Researchers have demonstrated the effectiveness of extinction-based treatments to reduce challenging behavior. Although bursts and temporary increases in emotional responding may occur in some basic and applied studies, recent studies on their prevalence have shown that side effects are far from ubiquitous. Woods and Borrero (2019) determined that bursts of inappropriate mealtime behavior and increases in emotional responding occurred in 30% of data sets during extinction-based treatment of pediatric feeding difficulties. In the current study, we conducted a retrospective consecutive-controlled case series by evaluating treatment graphs of inappropriate mealtime behavior, negative vocalizations, active acceptance, and mouth clean for 60 children admitted to an intensive day-treatment feeding disorders program. We discuss the implications of these findings and provide general recommendations for the use of extinction-based treatment.

中文翻译：

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进一步检查儿童拒食的基于灭绝的治疗期间的行为

研究人员已经证明了基于灭绝的治疗方法可以有效减少挑战性行为。尽管在一些基础和应用研究中可能会出现情绪反应的爆发和暂时增加，但最近对其发生率的研究表明，副作用远非普遍存在。Woods 和 Borrero (2019) 确定，在针对儿科喂养困难进行基于灭绝的治疗期间，30% 的数据集中出现了不当进餐行为的爆发和情绪反应的增加。在当前的研究中，我们通过评估 60 名接受喂养障碍强化日间治疗计划的儿童的不适当进餐行为、消极发声、积极接受和口腔清洁的治疗图表，进行了回顾性连续对照病例系列。我们讨论这些发现的含义，并为使用基于灭绝的治疗提供一般建议。