Messy Play Therapy in the Treatment of Food Aversion in a Patient With Intestinal Failure: Our Experience

Chiatto, F.; Coletta, Riccardo; Aversano, Andrea; Warburton, T.; Forsythe, Lynette; Morabito, Antonino

doi:10.1002/jpen.1433

Cited by 10 publications

(7 citation statements)

References 41 publications

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“…Chiatto et al [ 17 ] retrospectively analysed data on children with SBS suffering from FA and treated with a technique called Messy Play Therapy (MPT). The aim of MPT is to allow children to become familiar with food textures and smells without pressure to taste or eat it.…”

Section: Resultsmentioning

confidence: 99%

Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review

Gigola

Carletti²,

Coletta³

et al. 2022

Children

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Food Aversion (FA) is a strong refusing behaviour to the oral assumption of food that can affect children with Short Bowel Syndrome (SBS). Management includes behavioural and Messy Play treatments, with few reports on systematic strategies to return the patient to enjoyable eating. We conducted a systematic review to better understand this complex and vital issue. (1) Materials and Methods: We investigated publications using MEDLINE, Embase, and the Web of Science to include articles published up to July 2022. The inclusion criteria were original articles including paediatric patients (aged < 18 years old) affected by SBS and Intestinal Failure (IF) who underwent treatment for FA. (2) Results: A total of 24 patients received treatment—15 (62.5%) patients were male and 9 (37.5%) were female. The age range was from 1 month to 16 years. Treatment of FA was carried out by behavioural therapy in 2 patients and Messy Play Therapy in 12 patients already surgically and pharmacologically managed for SBS. The treatment results showed complete weaning from Parenteral Nutrition in 9/14 cases (64%) using the behavioural treatment and 7/12 cases using Messy Play Therapy. (3) Conclusions: FA is a rare but disabling condition that often affects SBS patients, worsening their overall health and quality of life. This condition should be addressed in an Intestinal Rehabilitation Centre context. Our review sheds light on the literature gap regarding FA, and further studies are required to understand better which treatment options best suit SBS paediatric patients.

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Section: Resultsmentioning

confidence: 99%

Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review

Gigola

Carletti²,

Coletta³

et al. 2022

Children

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“…Having a child who can sense subtle differences in food, despite it appearing and looking the same to the majority, is one aspect of sensory sensitivity that often‐left parents somewhat frustrated. Findings from recent research on sensory play interventions (Coulthard et al, 2018 ), messy play therapy (Chiatto et al, 2019 ), and food neophobia interventions (Blomkvist et al, 2021 ), could provide potential solutions to these issues and help improve mealtime interactions and provide much‐needed parent support.…”

Section: Analysis/discussionmentioning

confidence: 99%

“…Findings from recent research on sensory play interventions (Coulthard et al, 2018), messy play therapy (Chiatto et al, 2019), and food neophobia interventions (Blomkvist et al, 2021), could provide potential solutions to these issues and help improve mealtime interactions and provide much-needed parent support.…”

Section: Living With the Sensory Sensitive Child's Heightened Sensesmentioning

confidence: 99%

The lived experience of parenting a child with sensory sensitivity and picky eating

Cunliffe

Coulthard

Williamson

2022

Maternal & Child Nutrition

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Picky eating" is a common behaviour seen in childhood in both clinical and nonclinical populations. Sensory processing difficulties have been repeatedly associated with food refusal and picky eating behaviours. The aim of this study was to explore the lived experiences of parents/caregivers who have a child displaying both sensory processing differences and picky eating behaviours utilising Interpretative Phenomenological Analysis (IPA). Participants were recruited from social media support groups for parents of picky eating children. Pre-selection criteria utilised an adapted short sensory profile questionnaire to ensure the children displayed probable/definite taste-smell, audio-visual and tactile sensory sensitivities. Twelve participants fulfilling the required criteria were interviewed face to face utilising a semistructured interview schedule. Interviews were transcribed and analysed following IPA guidelines and three common themes are presented here: Battling for control of the sensory environment, Living with stigma and, disapproval, and Staying positive and moving forward. The findings show the very considerable day-to-day challenges of parenting a child with sensory issues with food, including a lack of support and criticism from others. It was apparent that the parents in our study gradually adopted a positive and accepting attitude to their child's eating. This acceptance allowed them to have positive interactions around food with their child such as cooking and playing with food, suggesting that experiential activities serve an important purpose in this population. Further research should examine whether parental interventions based on acceptance of child eating behaviour, and commitment to gradual positive food interactions would be the best strategy to support parents and children.

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“…It may require very challenging tube weaning methods. A recent paper reported messy play therapy (MPT) using sensory activities to provide another meaningful avenue for learning in children by creating a fun way to experience new textures [127]. Better quality of life (QoL) and mealtimes with family were reported at median follow-up of 39 (24–56) months.…”

Section: Management Of Sbs-ifmentioning

confidence: 99%

Short Bowel Syndrome as the Leading Cause of Intestinal Failure in Early Life: Some Insights into the Management

Goulet

Nader

Pigneur

et al. 2019

Pediatr Gastroenterol Hepatol Nutr

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Intestinal failure (IF) is the critical reduction of the gut mass or its function below the minimum needed to absorb nutrients and fluids required for adequate growth in children. Severe IF requires parenteral nutrition (PN). Pediatric IF is most commonly due to congenital or neonatal intestinal diseases or malformations divided into 3 groups: 1) reduced intestinal length and consequently reduced absorptive surface, such as in short bowel syndrome (SBS) or extensive aganglionosis; 2) abnormal development of the intestinal mucosa such as congenital diseases of enterocyte development; 3) extensive motility dysfunction such as chronic intestinal pseudo-obstruction syndromes. The leading cause of IF in childhood is the SBS. In clinical practice the degree of IF may be indirectly measured by the level of PN required for normal or catch up growth. Other indicators such as serum citrulline have not proven to be highly reliable prognostic factors in children. The last decades have allowed the development of highly sophisticated nutrient solutions consisting of optimal combinations of macronutrients and micronutrients as well as guidelines, promoting PN as a safe and efficient feeding technique. However, IF that requires long-term PN may be associated with various complications including infections, growth failure, metabolic disorders, and bone disease. IF Associated Liver Disease may be a limiting factor. However, changes in the global management of IF pediatric patients, especially since the setup of intestinal rehabilitation centres did change the prognosis thus limiting “nutritional failure” which is considered as a major indication for intestinal transplantation (ITx) or combined liver-ITx.

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Messy Play Therapy in the Treatment of Food Aversion in a Patient With Intestinal Failure: Our Experience

Cited by 10 publications

References 41 publications

Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review

Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review

The lived experience of parenting a child with sensory sensitivity and picky eating

Short Bowel Syndrome as the Leading Cause of Intestinal Failure in Early Life: Some Insights into the Management

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