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  • 12 - Selective eating and other atypical eating problems

  • from Part III - Abnormal states
    • By Dasha Nicholls, Great Ormond Street Hospital for Children NHS Trust, London, UK, Tony Jaffa, The Phoenix Centre, Fulbourn, Cambridge, UK
  • Edited by Tony Jaffa
  • Brett McDermott, University of Queensland
  • Book:
    Eating Disorders in Children and Adolescents
    Published online:
    02 December 2009
    Print publication:
    14 December 2006, pp 144-157

  • Summary

    This chapter describes the range of eating problems seen in middle childhood (latency) and early adolescence (prepubertal or early puberty) that do not fit within 'eating disorders' as a diagnostic category. One of many developmental tasks of childhood and early adolescence is managing the transition from feeding to eating. Over a period of years children with selective eating develop an avoidance reinforced anxiety associated with new foods. There may be anticipatory nausea (with sight or smell triggers), fear of vomiting (textures) or a fear of choking. The term food avoidance emotional disorder (FAED) has mainly been used to describe cases presenting in middle childhood and early adolescence in which age group it may be more common than anorexia nervosa or bulimia nervosa. In some children, food phobias may be a feature of more pervasive anxiety disorder or obsessive-compulsive disorder (OCD).