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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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“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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Identification, Evaluation, and Management of Children With Autism Spectrum Disorder
Hyman, S. L., Levy, S. E., Myers, S. M., COUNCIL ON CHILDREN WITH DISABILITIES, S. O. D. A. B. P., Kuo, D. Z., Apkon, S., Davidson, L. F., Ellerbeck, K. A., Foster, J. E. A., Noritz, G. H., et al. (2020) · Pediatrics · doi:10.1542/peds.2019-3447 · Cited by 1,798
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Smith, T., & Iadarola, S. (2015) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2015.1077448 · Cited by 339
Sharp, W. G., Volkert, V. M., Scahill, L. D., McCracken, C., & McElhanon, B. O. (2016) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2016.10.002 · Cited by 321
Self-citation
Metadata
- 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
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