Extreme dietary selectivity following liver transplantation in a 5-year-old girl; management via behavior therapy |
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Authors: | de Moor J M Brons E Kokke F T Vos H Tolboom J J |
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Affiliation: | Revalidatiecentrum Groot Klimmendaal, afd. Kinderrevalidatie, Arnhem. |
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Abstract: | In a 5.1-year-old girl who had been treated by surgical correction of biliary atresia and total orthotopic liver transplantation, extreme dietary selectivity was noted; this was treated by behaviour therapy. On entry in the rehabilitation centre, she manifested malnutrition along with a variety of gastro-enterologic complaints. The treatment consisted of a set of behavioural procedures such as stepwise expansion of the diet, verbal prompting, intermittent contingent attention and a list of agreements with a system of rewards; this led to the elimination of the dietary selectivity and to the consumption of a varied diet in a normal tempo. |
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