2016, Number 2
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Revista Mexicana de Trastornos Alimentarios 2016; 7 (2)
Pediatric feeding problems: A field of application in behavior analysis
Hernández EV, Fernand JK, Vollmer TR
Language: Spanish
References: 53
Page: 144-156
PDF size: 532.48 Kb.
ABSTRACT
Pediatric feeding problems occur in a significant proportion of children, especially, in
those with developmental disabilities. If unattended, these problems can have negative effects
on children’s health, such as: severe weight loss, malnutrition, delayed linear growth and in
extreme cases, death. The behavior-analytic approach to the assessment and treatment of feeding
problems with children has proven to be successful in increasing appropriate eating while
decreasing maladaptive behavior. In this paper, the first of its kind in Spanish, a critical review
of assessment and treatment methods developed under a behavioral-analytic perspective is
conducted, its clinical application is illustrated with a case study and new lines of research are
proposed. It is concluded that the procedures developed within this perspective have proven
to be effective for the treatment of pediatric feeding problems. Future research should focus
on delimiting treatment parameters in an effort to determine the effectiveness of treatments,
as well as developing parent-training programs to treat and prevent feeding problems in their
children.
REFERENCES
Addison, L. R., Piazza, C. C., Patel, M. R., Bachmeyer, M. H., Rivas,K. M., Milnes, S. M., et al. (2012). A comparison of sensoryintegrative and behavioral therapies as treatment for pediatricfeeding disorders. Journal of Applied Behavior Analysis, 45(3),455---471.
Ahearn, W. H. (2003). Using simultaneous presentation to increasevegetable consumption in a mildly selective child with autism.Journal of Applied Behavior Analysis, 36(3), 361---365.
Ahearn, W. H., Castine, T., Nault, K. y Green, G. (2001). Anassessment of food acceptance in children with autism or per-vasive developmental disorder-not otherwise specified. Journalof Autism and Developmental Disorders, 31(5), 505---511.
Ahearn, W. H., Kerwin, M. E., Eicher, P. S., Shants, J. y Swearingin,W. (1996). An alternating treatments comparison of two inten-sive interventions for food refusal. Journal of Applied BehaviorAnalysis, 29(3), 321---332.
American Psychological Association Presidential Task Force ofEvidence-Based Practice. (2006). Evidence-based practice inpsychology. American Psychologist, 61(4), 271---285.
Anderson, C. M. y McMillan, K. (2001). Parental use of escape extinc-tion and differential reinforcement to treat food selectivity.Journal of Applied Behavior Analysis, 34(4), 511---515.
Bachmeyer, M. H. (2009). Treatment of selective and inadequatefood intake in children: A review and practical guide. BehaviorAnalysis in Practice, 2(1), 43---50.
Bachmeyer, M. H., Piazza, C. C., Fredrick, L. D., Reed, G. K., Rivas,K. D. y Kadey, H. J. (2009). Functional analysis and treatmentof multiply controlled inappropriate mealtime behavior. Journalof Applied Behavior Analysis, 42(3), 641---658.
Borrero, C. S., Woods, J. N., Borrero, J. C., Masler, E. A. y Les-ser, A. (2010). Descriptive analyses of pediatric food refusal andacceptance. Journal of Applied Behavior Analysis, 43(1), 71---88.
Brown, J. F., Spencer, K. y Swift, S. (2002). A parent training pro-gram for chronic food refusal: A case study. British Journal ofLearning Disabilities, 30(3), 118---121.
Cooper, J. O., Heron, T. E. y Heward, W. L. (2007). Applied behavioranalysis (2nd edition). Upper Saddle River, NJ: Pearson.
Cooper, L. J., Wacker, D. P., McComas, J. J., Brown, K., Peck, S. M.,Richman, D., et al. (1995). Use of component analyses to identifyactive variables in treatment packages for children with feedingdisorders. Journal of Applied Behavior Analysis, 28(2), 139---154.
Dawson, J. E., Piazza, C. C., Sevin, B. M., Gulotta, C. S., Lerman,D. y Kelly, M. L. (2003). Use of the high-probability instructionalsequence and escape extinction in a child with food refusal.Journal of Applied Behavior Analysis, 36(1), 105---108.
Delprato, D. J. y Midgley, B. D. (1992). Some fundamentalsof B.F. Skinner’s behaviorism. American Psychologist, 47(11),1507---1520.
Fernand, J. K., Penrod, B., Fu, S. B., Whelan, C. y Medved, S.(2015). The effects of choice between non-preferred foods onthe food consumption of individuals with food selectivity. Beha-vioral Interventions, 31(1), 87---101.
Field, D., Garland, M. y Williams, K. (2003). Correlates of speci-fic childhood eating problems. Journal of Pediatrics and ChildHealth, 39(4), 299---304.
Fisher, W., Piazza, C. C., Bowman, L. G., Hagopian, L. P., Owens,J. C. y Slevin, I. (1992). A comparison of two approachesfor identifying reinforcers for persons with severe and pro-found disabilities. Journal of Applied Behavior Analysis, 25(2),491---498.
Friman, P. (2010). Come on in, the water is fine: Achieving mains-tream relevance through integration with primary medical care.Behavior Analyst, 33(1), 19---36.
Friman, P. C. y Piazza, C. C. (2011). Behavioral pediatrics: Integra-ting applied behavior analysis with pediatric medicine. En W. W.Fisher, C. C. Piazza, y H. S. Roane (Eds.), Handbook of appliedbehavior analysis (pp. 433---450). New York: Guilford Press.
Gulotta, C. y Girolami, P. (2014). Food selectivity and refusal. EnJ. K. Luiselli (Ed.), Children and youth with autism spectrumdisorder (ASD): Recent advances and innovations in assessment,education, and intervention (pp. 163---173). New York: OxfordUniversity Press.
Hagopian, L. P., Farrell, D. A. y Amari, A. (1996). Treating total liquidrefusal with backward chaining and fading. Journal of AppliedBehavior Analysis, 29(4), 573---575.
Ibrahim, S. H., Voigt, R. G., Katusic, S. K., Weaver, A. L. y Barbaresi,W. J. (2009). Incidence of gastrointestinal symptoms in chil-dren with autism: A population-based study. Pediatrics, 124(2),680---686.
Iversen, I.H. (2013). Single-case research methods: An overview.En: Handbook of behavior analysis (pp. 3-32). Washington, DC:American Psychological Association.
Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E. y Richman,G. S. (1982). Toward a functional analysis of self-injury. Analysisand Intervention in Developmental Disabilities, 2(1), 3---20.
Iwata, B. A., Riordan, M. M., Wohl, M. K. y Finney, J. W. (1982).Pediatric feeding disorders: behavioral analysis and treatment.En P. J. Accardo (Ed.), Failure to thrive in infancy and earlychildhood: A multidisciplinary team approach (pp. 265---295).Baltimore: University Press.
Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E. y Richman,G. S. (1994). Toward a functional analysis of self-injury. Journalof Applied Behavior Analysis, 27(2), 197---209.
Kerwin, M. E. (1999). Empirically supported treatments in pedia-tric psychology: Severe feeding problems. Journal of PediatricPsychology, 24(3), 193---214.
Knox, M., Rue, H. C., Wildenger, L., Lamb, K. y Luiselli, J. K. (2012).Intervention for food selectivity in a specialized school setting:Teacher implemented prompting, reinforcement, and demandfading for an adolescent student with autism. Education andTreatment of Children, 35(3), 407---417.
Kodak, T. y Piazza, C. C. (2008). Assessment and behavioral treat-ment of feeding and sleeping disorders in children with autismspectrum disorders. Child and Adolescent Psychiatric Clinics ofNorth America, 17(4), 887---905.
Lattal, K.A. (2013). The five pillars of the experimental analysisof behavior. En: Handbook of behavior analysis (pp. 33-63).Washington, DC: American Psychological Association.
Luiselli, J. K., Ricciardi, J. N. y Gilligan, K. (2005). Liquid fading toestablish milk consumption by a child with autism. BehavioralInterventions, 20(2), 155---163.
Lukens, C. T. (2011). Behavioral assessment of pediatric feedingproblems. En V. R. Preedy, R. R. Watson, y C. R. Martin (Eds.),Handbook of behavior, food and nutrition (pp. 3437---3452). NewYork: Springer.
Martin, C. I., Dovey, T. M. y Arcelus, J. (2012). Trastornos de laingestión alimentaria de la infancia o la ni˜nez: Una revisión.Revista Mexicana de Trastornos Alimentarios, 3(2), 89---98.
Munk, D. D. y Repp, A. C. (1994). Behavioral assessment of fee-ding problems of individuals with severe disabilities. Journal ofApplied Behavior Analysis, 27(2), 241---250.
Najdowski, A. C., Wallace, M. D., Doney, J. K. y Ghezzi, P. M. (2003).Parental assessment and treatment of food selectivity in naturalsettings. Journal of Applied Behavior Analysis, 36(3), 383---386.
Najdowski, A. C., Wallace, M. D., Penrod, B., Tarbox, J., Reagon,K. y Higbee, T. (2008). Caregiver-conducted experimental func-tional analyses of inappropriate mealtime behavior. Journal ofApplied Behavior Analysis, 41(3), 459---465.
Najdowski, A. C., Wallace, M. D., Reagon, K., Penrod, B., Higbee,T. S. y Tarbox, J. (2010). Utilizing a home-based parent trai-ning approach in the treatment of food selectivity. BehavioralInterventions, 25(2), 89---107.
Patel, M., Reed, G. K., Piazza, C. C., Mueller, M., Bachmeyer, M.H. y Layer, S. A. (2007). Use of a high-probability instructio-nal sequence to increase compliance to feeding demand in theabsence of escape extinction. Behavioral Interventions, 22(4),305---310.
Penrod, B., Gardella, L. y Fernand, J. (2012). An evaluation of a pro-gressive high-probability instructional sequence combined withlow-probability demand fading in the treatment of food selecti-vity. Journal of Applied Behavior Analysis, 45(3), 527---537.
Piazza, C. C., Fisher, W. W., Brown, K. A., Shore, B. A., Patel,M. R., Katz, R. M., et al. (2003). Functional analysis of inap-propriate mealtime behaviors. Journal of Applied BehaviorAnalysis, 36(2), 187---204.
Piazza, C. C., Patel, M. R., Gulotta, C. S., Sevin, B. M. y Layer, S. A.(2003). On the relative contributions of positive reinforcementand escape extinction in the treatment of food refusal. Journalof Applied Behavior Analysis, 36(3), 309---324.
Piazza, C. C., Patel, M. R., Santana, C. M., Goh, H., Delia, M. D.y Lancaster, B. M. (2002). An evaluation of simultaneous andsequential presentation of preferred and nonpreferred food totreat food selectivity. Journal of Applied Behavior Analysis,35(3), 259---270.
Piazza, C. C. y Roane, H. (2009). Assessment of pediatric feedingdisorders. En J. L. Matson, F. Andrasik, y M. L. Matson (Eds.),Assessing childhood psychopathology and developmental disa-bilities (pp. 471---490). New York: Springer Science.
Reed, G. K., Piazza, C. C., Patel, M. R., Layer, S. A., Bachmeyer,M. H., Bethke, S. D., et al. (2004). On the relative contributionsof noncontingent reinforcement and escape extinction in thetreatment of food refusal. Journal of Applied Behavior Analysis,37(1), 27---42.
Riordan, M. M., Iwata, B. A., Finney, J. W., Wohl, M. K. y Stanley, A.E. (1984). Behavioral assessment and treatment of chronic foodrefusal in handicapped children. Journal of Applied BehaviorAnalysis, 17(3), 327---341.
Riordan, M. M., Iwata, B. A., Wohl, M. K. y Finney, J. W. (1980).Behavioral treatment of food refusal and selectivity in deve-lopmentally disabled children. Applied Research in MentalRetardation, 1(1---2), 95---112.
Sanders, M. R., Patel, R. K., Le Grice, B. y Shepherd, R. W. (1993).Children with persistent feeding difficulties: An observationalanalysis of the feeding interactions of problem and non-problemeaters. Health Psychology, 12(1), 64---73.
Seiverling, L., Williams, K., Sturmey, P. y Hart, S. (2012). Effectsof behavioral skills training on parental treatment of children’sfood selectivity. Journal of Applied Behavior Analysis, 45(1),197---203.
Seubert, C., Fryling, M. J., Wallace, M. D., Jiminez, A. R. y Meier,A. E. (2014). Antecedent interventions for pediatric feeding pro-blems. Journal of Applied Behavior Analysis, 47(2), 449---453.
Sharp, W. G., Jaquess, D. L., Morton, J. F. y Herzinger, C. V. (2010).Pediatric feeding disorders: A quantitative synthesis of treat-ment outcomes. Clinical Child and Family Psychology Review,13(4), 348---365.
Tiger, J. H. y Hanley, G. P. (2006). Using reinforcer pairing and fadingto increase the milk consumption of a preschool child. Journalof Applied Behavior Analysis, 39(3), 399---403.
Vissoker, R. E., Latzer, Y. y Gal, E. (2015). Eating and feedingproblems and gastrointestinal dysfunction in autism spectrumdisorders. Research in Autism Spectrum Disorders, 12(4), 10---21.
Williams, K. E. y Foxx, R. M. (2007). Treating eating problems ofchildren with autism spectrum disorders and developmentaldisabilities. New York: Pro-ed.