Early Preventive Intervention in Failure to Thrive: Methods and Preliminary Outcome

Drotar, Dennis; Malone, Charles A.; Devost, Linda; Brickell, Corrine; Mantz-Clumpner, Carole; Negray, Judy; Wallace, Mariel; Woychik, Janice; Wyatt, Betsy; Eckerle, Debby; Bush, Marcy; Finlon, Mary Ann; El-Amin, Debby; Nowak, Michael; Satola, Jackie; Pallotta, John

doi:10.1007/978-1-4684-5095-8_9

Cited by 14 publications

(13 citation statements)

References 38 publications

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“…In the second, noncontrolled study, Drotar et al (1985) found that 45% of infants with FTT were classified as insecure (including 6% "not classifiable"). The disorganized/disoriented classification was not used in these first two studies.…”

Section: Internal Representations Of Attachment Relationships In Infamentioning

confidence: 97%

“…Although all infants with FTT have a serious underlying medical/organic problem (i.e., undernutrition), many clinicians and researchers still refer to FTT as either 'organic' (when an underlying medical problem causally linked to the undernutrition is present) or 'nonorganic' (when no underlying medical problem, other than undernutrition, is present). Many 'nonorganic' factors have been implicated as etiological contributors to FTT (Drotar, 1985;Benoit, 1993a). The most common is that FTT is a sign of deficient parental care and a disturbed relationship between infant and caregiver (Barbero & Shaheen, 1967;Berkowitz & Senter, 1987;Chatoor, Egan, Getson, Menvielle, & O'Donnell, 1987;Shapiro, Fraiberg, & Adelson, 1976;Stanhope, Wilks, & Hamill, 1994;Wright, Waterston, & Aynsley-Green, 1994).…”

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confidence: 99%

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Failure to thrive: Risk for clinical disturbance of attachment?

Coolbear

Benoit

1999

Infant Ment. Health J.

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This study tests the hypothesis that infants with failure to thrive (FTT) are at risk for a clinical disturbance of attachment (defined as a combination of: (1) nonautonomous caregiver state of mind with respect to attachment, measured by the Adult Attachment Interview (AAI); (2) nonbalanced caregiver representation of the infant, measured by the Working Model of the Child Interview (WMCI); (3) problematic play interactions; and (4) problematic feeding interactions). Participants were 57 infants (30 FTT, 27 non‐FTT) and their primary caregivers, recruited from outpatient pediatric clinics. Caregivers were interviewed with AAI and WMCI and observed interacting with their infants during play and feeding. Results show that more infants with FTT than infants without FTT met some of the criteria for risk for a clinical disturbance of attachment —nonautonomous AAI and nonbalanced WMCI classifications, and less dyadic reciprocity during feeding. However, there were no group differences in play. Future directions for research are discussed.

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Section: Internal Representations Of Attachment Relationships In Infamentioning

confidence: 97%

mentioning

confidence: 99%

Failure to thrive: Risk for clinical disturbance of attachment?

Coolbear

Benoit

1999

Infant Ment. Health J.

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“…In a study in which infants were provided with nutritional supplements at different ages, Waber et al (1981) found no evidence that their benefits varied with their timing, though supplementation in the early months may not in fact have substantially improved the nutritional status of infants who were predominantly breast-fed (Grantham-McGregor, 1987). Finally, Drotar et al (1984) did show that Bayley Scale scores at 18 months in children who failed to thrive were lower the earlier its onset.…”

Section: Introductionmentioning

confidence: 92%

Malnutrition and Mental Development: Is There a Sensitive Period? A Nested Case‐control Study

Drewett

Wolke

Asefa

et al. 2001

Child Psychology Psychiatry

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To examine the possibility that there is an early sensitive period for the effects of malnutrition on cognitive development, three groups of children (N = 197) were recruited from a birth cohort with known growth characteristics in south-west Ethiopia (N = 1,563). All had initial weights > or = 2,500 g. Early growth falterers dropped in weight below the third centile (z < -1.88) of the NCHS/WHO reference population in the first 4 months. Late growth falterers were children not in the first group whose weights were below the third centile at 10 and 12 months. Controls were a stratified random sample with weights above the third centile throughout the first year. All children were tested blind at 2 years using the Bayley Scales of Infant Development, adapted for use in Ethiopia. Mean (SD) scores on the psychomotor scale were 10.2 (3.7) in the controls, 6.6 (4.2) in the early growth falterers, and 8.5 (4.3) in the late growth falterers. For the mental scale they were 28.9 (5.8), 22.6 (6.2), and 26.6 (6.1) respectively. Both overall differences were statistically significant at p < .001, and planned comparisons between the control and the combined growth faltering groups, and between the early and later growth faltering groups, showed that each difference was statistically significant for both scales. However, early weight faltering was associated with weight at the time of testing (r = .33), which was associated with scores both on the psychomotor (r = .53) and the mental scale (r = .49). After taking weight at the time of testing into account there was no additional effect attributable to the timing of growth faltering. In this population, therefore, early malnutrition does not have specific adverse effect beyond the contribution that it makes to enduring malnutrition over the first 2 years.

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“…Most children with FTT have been found to be substantially underweight for height,11 17 23 24 although the degree of underweight is not always obvious, even to experienced clinicians 2526 26A moderate to strong evidence of undernutrition was eventually found in two thirds of the children, based on a combination of history, weight gain patterns, and food diaries.…”

Section: Causes and Correlatesmentioning

confidence: 99%