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Journal of Pediatric Psychology 15(1) pp. 57-65, 1990
© 1990 Society of Pediatric Psychology

research-article

An Effective and Acceptable Treatment Alternative for Chronic Thumb- and Finger-Sucking1

Patrick C. Friman2 and J. Michael Leibowitz

University of Nebraska Medical Center, University of Pennsylvania School of Medicine, and The Meyer Children's Rehabilitation Institute

2All correspondence should be sent to Patrick C. Friman, Pediatric Psychology, Children's Hospital of Philadelphia, 34th and Civic Center Blvd., Philadelphia, PA, 19104

Evaluated treatment for thumb-sucking in a randomized trial. Study included 22 children, ages 4–11, who displayed chronic thumb-sucking. Treatment included aversive taste and a reward system. Significant results were obtained at posttest, with 12 cessations at 3-month follow-up and 20 at 1 year. Participating parents, pediatricians, and pediatric psychologists validated treatment acceptability. Results support the treatment as an alternative to common medical and dental advice about thumb-sucking. Directions for future research are discussed.

Key words: thumb-sucking; aversive taste treatment; treatment acceptability; habit disorders.


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