The Effects of a Brief Behavioral Intervention on Food Refusal in a Child With a Fear of Choking

This study examined the effects of an exposure-based behavioral treatment on food refusal in a 4-year-old girl who developed a fear of choking after an acute choking episode. Prior to treatment, the child had stopped eating almost all solid foods for 3 months and was primarily consuming a chocolate-flavored pediatric formula. Treatment occurred across the span of 2 weeks and took place at a pediatric feeding program. At the end of treatment, the child accepted over 30 new foods and was no longer dependent on a pediatric formula to meet her nutritional needs.

[1]  R. Hanwella,et al.  Phagophobia: a case report , 2014, BMC Research Notes.

[2]  R. Coelho,et al.  A case of choking phobia: towards a conceptual approach , 2014, Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity.

[3]  Brittany M. Rudy,et al.  One-Session Treatment of a Specific Phobia of Swallowing Pills , 2013 .

[4]  P. Sturmey,et al.  Effects of behavioral skills training on parental treatment of children's food selectivity. , 2012, Journal of applied behavior analysis.

[5]  K. Williams,et al.  Brief, Intensive Behavioral Treatment of Food Refusal Secondary to Emetophobia , 2011 .

[6]  P. Pechtel,et al.  Phagophobia: Behavioral Treatment of a Complex Case Involving Fear of Fear , 2011 .

[7]  K. Williams,et al.  Jump start exit criterion: Exploring a new model of service delivery for the treatment of childhood feeding problems , 2009 .

[8]  A. Jongh,et al.  EMDR treatment of children and adolescents with a choking phobia , 2008 .

[9]  K. Williams,et al.  Combining repeated taste exposure and escape prevention: An intervention for the treatment of extreme food selectivity , 2007, Appetite.

[10]  D. Rosenberg,et al.  Use of low-dose selective serotonin reuptake inhibitors for severe, refractory choking phobia in childhood. , 2005, Journal of developmental and behavioral pediatrics : JDBP.

[11]  T. Linscheid,et al.  Rapid Inpatient Behavioral Treatment for Choking Phobia in Children , 2004 .

[12]  C. Piazza,et al.  Training parents to implement pediatric feeding protocols. , 2003, Journal of applied behavior analysis.

[13]  K. Williams,et al.  Correlates of specific childhood feeding problems , 2003, Journal of paediatrics and child health.

[14]  D. Barlow,et al.  Behavioral treatment of choking phobia in an adolescent: an experimental analysis. , 1997, Journal of behavior therapy and experimental psychiatry.

[15]  D. Kohen,et al.  Hypnobehavioral approaches for school-age children with dysphagia and food aversion: a case series. , 1996, Journal of Developmental and Behavioral Pediatrics.

[16]  R. McNally.  Choking phobia: a review of the literature. , 1994, Comprehensive psychiatry.

[17]  I. Chatoor,et al.  Food refusal after an incident of choking: a posttraumatic eating disorder. , 1988, Journal of the American Academy of Child and Adolescent Psychiatry.