Babbitt R L, Hoch T A, Coe D A, Cataldo M F, Kelly K J, Stackhouse C, Perman J A
Department of Behavioral Psychology, Kennedy Krieger Institute, Baltimore, Maryland 21205.
J Dev Behav Pediatr. 1994 Aug;15(4):278-91.
Pediatric feeding disorders are estimated to occur in as many as one in every four infants and children, and when serious can require numerous, costly and sustained interventions. For over a decade research has cumulated evidence on the contributions of Behavior Analysis in understanding and remediating some types of pediatric feeding disorders. The systematic use of this body of evidence in conjunction with other approaches (medical, nutrition, occupational therapy, physical therapy, and so forth) is being carried out on an inpatient treatment unit at the Kennedy Krieger Institute. Key aspects are described here, including direct observation behavior assessment, approaches for increasing and decreasing feeding behavior, skill acquisition, transfer of treatment gains, and parent training. The results based on case studies and overall program evaluation indicate that medically complicated, severe feeding disorders can be treated successfully in a few months with a multidisciplinary approach which incorporates behavioral procedures.
据估计，每四个婴幼儿中就有一个会出现小儿喂养障碍，严重时可能需要进行大量、昂贵且持续的干预。十多年来，研究积累了关于行为分析在理解和治疗某些类型小儿喂养障碍方面的贡献的证据。肯尼迪·克里格研究所的一个住院治疗单元正在系统地将这一系列证据与其他方法（医学、营养、职业治疗、物理治疗等）结合使用。这里描述了关键方面，包括直接观察行为评估、增加和减少喂养行为的方法、技能习得、治疗效果的转移以及家长培训。基于案例研究和整体项目评估的结果表明，采用包含行为程序的多学科方法，医学上复杂的严重喂养障碍可以在几个月内成功治疗。
