title: Systematic review of psychological interventions for pediatric feeding problems.
abstract: OBJECTIVE
  To conduct a systematic review of the research evaluating the effect of psychological interventions for pediatric feeding problems.
  
  
  METHODS
  A search was conducted to identify studies using psychological interventions for pediatric feeding problems published between 1998 and 2013. Randomized controlled trials (RCTs) and nonrandomized studies that examined aggregated outcome data were included. Primary outcomes were child mealtime behavior, nutritional status, and caregiver stress. A risk of bias assessment was conducted and the quality of the evidence rated using Grading of Recommendations Assessment, Development, and Evaluation methodology.
  
  
  RESULTS
  13 studies were identified and a narrative synthesis framework was used to report findings.
  
  
  CONCLUSIONS
  The preponderance of evidence suggests positive effects of psychological intervention for the treatment of feeding problems. However, limited data and the paucity of studies using RCT methodologies limit conclusions that can be drawn regarding the efficacy of these interventions. Future studies using more rigorous research methods are needed to enhance understanding of these interventions.
authors.affiliation: Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia and Department of Pediatrics, Medical College of Wisconsin lukens@email.chop.edu.
authors.forename: Colleen Taylor
authors.initials: CT
authors.lastname: Lukens
authors.affiliation: Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia and Department of Pediatrics, Medical College of Wisconsin.
authors.forename: Alan H
authors.initials: AH
authors.lastname: Silverman
mesh_terms: D001521:Behavior Therapy / Q000379:methods*; D017028:Caregivers; D002648:Child; D005196:Family Therapy / Q000379:methods*; D019959:Feeding and Eating Disorders of Childhood / Q000523:psychology / Q000628:therapy*; D006801:Humans
keywords: evidence-based practice; gastroenterology; nutrition; systematic review