Lukens Colleen Taylor, Silverman Alan H
Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia and Department of Pediatrics, Medical College of Wisconsin
Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia and Department of Pediatrics, Medical College of Wisconsin.
J Pediatr Psychol. 2014 Sep;39(8):903-17. doi: 10.1093/jpepsy/jsu040. Epub 2014 Jun 16.
To conduct a systematic review of the research evaluating the effect of psychological interventions for pediatric feeding problems.
A search was conducted to identify studies using psychological interventions for pediatric feeding problems published between 1998 and 2013. Randomized controlled trials (RCTs) and nonrandomized studies that examined aggregated outcome data were included. Primary outcomes were child mealtime behavior, nutritional status, and caregiver stress. A risk of bias assessment was conducted and the quality of the evidence rated using Grading of Recommendations Assessment, Development, and Evaluation methodology.
13 studies were identified and a narrative synthesis framework was used to report findings.
The preponderance of evidence suggests positive effects of psychological intervention for the treatment of feeding problems. However, limited data and the paucity of studies using RCT methodologies limit conclusions that can be drawn regarding the efficacy of these interventions. Future studies using more rigorous research methods are needed to enhance understanding of these interventions.
对评估心理干预对小儿喂养问题影响的研究进行系统综述。
进行检索，以识别1998年至2013年间发表的使用心理干预治疗小儿喂养问题的研究。纳入了随机对照试验（RCT）和检查汇总结果数据的非随机研究。主要结局为儿童进餐行为、营养状况和照料者压力。进行了偏倚风险评估，并使用推荐分级评估、制定和评价方法对证据质量进行评级。
识别出13项研究，并使用叙述性综合框架报告研究结果。
大量证据表明心理干预对喂养问题的治疗有积极作用。然而，数据有限以及使用RCT方法的研究较少，限制了关于这些干预措施疗效可得出的结论。需要未来使用更严格研究方法的研究来加强对这些干预措施的理解。
