Systematic reviewSystematic review of psychological interventions for pediatric feeding problems
Most studies reviewed found psychology-based feeding interventions help children with feeding problems.
A systematic review of 15 years of research found that most studies of psychology-based approaches to children's feeding problems reported positive effects on mealtime behavior, nutrition, or caregiver stress, though stronger trials are still needed.
- 13studies reviewed
- 1998 to 2013years of research covered
Why the study was done
Feeding problems in childhood, such as refusing many foods or very stressful mealtimes, are common and can affect growth and family life. Psychological and behavioral approaches are widely used, and the authors wanted to know how strong the evidence for them is.
What the researchers did
The authors searched for studies published between 1998 and 2013 that tested psychological interventions for pediatric feeding problems, including randomized trials and other studies that reported results for groups of children. Thirteen studies met their criteria. They rated each study's risk of bias and the overall quality of the evidence.
The outcomes they focused on were children's mealtime behavior, their nutritional status, and caregiver stress.
What they found
- Most of the evidence pointed to positive effects of psychological interventions for feeding problems.
- Only a few of the studies were randomized controlled trials, which limits how firm the conclusions can be.
What this means for families
Mealtime struggles are common, and there are structured, research-based ways to help. Feeding therapy looks at your child's skills and the whole mealtime routine, and works with you on small, steady steps. A feeding evaluation is a good first step if mealtimes are hard.
Limits of the study
The authors noted that the research base is limited and that more rigorous trials are needed to confirm how well these interventions work.
The original study
Lukens CT, Silverman AH. Systematic review of psychological interventions for pediatric feeding problems. Journal of Pediatric Psychology. 2014;39(8):903-917.
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