TY - JOUR
T1 - Cognitive-Behavioral Treatment of Health-Impairing Food Phobias in Children
AU - SINGER, LYNN T.
AU - AMBUEL, BRUCE
AU - WADE, SHARI
AU - JAFFE, ARTHUR C.
N1 - Funding Information:
This research was supported, in part, by grants NIH R01-HL38193 and MCJ-390592 to Lynn Singer. The authors acknowledge Pamela Senders for data collection, the nursing staff of the Medical-Behavioral Center at Rainbow Babies and Childrens Hospitalfor treatment help, Laura Benson-Szekely for dietary analysis, and Rose Marie Ashley for manuscript preparation.
PY - 1992
Y1 - 1992
N2 - Three case reports describe assessment and treatment of three boys (ages 6 to 8 years) hospitalized because of weight loss and malnutrition, caused by severe dietary restriction and/or refusal to eat solid food. Psychological, behavioral, and medical assessments indicated that the boys were of average intelligence, without other significant psychological or medical disorders. Their eating disturbances were conceptualized as phobic disorders maintained by family factors reinforcing the children's avoidant behaviors. Cognitive-behavioral treatment consisted of an individualized combination of contingency management, shaping, desensitization, relaxation training, education, and cognitive restructuring. Generalization and maintenance were promoted by training parents to implement treatment at home before discharge. Treatment positively affected overall caloric intake, weight gain, number of solid foods accepted, and incidence of emesis.
AB - Three case reports describe assessment and treatment of three boys (ages 6 to 8 years) hospitalized because of weight loss and malnutrition, caused by severe dietary restriction and/or refusal to eat solid food. Psychological, behavioral, and medical assessments indicated that the boys were of average intelligence, without other significant psychological or medical disorders. Their eating disturbances were conceptualized as phobic disorders maintained by family factors reinforcing the children's avoidant behaviors. Cognitive-behavioral treatment consisted of an individualized combination of contingency management, shaping, desensitization, relaxation training, education, and cognitive restructuring. Generalization and maintenance were promoted by training parents to implement treatment at home before discharge. Treatment positively affected overall caloric intake, weight gain, number of solid foods accepted, and incidence of emesis.
KW - eating disorders
KW - failure-to-thrive
KW - phobia
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U2 - 10.1097/00004583-199209000-00011
DO - 10.1097/00004583-199209000-00011
M3 - Article
C2 - 1400116
AN - SCOPUS:0026699794
SN - 0890-8567
VL - 31
SP - 847
EP - 852
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
IS - 5
ER -