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

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Resumo:Abstract 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.
Autores principais:Marques,Pedro Carvalho e
Outros Autores:Monteiro,Maria do Rosário; Rodrigues,Márcia; Fernandes,Graça; Martins,Vânia
Assunto:child psychiatry feeding difficulty early childhood eating disorder mental health
Ano:2023
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Fundação para a Ciência e Tecnologia
Idioma:inglês
Origem:SciELO Portugal
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author Marques,Pedro Carvalho e
author2 Monteiro,Maria do Rosário
Rodrigues,Márcia
Fernandes,Graça
Martins,Vânia
author2_role author
author
author
author
author_facet Marques,Pedro Carvalho e
Monteiro,Maria do Rosário
Rodrigues,Márcia
Fernandes,Graça
Martins,Vânia
author_role author
country_str PT
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datacite.creators.creator.creatorName.fl_str_mv Marques,Pedro Carvalho e
Monteiro,Maria do Rosário
Rodrigues,Márcia
Fernandes,Graça
Martins,Vânia
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv child psychiatry
feeding difficulty
early childhood
eating disorder
mental health
datacite.titles.title.fl_str_mv Feeding and eating difficulties in early childhood - Characterization of a child psychiatry consultation
dc.creator.none.fl_str_mv Marques,Pedro Carvalho e
Monteiro,Maria do Rosário
Rodrigues,Márcia
Fernandes,Graça
Martins,Vânia
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542023000300173
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Centro Hospitalar do Porto
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv Nascer e Crescer v.32 n.3 2023
dc.subject.none.fl_str_mv child psychiatry
feeding difficulty
early childhood
eating disorder
mental health
dc.title.fl_str_mv Feeding and eating difficulties in early childhood - Characterization of a child psychiatry consultation
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Abstract 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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person_str_mv Marques,Pedro Carvalho e
Monteiro,Maria do Rosário
Rodrigues,Márcia
Fernandes,Graça
Martins,Vânia
publishDate 2023
publisher.none.fl_str_mv Centro Hospitalar do Porto
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spelling Feeding and eating difficulties in early childhood - Characterization of a child psychiatry consultationMarques,Pedro Carvalho eMonteiro,Maria do RosárioRodrigues,MárciaFernandes,GraçaMartins,Vâniachild psychiatryfeeding difficultyearly childhoodeating disordermental healthopen accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542023000300173URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542023000300173URLHasVersion2023-09-01Abstract 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.Centro Hospitalar do PortoNascer e Crescer v.32 n.3 2023text/htmlengjournal articlehttp://purl.org/coar/resource_type/c_6501literature
spellingShingle Feeding and eating difficulties in early childhood - Characterization of a child psychiatry consultation
Marques,Pedro Carvalho e
child psychiatry
feeding difficulty
early childhood
eating disorder
mental health
status SINGLETON
subject.fl_str_mv child psychiatry
feeding difficulty
early childhood
eating disorder
mental health
title 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_short 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
topic child psychiatry
feeding difficulty
early childhood
eating disorder
mental health
topic_facet child psychiatry
feeding difficulty
early childhood
eating disorder
mental health
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542023000300173
visible 1