Previous literature supports the use of functional analyses to prescribe treatments for children with feeding disorders (Bachmeyer et al., 2009). Nevertheless, clinicians often train caregivers to use healthy contingencies, independent of whether those contingencies are function based. However, it is unclear whether including nonfunction-based contingencies differentially affects inappropriate mealtime behavior. In the current investigation, the caregivers of 3 children with feeding disorders provided escape from bites and drinks and attention following inappropriate mealtime behavior. Results of a functional analysis showed escape from bites or drinks, but not attention, reinforced inappropriate mealtime behavior. We then tested the effects of escape extinction when the feeder either provided or withheld attention following inappropriate mealtime behavior. Inappropriate mealtime behavior decreased and acceptance increased when the feeder implemented escape extinction independent of whether they provided or withheld attention. We discuss the implications of including nonfunction-based components in the treatment of pediatric feeding disorders.

中文翻译：

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对不适当进餐行为的基于功能和非功能的灭绝治疗的比较

先前的文献支持使用功能分析来为患有喂养障碍的儿童开出治疗处方（Bachmeyer 等，2009）。尽管如此，临床医生经常训练护理人员使用健康的意外事件，而不管这些意外事件是否基于功能。然而，尚不清楚包括基于非功能的突发事件是否会对不适当的进餐行为产生不同的影响。在目前的调查中，3 名患有喂养障碍的儿童的照顾者在不适当的进餐时间行为后提供了逃避叮咬和饮料的注意。功能分析的结果表明，逃避叮咬或喝酒，而不是注意力，强化了不适当的进餐行为。然后，我们测试了当饲养者在不适当的进餐时间行为后提供或不注意时，逃逸灭绝的影响。当饲养者实施逃避灭绝时，不适当的进餐行为会减少，接受度会增加，而不管它们是否提供或不注意。我们讨论了在儿科喂养障碍治疗中包括非功能性成分的影响。