Screening criteria for diagnosis of XXXX as a cause of poor feeding or food refusal.

@entity1 @entity146 @entity11360 @entity74 @entity4329 @entity347
OBJECTIVES: @entity74 ( @entity74 ) are a common cause of food refusal, @entity11360 , but they may be difficult to diagnose. We have previously identified certain patterns of pathological feeding and behaviors as high-risk characteristics for @entity74 and subsequently developed the diagnostic Wolfson criteria. Here, we evaluate these high-risk behaviors and prospectively compare the Wolfson criteria with 2 existing classifications of @entity4329 , the Chatoor and that in the Diagnostic and Statistical Manual of @entity146 , Fourth Edition (DSM-IV). @entity1 AND METHODS: @entity1 and young @entity1 referred for food refusal were invited to participate by completing a feeding pattern questionnaire. Following physicians' interview and examination, @entity1 were scored by all 3 criteria and enrolled in a structured treatment program for @entity4329 . @entity1 whose food refusal was associated with an organic cause served as a comparison group. The ability of the criteria to detect @entity4329 and to predict response to therapy was compared with an intention-to-treat analysis. RESULTS: Eighty-five @entity1 with new-onset @entity4329 and 55 controls were included. The Wolfson criteria, Chatoor, and DSM-IV accurately diagnosed 100%, 77%, and 56% of the @entity1 with @entity4329 , respectively. Anticipatory gagging occurred in 47% of the @entity1 with @entity4329 compared to 2% controls (P < 0.001). The response to therapy was similar among the 3 criteria (73-76%), suggesting that the Wolfson criteria did not incorrectly diagnose @entity347 as @entity4329 . The 20 @entity1 who were diagnosed as having @entity4329 by Wolfson but not by Chatoor responded equally well (80%) to an @entity4329 treatment program. CONCLUSIONS: Diagnostic criteria of @entity4329 that are based on food refusal, pathological feeding, and anticipatory gagging have a higher detection rate than the present criteria and are simpler to implement.
