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51 - Feeding and sleeping disorders in infancy and early childhood

from Part III - Specific treatments

Published online by Cambridge University Press:  12 May 2010

By
Heather Carmichael Olson ,
Nancy C. Winters ,
Sally L. Davidson Ward  and
Matthew Hodes
Edited by
Peter Tyrer  and
Kenneth R. Silk
Heather Carmichael Olson
Affiliation:
Division of Child Psychiatry University of Washington School of Medicine Seattle, WA USA
Nancy C. Winters
Affiliation:
Department of Child and Adolescent Psychiatry Oregon Health and Science University USA
Sally L. Davidson Ward
Affiliation:
Division of Pediatric Pulmonology Children's Hospital Los Angeles USA
Matthew Hodes
Affiliation:
Imperial College London St Mary's Campus Norfolk Place London W2 1PGUK
Peter Tyrer
Affiliation:
Imperial College of Science, Technology and Medicine, London
Kenneth R. Silk
Affiliation:
University of Michigan, Ann Arbor
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Summary

Editor's note

This chapter includes separate sections on treatment for feeding and sleeping disorders. These are disorders that truly do apply to the youngest of patients in child psychiatry, though some eating disorders such as rumination as well as some sleep disorders, such as limit setting sleep disorder and perhaps night terrors can extend into late childhood and perhaps, in rare instances, to adolescence. These are disorders for which behavioural treatments, particularly behavioural treatments such as reinforcement, punishment and graduated extinction, often play key roles in intervention. In both of these groups of disorders, parent training and education are important interventions. While medications can be used in both these disorders, they are certainly not the mainstay of treatment, and because of the young age of the patient population, are rarely used except for a very short time. As in much of child psychiatry, there remains a paucity of methodologically sound trials of the various treatments, though there are randomized controlled studies for both of these conditions that support primarily a behavioural approach.

Introduction

This chapter includes separate sections on treatment for feeding and sleeping disorders. These are two common, yet complex topics important in child psychiatry as the field applies to infants and young children (American Psychiatric Association, 2000; Anders & Eiben, 1997; Linscheid, 2004; Manikam & Perman, 2000; Mindell, 1999; World Health Organization, 1993).

Type
Chapter
Information
Cambridge Textbook of Effective Treatments in Psychiatry , pp. 755 - 774
Publisher: Cambridge University Press
Print publication year: 2008

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