Maestro Sandra, Rosaria Cordella Maria, Curzio Olivia, Intorcia Claudia, Roversi Claudia, Rossi Giuseppe, Scardigli Silvia, Silvestri Virginia, Calderoni Sara
IRCCS Stella Maris Foundation, Pisa, Italy.
Institute of Clinical Physiology-IFC, National Research Council-NRC, Pisa, Italy.
Isr J Psychiatry Relat Sci. 2016;53(3):63-72.
This study examined the immediate outcome of Feeding Disorders (FD) in preschoolers referred to the family treatment program Cerco Asilo.
21 children (mean age [SD=1]: 39 months [1]; range 9-65 months) with a diagnosis of FD were included in the treatment for 24 weeks. Specifically, seven subjects were diagnosed with Infantile Anorexia (IA), nine subjects with Sensory Food Aversion (SFA), and five subjects with Feeding Disorder of Caregiver-Infant Reciprocity (FDCIR).
The great majority of patients with SFA and with FDCIR resolved the FD, whereas children with IA did not respond well to the treatment.
The study's main limitations are the relatively small sample size, and the lack of a control group.
Findings suggest that changes in the parentchild relationship could generally promote FD resolution, other than IA. These data may have implications for clinical practice suggesting the need to develop ad hoc intervention protocols tailored to children with IA and their families.
本研究调查了转至“Cerco Asilo”家庭治疗项目的学龄前儿童喂养障碍（FD）的近期治疗效果。
21名诊断为FD的儿童（平均年龄[标准差=1]：39个月[1]；范围9 - 65个月）接受了为期24周的治疗。具体而言，7名受试者被诊断为婴儿厌食症（IA），9名受试者为感觉性食物厌恶（SFA），5名受试者为照顾者-婴儿互动性喂养障碍（FDCIR）。
绝大多数患有SFA和FDCIR的患者解决了FD问题，而患有IA的儿童对治疗反应不佳。
该研究的主要局限性在于样本量相对较小且缺乏对照组。
研究结果表明，除IA外，亲子关系的改变通常可促进FD的解决。这些数据可能对临床实践有启示，提示有必要为患有IA的儿童及其家庭制定专门的干预方案。
