Abstract
The authors present the case of a 7-year-old girl with disordered eating secondary to severe symptoms of gastroesophageal reflux (GER) experienced during infancy. Symptoms include deficits in interpreting signs of hunger and refusals to eat, leading to latent physical development. Methods of assessment include parent and child interviews, child eating behaviors and parental feeding strategies questionnaires, a 2-week food record, and mealtime behavioral observations. The objective of treatment was weight gain through decreasing problematic eating behaviors: dawdling eating, excessive talking at mealtime, and frequently leaving the table during meals. Cognitive-behavioral approaches (eg, using reinforcements and consequences, increasing food intake by small portion sizes, and increasing the child's awareness of signs of hunger through direct prompts and parental modeling) were successful, and parents reported physical growth weight gain at 6-month follow-up.
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