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Journal of Pediatric Psychology 13(3) pp. 329-347, 1988
© 1988 Society of Pediatric Psychology

research-article

Food Refusal in Failure-to-Thrive Infants: Nasogastric Feeding Combined with Interactive-Behavioral Treatment1

Maria Ramsay2 and Philip R. Zelazo

Montreal Children's Hospital, McCill University

2All correspondence should be sent to Maria Ramsay, Department of Psychology. Montreal Children's Hospital, 2300 Tupper Street, Montreal, Quebec H3H 1P3 Canada

Five hospitalized failure-to-thrive infants under age 1 were treated for food refusal using an interactive-behavioral approach. Feeding aversion, inadequate caloric intake, and vomiting were associated with poor social responsiveness rather than organic causes. Therapy consisted of tactile oral stimulation, contingent social responsiveness, and auditory stimulation during nasogastric tube feeding conducted for 15–20 minutes 3 to 4 times daily. Initially all feedings were carried out by a therapist. As infant social responsiveness improved, mothers became more involved with the program and, all except one, eventually assumed feedings. In all five infants vomiting and food refusal ceased and nonreactive social behaviors shifted to socially responsive interactions resulting in adequate oral intake. Relationship between feeding behaviors and infant social responsiveness, maternal involvement, follow-up, and cost effectiveness of this interactive-behavioral approach are discussed.

Key words: infancy; failure to thrive; nasogastric feeding; treatment; food refusal.


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C. Martin, A. Southall, E. Shea, and A. Marr
The Importance of a Multifaceted Approach in the Assessment and Treatment of Childhood Feeding Disorders: A Two-Year-Old In-Patient Case Study in the U.K. National Health Service
Clinical Case Studies, April 1, 2008; 7(2): 79 - 99.
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