The six subcategories of feeding behavior disorder in Infant are summarized in DC: 0-3R as follows:
- Feeding disorder of state regulation. The infant has difficulty reaching and maintaining a calm state during feeding (e.g., the infant is too sleepy, too agitated, or too distressed to feed). This disorder starts in the newborn period.
- Feeding disorder of caregiver-infant reciprocity. The infant or young child does not display developmentally appropriate signs of social reciprocity (e.g., visual engagement, smiling, or babbling) with the primary caregiver during feeding.
- Infantile anorexia. The infant or young child refuses to eat adequate amounts of food for at least 1 month. The onset of the food refusal occurs before the child is 3 years old. The infant or young child does not communicate hunger and lacks interest in food, but shows strong interest in exploration or interaction with caregiver, or both.
- Sensory food aversions. The child consistently refuses to eat foods with specific tastes, textures, or smells. The onset of the food refusal occurs during the introduction of a novel type of food (e.g., the child may drink one type of milk but refuse another, may eat carrots but refuse green beans, may drink milk but refuse baby food). This child eats without difficulty when offered preferred foods, and the food refusal causes specific nutritional deficiencies or a delay of oral-motor development.
- Feeding disorder associated with concurrent medical condition. The infant or young child readily initiates feeding, but shows distress over the course of feeding and refuses to continue feeding. The child has a concurrent medical condition that the clinician judges to be the cause of the distress.
- Feeding disorder associated with insults to the gastrointestinal tract. Food refusal follows a major aversive event or repeated noxious insults to the oropharynx or gastrointestinal tract (e.g., choking, severe vomiting, reflux, insertion of nasogastric or endotracheal tubes, suctioning). This infant or young child consistently refuses food in one of the following forms: bottle, solids, or both. Reminders of the traumatic event(s) cause distress, and are manifested by anticipatory distress.
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