Snijders, M.C.E. (2012) Help mijn kind wil niet eten : Het gebruik van negatieve reinforcementbij de behandeling van langdurig eetproblemen bij kinderen met een hoog functionerende vorm van autisme spectrum stoornis. thesis, Medicine.
Full text available on request.Abstract
Introduction: About 90% of the children with autism spectrum disorder (ASD) are known to have moderate to serious feeding disorders due to sensory abnormalities, food refusal and foodselectivity. Only a small group of children is aided with the regular treatment involving positive reinforcement (reward). Most children do not respond to this treatment. Objective: Evaluate whether a treatment, in which negative reinforcement, positive reinforcement and escape extinction is combined, will help children with feeding disorders who will not respond to the regular treatment. Material and method: Children with age between 1-13 years with ASD or suspicion of certain diagnose were included. The training consisted of 15-minute sessions with a general pediatrician where agreements about food were made between pediatrician and the child based on the child’s feeding pattern. The training took place at home with intensive participation of the parents using negative reinforcement, positive reinforcement and escape extinction. The quantitative and qualitative food intake was evaluated before, during and after the training. Results: 19 children followed the training for 3-17 months. The quantitative and qualitative food intake improved significantly. Significantly more children ate fruit (p=0,031, significance level 0, 05). The intake of siege, potatoes, meat, vegetables and desserts is such increased that all children after the training ate these products. The qualitative intake is significantly increased with butter (p=0,002), siege ( p=0,001),fruit (p=0,001), potatoes (p=0,004), meat (p=0,004) and desserts (p=0,031). Significantly more children achieved a higher score on the Scale of Five (p=0,000). By an average Body Mass Index of 0,79, fewer children presented with underweight. Conclusion: With parental participation autistic children can be successfully treated at home for feeding disorders by using negative reinforcement, positive reinforcement and escape extinction under supervision of a general pediatrician.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Begeleider: and Gaag, dr. E.J. van der kinderarts and Afdeling: polikliniek kindergeneeskunde and Instelling: ZGT Hengelo |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:49 |
| Last Modified: | 25 Jun 2020 10:49 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1030 |
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