title: Functional analysis and treatment of multiply controlled inappropriate mealtime behavior.
abstract: Functional analyses identified children whose inappropriate mealtime behavior was maintained by escape and adult attention. Function-based extinction procedures were tested individually and in combination. Attention extinction alone did not result in decreases in inappropriate mealtime behavior or a significant increase in acceptance. By contrast, escape extinction alone resulted in a decrease in inappropriate mealtime behavior and an increase in acceptance. However, inappropriate mealtime behavior did not decrease to clinically acceptable levels. A combined extinction technique (i.e., escape and attention extinction) resulted in a decrease in inappropriate mealtime behavior to clinically acceptable levels and high and stable acceptance.
authors.affiliation: Marcus Institute.
authors.forename: Melanie H
authors.initials: MH
authors.lastname: Bachmeyer
authors.forename: Cathleen C
authors.initials: CC
authors.lastname: Piazza
authors.forename: Laura D
authors.initials: LD
authors.lastname: Fredrick
authors.forename: Gregory K
authors.initials: GK
authors.lastname: Reed
authors.forename: Kristi D
authors.initials: KD
authors.lastname: Rivas
authors.forename: Heather J
authors.initials: HJ
authors.lastname: Kadey
mesh_terms: D001288:Attention / Q000502:physiology; D001521:Behavior Therapy / Q000379:methods*; D002675:Child, Preschool; D002755:Choice Behavior; D004924:Escape Reaction / Q000502:physiology; D005108:Extinction, Psychological / Q000502:physiology; D005247:Feeding Behavior; D019959:Feeding and Eating Disorders of Childhood / Q000523:psychology* / Q000628:therapy*; D005260:Female; D005518:Food Preferences / Q000502:physiology; D006801:Humans; D008297:Male; D012054:Reinforcement, Psychology; D013997:Time Factors