Reduction in Feeding Problems and Impact on Family Following a 12-Week Interdisciplinary Group Feeding Intervention for Children With Feeding Problems and Their Caregivers

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Cognitive and Behavioral Practice Pub Date : 2023-11-01 DOI:10.1016/j.cbpra.2023.07.002
Olivia Hsin, Haven Qualman, Ayala Ben-Tall, James A. Proudfoot, Adam Khan
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Abstract

Caregivers and their children with clinical levels of feeding problems participated in Picnic Group, an outpatient interdisciplinary family group treatment program for children with feeding disorders and their caregivers at a large regional pediatric hospital. The manualized treatment is based on an interdisciplinary systematic approach that draws from sensory integration, communication, and cognitive behavioral strategies (e.g., classical conditioning, systematic desensitization, communication of automatic thoughts) to increase pleasurable interactions with food over a 12-week period and includes caregiver and child intervention components. Escape extinction techniques such as nonremoval of the spoon were not used in treatment. Caregivers completed measures focused on their children’s feeding behaviors and family strain at baseline and at the end of the 12-week intervention. Wilcoxon signed-rank tests compared measures between baseline and the end of treatment. Results indicated that at the 12th week, caregivers generally reported one less feeding problem, fewer specific types of eating and mealtime problematic behaviors, and decreased impact of feeding problems on the family. Children were able to work up a hierarchy of food interactions with more foods per group session than at the first session. Caregivers of children with a developmental diagnosis showed the most decrease in caregiver strain. Outpatient interdisciplinary group treatment can decrease feeding problems and caregiver strain in families with children with feeding disorders.
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对有喂养问题的儿童及其照顾者进行为期12周的跨学科小组喂养干预后,喂养问题的减少及其对家庭的影响
护理人员及其有临床喂养问题的孩子参加了野餐小组,这是一家大型地区儿科医院针对喂养障碍儿童及其护理人员的门诊跨学科家庭小组治疗项目。手动治疗基于跨学科的系统方法,该方法从感觉整合,沟通和认知行为策略(例如,经典条件反射,系统脱敏,自动思维的沟通)中提取,以在12周的时间内增加与食物的愉快互动,包括护理人员和儿童干预成分。在治疗中没有使用诸如不移除勺子之类的逃逸消除技术。护理人员在基线和12周干预结束时完成了针对儿童喂养行为和家庭压力的测量。Wilcoxon符号秩检验比较基线和治疗结束时的测量值。结果表明,在第12周,照顾者普遍报告的喂养问题减少了一次,具体类型的饮食和用餐时间问题行为减少了,喂养问题对家庭的影响也减少了。孩子们能够建立起食物互动的层次结构,每次小组会议比第一次会议有更多的食物。发展性诊断儿童的照顾者压力减少最多。门诊跨学科团体治疗可以减少喂养问题和照顾者压力的家庭与儿童喂养障碍。
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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