Infants who fail to thrive: An intervention for poor feeding practices

Hanks, Helga; Hobbs, Chris; Seymour, D'Alene; Stratton, Peter

doi:10.1080/02646838808403548

Cited by 15 publications

(3 citation statements)

References 18 publications

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“…Indeed, it had even been claimed that the growth problem is directly attributable to emotional deprivation, although this assumption was questioned by Whitten, Pettit and Fischoff (1969), who argued that a lack of adequate nutrition was a more plausible explanation, and who conducted an investigation that appeared to confirm this. The prevalent view is therefore, that early failure to thrive may have its origins in the "antagonistic or chaotic emotional life of the parents" and "problems in interaction between mother and child" (Hanks, Hobbs, Seymour & Stratton, 1988), although this may influence growth primarily through feeding difficulties and a fmal common pathway of undernutrition.…”

Section: Discussionmentioning

confidence: 99%

Mother‐Child Interaction and the Cognitive and Behavioural Development of Four‐Year‐Old Children With Poor Growth

Puckering

Pickles

Skuse³

et al. 1995

Child Psychology Psychiatry

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A whole population inner-city survey identified 23 stunted, otherwise healthy, children with persistently poor growth from infancy to 4 years. Their cognitive development was significantly retarded relative to a matched comparison group. Unstructured home observations were used to create transcripts of verbal and nonverbal mother-child interactions. In both groups child behavioural adjustment was linked to maternal negativity, and cognitive performance was correlated with quality of stimulation. The developmental delay associated with chronic failure to thrive appeared more likely to arise from other influences, perhaps a previous biological insult, than to contemporaneous parenting practices.

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Section: Discussionmentioning

confidence: 99%

Mother‐Child Interaction and the Cognitive and Behavioural Development of Four‐Year‐Old Children With Poor Growth

Puckering

Pickles

Skuse³

et al. 1995

Child Psychology Psychiatry

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“…Haynes et al [1984] Wolke, 1994;1996]. Interventionsprogramme, die nicht für spezifische Problemgruppen entwickelt oder adaptiert wurden, sind oft wenig effektiv [Wolke, 1991;Wolke und Schulz, 1999] Ahearn et al, 1996;Linscheid und Rasnake, 1985;DiScipio et al, 1978;Hanks et al, 1988;Iwaniec et al, 1985a,b;Wolke und Skuse, 1992;Harris, 1993; Kedesky und Satter, 1999;Duniz et al, 1996;Werle et al, 1998;Shore et al, 1998;Benoit und Colbear, 1998]. Bei diesen zumeist eklektischen Behandlungsstudien kamen eine Reihe von verhaltenstherapeutischen Maßnahmen zur Anwendung.…”

Section: Diagnose Und Behandlungunclassified

Fütterungsprobleme bei Säuglingen und Kleinkindern

Wolke¹

2000

Verhaltenstherapie

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Background: Eating is a primary biological need. Feeding is of great importance for the development and consolidation of the social relationship between infant and the primary caretaker. A minority of children and their parents, however, have distressing experiences around feeding and eating that can lead to long-term problems in the parent-child relationship and the child’s health. Objective: To provide a review of the prevalence, etiological factors and consequences of feeding problems, and to describe a behavioral approach to the treatment of feeding problems. Method: Literature review. Results: Major feeding problems in infancy are refusal to eat any food or solid food, very selective eating, lack of appetite and failure to thrive with feeding problems. The prevalence of severe feeding problems has been estimated to be around 6–10%, and of failure to thrive to be between 3 and 4% in the general infant population. Feeding problems often lead to impaired growth and as a consequence have been found to affect the cognitive, behavioral and social development of children. Disturbances of mother-infant interaction, both as an etiological factor and as a secondary problem, are often found. A developmental task-orientated biological-behavioral model of the etiology of feeding problems is introduced and an approach to treating food refusal and failure to thrive is described. Behavior modification techniques, modified for the treatment of feeding problems, are introduced. A multi-disciplinary behavioral treatment approach to feeding problems has been reported in case series to be highly successful for treating feeding problems. Conclusions: Feeding problems are frequent and, if untreated, can have adverse consequences on the child’s development. There is evidence for the effectiveness of a multi-disciplinary behaviorally and developmentally orientated treatment approach in small case series. However, sufficiently large randomized controlled trials of the effectiveness of behavioral treatment approaches in clinical practice are lacking.

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“…9 A large part of the work with the mothers related to mealtime management and the alleviation of stress often experienced during mealtimes.…”

Section: Assessmentmentioning

confidence: 99%

A randomised controlled trial of specialist health visitor intervention for failure to thrive Commentary

Raynor

Rudolf

Cooper

et al. 1999

Archives of Disease in Childhood

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Aims-To determine whether home intervention by a specialist health visitor aVects the outcome of children with failure to thrive. Methods-Children referred for failure to thrive were randomised to receive conventional care, or conventional care and additional specialist home visiting for 12 months. Outcomes measured were growth, diet, use of health care resources, and Bayley, HAD (hospital anxiety and depression), and behavioural scales. Results-Eighty three children, aged 4-30 months, were enrolled, 42 received specialist health visitor intervention. Children in both groups showed good weight gain (mean (SD) increase in weight SD score for the specialist health visitor intervention group 0.59 (0.63) v 0.42 (0.62) for the control group). Children < 12 months in the intervention group showed a higher mean (SD) increase in weight SD score than the control group (0.82 (0.86) v 0.42 (0.79)). Both groups improved in developmental score and energy intake. No significant diVerences were found for the primary outcome measures, but controls had significantly more dietary referrals, social service involvement, and hospital admissions, and were less compliant with appointments. Conclusions-The study failed to show that specialist health visitor intervention conferred additional benefits for the child. However, the specialist health visitor did provide a more coordinated approach, with significant savings in terms of health service use. Problems inherent to health service research are discussed. (Arch Dis Child 1999;80:500-506)

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Infants who fail to thrive: An intervention for poor feeding practices

Cited by 15 publications

References 18 publications

Mother‐Child Interaction and the Cognitive and Behavioural Development of Four‐Year‐Old Children With Poor Growth

Mother‐Child Interaction and the Cognitive and Behavioural Development of Four‐Year‐Old Children With Poor Growth

Fütterungsprobleme bei Säuglingen und Kleinkindern

A randomised controlled trial of specialist health visitor intervention for failure to thrive Commentary

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