Oates R K
Aust Paediatr J. 1984 May;20(2):95-100. doi: 10.1111/j.1440-1754.1984.tb00052.x.
Non-organic failure to thrive is a clinical diagnosis which should be considered in parallel with other causes of failure to thrive in infants. It has not been resolved as to whether the condition is due to a lack of stimulation or to deprivation of calories, although both these factors, as well as a contribution from the child in some cases, are likely to be responsible. There is no typical profile of the parent whose child develops non-organic failure to thrive. The condition can occur in all social classes but is more common in situations of poverty, poor marital relationships, chaotic family lifestyle and when there is a history of deprivation in the parents' own childhood. Although the majority of these children eventually show catch-up growth, long-term follow-up studies show a high incidence of emotional and cognitive problems. Treatment should go beyond nutritional rehabilitation in the hospital and should include practical, supportive help for the mother together with measures to improve the level of stimulation and the quality of interpersonal relationships for the child.
非器质性发育不良是一种临床诊断，应与婴儿发育不良的其他原因一并考虑。关于这种情况是由于缺乏刺激还是热量摄入不足，目前尚无定论，尽管这两个因素以及在某些情况下孩子自身的因素都可能是原因。孩子出现非器质性发育不良的父母没有典型特征。这种情况在所有社会阶层都可能发生，但在贫困、婚姻关系不佳、家庭生活混乱以及父母自身童年有过匮乏经历的情况下更为常见。尽管这些孩子中的大多数最终会出现追赶性生长，但长期随访研究表明，情绪和认知问题的发生率很高。治疗不应局限于医院内的营养康复，还应包括为母亲提供实际的支持性帮助，以及采取措施提高孩子的刺激水平和人际关系质量。
