Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultation

Detalhes bibliográficos
Autor(a) principal: Carvalho e Marques, Pedro
Data de Publicação: 2023
Outros Autores: Monteiro, Maria do Rosário, Rodrigues, Márcia, Fernandes, Graça, Martins, Vânia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25753/BirthGrowthMJ.v32.i3.26966
Resumo: Introduction: Feeding difficulties in early childhood are among the most common problems reported by parents and may reflect the child’s own characteristics or a relational problem. They are associated with problems in later life, such as behavioral disorders, cognitive deficits, and eating disorders. Materials and Methods: This study was a retrospective, descriptive analysis of sociodemographic and clinical data of children under six years of age with feeding or eating problems evaluated at a first consultation in a child psychiatry unit of a tertiary hospital between January 2019 and May 2021. Children with a diagnosis or suspected diagnosis of autism spectrum disorder were excluded. Results: Of a total of 647 children evaluated, 57 (8.81%) were classified as having feeding difficulties. Their median age was 24.5 months. Food selectivity was the most frequently reported problem (45.6%), followed by difficulties in self-regulation at mealtimes (43.9%) and decreased appetite (33.3%). Among the mothers, 21% had a history of depressive disorders and 7% had a history of anxiety disorders. Forty-nine percent of children had patterns of interaction with their primary caregiver that were considered worrisome or disruptive. Fifty-four percent of the therapeutic interventions provided were child-parent psychotherapy. Conclusions: Early identification and intervention are needed for children with feeding problems. Feeding problems are common in early childhood and a multidisciplinary approach must always be considered as they can affect several domains of the child’s health and development.
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spelling Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultationDificuldades alimentares em crianças com menos de seis anos – Caracterização da consulta de pedopsiquiatriaOriginal ArticlesIntroduction: Feeding difficulties in early childhood are among the most common problems reported by parents and may reflect the child’s own characteristics or a relational problem. They are associated with problems in later life, such as behavioral disorders, cognitive deficits, and eating disorders. Materials and Methods: This study was a retrospective, descriptive analysis of sociodemographic and clinical data of children under six years of age with feeding or eating problems evaluated at a first consultation in a child psychiatry unit of a tertiary hospital between January 2019 and May 2021. Children with a diagnosis or suspected diagnosis of autism spectrum disorder were excluded. Results: Of a total of 647 children evaluated, 57 (8.81%) were classified as having feeding difficulties. Their median age was 24.5 months. Food selectivity was the most frequently reported problem (45.6%), followed by difficulties in self-regulation at mealtimes (43.9%) and decreased appetite (33.3%). Among the mothers, 21% had a history of depressive disorders and 7% had a history of anxiety disorders. Forty-nine percent of children had patterns of interaction with their primary caregiver that were considered worrisome or disruptive. Fifty-four percent of the therapeutic interventions provided were child-parent psychotherapy. Conclusions: Early identification and intervention are needed for children with feeding problems. Feeding problems are common in early childhood and a multidisciplinary approach must always be considered as they can affect several domains of the child’s health and development.Introdução: As dificuldades alimentares na primeira infância estão entre as principais queixas dos pais e podem refletir características intrínsecas da criança ou um problema relacional. Estas dificuldades estão associadas a problemas subsequentes no desenvolvimento da criança, como problemas comportamentais, défices cognitivos e perturbações do comportamento alimentar. Materiais e Métodos: Foi realizada uma análise retrospetiva e descritiva dos dados sociodemográficos e clínicos de crianças com menos de seis anos de idade avaliadas em primeira consulta de Pedopsiquiatria de um hospital terciário por dificuldades alimentares entre janeiro de 2019 e maio de 2021. Crianças com diagnóstico ou suspeita de perturbação do espetro do autismo foram excluídas. Resultados: De um total de 647 crianças avaliadas, 57 (8,81%) foram classificadas como tendo dificuldades ou problemas alimentares. A mediana de idades foi de 24,5 meses. A seletividade alimentar foi o problema alimentar mais comum (45,6%), seguida de dificuldades na autorregulação durante as refeições (43,9%) e apetite reduzido (33,3%). Vinte e um por cento das mães apresentava antecedentes de perturbação depressiva e 7% apresentava antecedentes de perturbação de ansiedade. Quarenta e nove por cento das crianças incluídas no estudo apresentava padrões de interação com o cuidador principal preocupantes ou perturbados. Em 54% das crianças, a orientação terapêutica mais comum foi psicoterapia criança-cuidador. Conclusões: É necessária deteção e intervenção precoce para crianças com dificuldades alimentares. As perturbações alimentares são comuns na primeira infância e deve ser sempre considerada uma abordagem multidisciplinar das mesmas, uma vez que podem ter impacto em vários domínios do desenvolvimento e saúde da criança.Centro Hospitalar Universitário de Santo António2023-11-16info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v32.i3.26966eng2183-9417Carvalho e Marques, PedroMonteiro, Maria do RosárioRodrigues, MárciaFernandes, GraçaMartins, Vâniainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-16T17:28:52Zoai:ojs.revistas.rcaap.pt:article/26966Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:53:51.956104Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultation
Dificuldades alimentares em crianças com menos de seis anos – Caracterização da consulta de pedopsiquiatria
title Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultation
spellingShingle Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultation
Carvalho e Marques, Pedro
Original Articles
title_short Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultation
title_full Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultation
title_fullStr Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultation
title_full_unstemmed Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultation
title_sort Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultation
author Carvalho e Marques, Pedro
author_facet Carvalho e Marques, Pedro
Monteiro, Maria do Rosário
Rodrigues, Márcia
Fernandes, Graça
Martins, Vânia
author_role author
author2 Monteiro, Maria do Rosário
Rodrigues, Márcia
Fernandes, Graça
Martins, Vânia
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Carvalho e Marques, Pedro
Monteiro, Maria do Rosário
Rodrigues, Márcia
Fernandes, Graça
Martins, Vânia
dc.subject.por.fl_str_mv Original Articles
topic Original Articles
description Introduction: Feeding difficulties in early childhood are among the most common problems reported by parents and may reflect the child’s own characteristics or a relational problem. They are associated with problems in later life, such as behavioral disorders, cognitive deficits, and eating disorders. Materials and Methods: This study was a retrospective, descriptive analysis of sociodemographic and clinical data of children under six years of age with feeding or eating problems evaluated at a first consultation in a child psychiatry unit of a tertiary hospital between January 2019 and May 2021. Children with a diagnosis or suspected diagnosis of autism spectrum disorder were excluded. Results: Of a total of 647 children evaluated, 57 (8.81%) were classified as having feeding difficulties. Their median age was 24.5 months. Food selectivity was the most frequently reported problem (45.6%), followed by difficulties in self-regulation at mealtimes (43.9%) and decreased appetite (33.3%). Among the mothers, 21% had a history of depressive disorders and 7% had a history of anxiety disorders. Forty-nine percent of children had patterns of interaction with their primary caregiver that were considered worrisome or disruptive. Fifty-four percent of the therapeutic interventions provided were child-parent psychotherapy. Conclusions: Early identification and intervention are needed for children with feeding problems. Feeding problems are common in early childhood and a multidisciplinary approach must always be considered as they can affect several domains of the child’s health and development.
publishDate 2023
dc.date.none.fl_str_mv 2023-11-16
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://doi.org/10.25753/BirthGrowthMJ.v32.i3.26966
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dc.publisher.none.fl_str_mv Centro Hospitalar Universitário de Santo António
publisher.none.fl_str_mv Centro Hospitalar Universitário de Santo António
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instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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