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- Authors
- Sharp, W. G., Jaquess, D. L., Morton, J. F., & Herzinger, C. V.
- Affiliations
- Emory University (US)
- Corresponding author
- Sharp, William G.
- Venue
- Clinical Child and Family Psychology Review
- Published
- 2010-09-16
- Volume
- 13
- Issue
- 4
- Pages
- 348-365
- ISSN
- 1096-4037 (ISSN-L)
- 1573-2827
- OpenAlex
- W1963483800
- Cited by
- 282
- References
- 123
- Citations by year
- 2026: 11 · 2025: 13 · 2024: 19 · 2023: 15 · 2022: 14 · 2021: 15 · 2020: 29 · 2019: 29 · 2018: 38 · 2017: 16 · 2016: 15 · 2015: 19 · 2014: 17 · 2013: 18 · 2012: 9
- FWCI
- 1.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Clinical Child and Family Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- pediatric feeding disorders, food refusal, picky eating, behavioral interventions, treatment outcomes, single subject research, antecedents and consequences, nutritional status, anthropometric outcomes
- MeSH terms
- Adolescent, Behavior Therapy, Child, Child Development Disorders, Pervasive, Child Nutritional Physiological Phenomena, Child, Preschool, Evaluation Studies as Topic, Failure to Thrive, Feeding Behavior, Female, Humans, Infant, Male, Reproducibility of Results, Treatment Outcome, Evidence-Based Medicine, Feeding and Eating Disorders of Childhood
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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