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小儿喂养障碍的多学科治疗方法:言语语言病理学家和行为心理学家的作用。

A Multidisciplinary Approach to Pediatric Feeding Disorders: Roles of the Speech-Language Pathologist and Behavioral Psychologist.

作者信息

Gosa Memorie M, Dodrill Pamela, Lefton-Greif Maureen A, Silverman Alan

机构信息

Department of Communicative Disorders, The University of Alabama, Tuscaloosa.

Neonatal Intensive Care Unit, Brigham and Women's Hospital, Boston, MA.

出版信息

Am J Speech Lang Pathol. 2020 Jul 10;29(2S):956-966. doi: 10.1044/2020_AJSLP-19-00069.

Abstract

Purpose Pediatric feeding disorders (PFDs) present as a complex clinical challenge because of the heterogeneous underlying etiologies and their impact on health, safety, growth, and psychosocial development. A multidisciplinary team approach is essential for accurate diagnosis and prompt interventions to lessen the burdens associated with PFDs. The role of the speech-language pathologist (SLP) as a member of the multidisciplinary team will be highlighted. Method This clinical focus article reviews the definition of PFDs and pertinent literature on factors that contribute to the development of PFDs, the accurate diagnosis, and current interventions for infants and children. As part of the multidisciplinary team, the SLP has an integral role in determining whether a child cannot or will not eat and working with the team to identify and carryout appropriate interventions. Collaboration between SLPs and psychologists/behavioral specialists in conjunction with the parents/caregivers as part of the multidisciplinary team is essential to the advancement of therapeutic goals. Conclusions Due to their complex nature, the successful management of PFDs is only possible with the care and expertise of a multidisciplinary team, which includes parents/caregivers. SLPs are important members of these multidisciplinary teams and provide valuable input for the accurate identification and effective remediation of PFDs.

摘要

目的 小儿喂养障碍(PFDs)是一项复杂的临床挑战,这是由于其潜在病因具有异质性,且对健康、安全、生长和心理社会发展产生影响。多学科团队协作方法对于准确诊断和及时干预以减轻与PFDs相关的负担至关重要。本文将重点介绍言语语言病理学家(SLP)作为多学科团队成员所发挥的作用。方法 这篇临床聚焦文章回顾了PFDs的定义以及关于导致PFDs发生的因素、准确诊断和针对婴幼儿及儿童的当前干预措施的相关文献。作为多学科团队的一员,SLP在确定儿童是不能还是不愿进食以及与团队合作以识别和实施适当干预措施方面发挥着不可或缺的作用。SLP与心理学家/行为专家以及作为多学科团队一部分的父母/照顾者之间的协作对于推进治疗目标至关重要。结论 由于其性质复杂,只有多学科团队(包括父母/照顾者)的精心护理和专业知识才能成功管理PFDs。SLP是这些多学科团队的重要成员,为准确识别和有效纠正PFDs提供了有价值的意见。

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