Evidence map›Paper›PMID 26240213›Full record

ArticlePediatrics2015

Psychological and Psychosocial Impairment in Preschoolers With Selective Eating.

Nancy Zucker, William Copeland, Lauren Franz, Kimberly Carpenter, Lori Keeling, Adrian Angold, Helen Egger

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
9.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 141 citations in OpenAlex.

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  11. Do Children Who Were Preschool Picky Eaters Eat Different Foods at School Lunch When Aged 13 Years Than Their Non-Picky Peers?Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  12. Nature and nurture in fussy eating from toddlerhood to early adolescence: findings from the Gemini twin cohort.Journal of child psychology and psychiatry, and allied disciplines · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Nancy ZuckerDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and zucke001@mc.duke.edu.
William CopelandDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and.
Lauren FranzDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and.
Kimberly CarpenterDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and.
Lori KeelingDepartment of Psychology and Neuroscience, Duke University, Durham, North Carolina.
Adrian AngoldDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and.
Helen EggerDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and.
Duke University · US

Funding

Preschool Anxiety Disorders in Primary CareR01MH075766 · NIMH · DUKE UNIVERSITY · PI ANGOLD, ADRIAN C · 2006 to 2010
$3.8M
Longitudinal Functional Imaging of Early Childhood Anxiety DisordersR01MH081025 · NIMH · DUKE UNIVERSITY · PI EGGER, HELEN L. · 2008 to 2012
$3.1M
Biomarkers of Interoceptive Awareness in Adolescent Anorexia NervosaRC1MH088678 · NIMH · DUKE UNIVERSITY · PI LABAR, KEVIN S, ZUCKER, NANCY L · 2009 to 2010
$993k
Feelings/Body Investigators:Interoceptive Exposure for Children w/Abdominal PainR33MH097959 · NIMH · DUKE UNIVERSITY · PI ZUCKER, NANCY L · 2016 to 2018
$819k
Feelings/Body Investigators:Interoceptive Exposure for Children w/Abdominal PainR21MH097959 · NIMH · DUKE UNIVERSITY · PI EGGER, HELEN L., ZUCKER, NANCY L · 2013 to 2014
$495k
NIMH NIH HHS R01 MH075766NIMH NIH HHS R01-MH-075766NIMH NIH HHS R01 MH081025NIMH NIH HHS R01-MH-081025NIMH NIH HHS R21 MH097959NIMH NIH HHS R33 MH097959NIMH NIH HHS RC1 MH088678NIMH NIH HHS RC1-MH-088678
6 · The paper itself

Abstract

objectiveWe examined the clinical significance of moderate and severe selective eating (SE). Two levels of SE were examined in relation to concurrent psychiatric symptoms and as a risk factor for the emergence of later psychiatric symptoms. Findings are intended to guide health care providers to recognize when SE is a problem worthy of intervention.

methodsA population cohort sample of 917 children aged 24 to 71 months and designated caregivers were recruited via primary care practices at a major medical center in the Southeast as part of an epidemiologic study of preschool anxiety. Caregivers were administered structured diagnostic interviews (the Preschool Age Psychiatric Assessment) regarding the child's eating and related self-regulatory capacities, psychiatric symptoms, functioning, and home environment variables. A subset of 188 dyads were assessed a second time ∼24.7 months from the initial assessment.

resultsBoth moderate and severe levels of SE were associated with psychopathological symptoms (anxiety, depression, attention-deficit/hyperactivity disorder) both concurrently and prospectively. However, the severity of psychopathological symptoms worsened as SE became more severe. Impairment in family functioning was reported at both levels of SE, as was sensory sensitivity in domains outside of food and the experience of food aversion.

conclusionsFindings suggest that health care providers should intervene at even moderate levels of SE. SE associated with impairment in function should now be diagnosed as avoidant/restrictive food intake disorder, an eating disorder that encapsulates maladaptive food restriction, which is new to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.

Indexed as

Interpersonal RelationsChild Behavior DisordersChild, PreschoolCohort StudiesFeeding and Eating Disorders of ChildhoodFemaleFollow-Up StudiesHumansMaleMental Disorders

Identifiers

PMID26240213
PMCPMC4552088
OpenAlexW2115220037

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.