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Journal of Pediatric Psychology Advance Access originally published online on December 3, 2007
Journal of Pediatric Psychology 2008 33(6):612-620; doi:10.1093/jpepsy/jsm116
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Caregiver Stress and Outcomes of Children with Pediatric Feeding Disorders Treated in an Intensive Interdisciplinary Program

Ashley J. Greer, MA1, Charles S. Gulotta, PhD2, Elizabeth A. Masler, MA1 and Rinita B. Laud, PhD2

1The Kennedy Krieger Institute and 2Johns Hopkins School of Medicine

All correspondence concerning this article should be addressed to Charles S. Gulotta, PhD, Director, Pediatric Feeding Disorders Program, Assistant Professor, The Johns Hopkins School of Medicine, Kennedy Krieger Institute, 707 N. Broadway, Baltimore, MD 21205, USA. E-mail: gulotta{at}kennedykrieger.org


  Abstract

Objective This study investigated the impact of an intensive interdisciplinary feeding program on caregiver stress and child outcomes of children with feeding disorders across three categories. Methods Children were categorized into either tube dependent, liquid dependent, or food selective groups. Outcomes for caregiver stress levels, child mealtime behaviors, weight, and calories were examined at admission and discharge for 121 children. Repeated measures ANOVAs were used to examine differences pre- and post-treatment and across feeding categories. Results Caregiver stress, child mealtime behaviors, weight, and caloric intake improved significantly following treatment in the intensive feeding program, regardless of category placement. Conclusions Few studies have examined the impact of an intensive interdisciplinary approach on caregiver stress, as well as on child outcome variables with such a diverse population. This study provides support that regardless of a child's medical and feeding history, an intensive interdisciplinary approach significantly improves caregiver stress and child outcomes.

Key words: caregiver stress; feeding disorders; feeding outcomes; parenting stress index.

Received March 21, 2007; revision received October 9, 2007; accepted November 2, 2007


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