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Archives de pédiatrie
Volume 20, n° 8
pages 877-882 (août 2013)
Doi : 10.1016/j.arcped.2013.05.008
Received : 31 January 2012 ;  accepted : 27 May 2013
Troubles alimentaires restrictifs du nourrisson et du jeune enfant : avantages d’une consultation conjointe entre pédiatre et psychologue
Feeding disorders in infants and toddlers: Advantages of a joint consultation with pediatrician and psychologist
 

T. Cascales a, , J.-P. Olives b
a Équipe mobile de psychiatrie de liaison, SUPEA, département médico-chirurgical de pédiatrie, hôpital des enfants, CHU de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France 
b Gastroentérologie et nutrition, département médico-chirurgical de pédiatrie, hôpital des enfants, CHU de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex, France 

Auteur correspondant.
Résumé

Les troubles alimentaires et le refus de l’alimentation peuvent concerner 25 % des nourrissons, une minorité ayant une cause organique. L’absence prolongée de prise de poids ou la malnutrition sévère sont présents chez 3 à 5 % des jeunes enfants dans la population générale. Dans cette étude, les différentes étapes de la prise en charge multidisciplinaire vont être décrites en soulignant l’intérêt d’une approche thérapeutique intégrative dépassant les cloisonnements interprofessionnels. Les perturbations des interrelations parents–enfants sont certainement le facteur prédominant mais d’autres conditions psychosomatiques ont aussi des origines multifactorielles. Cet article précise les spécificités des troubles des conduites alimentaires du jeune enfant et justifie les avantages d’une consultation conjointe entre pédiatre et psychologue par rapport aux consultations distinctes habituelles de pédiatrie et de pédopsychiatrie.

The full text of this article is available in PDF format.
Summary

Feeding disorders and food refusal can be found in 25% of infants, a minority of these disorders has an organic explanation. Failure to thrive and/or severe malnutrition is found in 3–5% of infants in the general population. The authors describe the various phases of the interdisciplinary therapeutic intervention by underlining the advantages and the objectives to integrate therapeutic approaches across professional boundaries. Caregiver–infant relationship disturbances are certainly the most important factor, but the induced psychosomatic conditions also have a multifactorial etiology. This article points out the specificities of the disorders of infant feeding behaviors and explains the advantages of a joint pediatrician–psychologist consultation compared to separate consultations in pediatrics and child psychiatry.

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