Re-Establishing Solid Food Consumption in a Person With Traumatic Brain Injury and Extended Food Avoidance/Restriction Using a Multicomponent Behavioral Intervention

We describe and report the results of a multicomponent behavioral intervention for re-establishing solid food consumption in a 26-year-old woman with prolonged food avoidance and restriction which developed following a traumatic brain injury. The intervention was evaluated by direct measurement of d...

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Bibliographic Details
Published in:	Clinical case studies Vol. 19; no. 5; pp. 386 - 398
Main Authors:	Ricciardi, Joseph N., Luiselli, James K., Tretheway, Jodi
Format:	Journal Article
Language:	English
Published:	Los Angeles, CA SAGE Publications 01-10-2020
Subjects:	avoidant/restrictive food intake disorder traumatic brain injury behavioral neurorehabilitation feeding problems applied behavior analysis
Online Access:	Get full text
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Summary:	We describe and report the results of a multicomponent behavioral intervention for re-establishing solid food consumption in a 26-year-old woman with prolonged food avoidance and restriction which developed following a traumatic brain injury. The intervention was evaluated by direct measurement of daily meal consumption over a period of several months, including an extended follow-up, and resulted in successful resumption of oral feeding. A complicating paroxysmal movement disorder resolved during treatment as well and resolution of the presenting problem led to significant quality of life improvements. We discuss the relationship of the presenting symptoms to avoidant/restrictive food intake disorder and to food rejection behavior seen when substantial damage has occurred to the parietal lobe. The case illustrates the value of assessment-based, individualized intervention design and an integrated neurobehavioral case conceptualization.
ISSN:	1534-6501 1552-3802
DOI:	10.1177/1534650120950528