Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultation


  • Pedro Carvalho e Marques Department of Child and Adolescent Psychiatry, Centro Hospitalar Universitário de Santo António https://orcid.org/0000-0002-5623-1831
  • Maria do Rosário Monteiro Department of Child and Adolescent Psychiatry, Centro Hospitalar Universitário de Santo António https://orcid.org/0000-0001-5721-6775
  • Márcia Rodrigues Department of Child and Adolescent Psychiatry, Centro Hospitalar Universitário de Santo António https://orcid.org/0000-0003-4905-6307
  • Graça Fernandes Department of Child and Adolescent Psychiatry, Centro Hospitalar Universitário de Santo António https://orcid.org/0000-0003-1836-6468
  • Vânia Martins Department of Child and Adolescent Psychiatry, Centro Hospitalar Universitário de Santo António




child psychiatry, feeding difficulty, early childhood, eating disorder, mental health


Introduction: Feeding difficulties in early childhood are among the most common problems reported by parents and may reflect the child’s own characteristics or a relational problem. They are associated with problems in later life, such as behavioral disorders, cognitive deficits, and eating disorders.
Materials and Methods: This study was a retrospective, descriptive analysis of sociodemographic and clinical data of children under six years of age with feeding or eating problems evaluated at a first consultation in a child psychiatry unit of a tertiary hospital between January 2019 and May 2021. Children with a diagnosis or suspected diagnosis of autism spectrum disorder were excluded.
Results: Of a total of 647 children evaluated, 57 (8.81%) were classified as having feeding difficulties. Their median age was 24.5 months. Food selectivity was the most frequently reported problem (45.6%), followed by difficulties in self-regulation at mealtimes (43.9%) and decreased appetite (33.3%). Among the mothers, 21% had a history of depressive disorders and 7% had a history of anxiety disorders. Forty-nine percent of children had patterns of interaction with their primary caregiver that were considered worrisome or disruptive. Fifty-four percent of the therapeutic interventions provided were child-parent psychotherapy.
Conclusions: Early identification and intervention are needed for children with feeding problems. Feeding problems are common in early childhood and a multidisciplinary approach must always be considered as they can affect several domains of the child’s health and development.


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How to Cite

Carvalho e Marques P, Monteiro M do R, Rodrigues M, Fernandes G, Martins V. Feeding and eating difficulties in early childhood – Characterization of a child psychiatry consultation. REVNEC [Internet]. 2023Nov.16 [cited 2023Dec.10];32(3):173-81. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/26966



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