What is included in the psychosocial history for the evaluation of pediatric growth failure (failure to thrive)?

Updated: Nov 05, 2018
  • Author: Andrew P Sirotnak, MD; Chief Editor: Caroly Pataki, MD  more...
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Answer

The details of the psychosocial history are vital and should include the following:

  • Finances, poverty risk factors (In 2004, food insecurity was identified in 42% of low-income houses with children younger than 6 y. [3] )

  • Environment (eg, 1 bedroom apartment, 4 adults, 4 children)

  • Family structure

  • Caregiver identity and responsibility

  • Daycare use

  • Beliefs about child rearing

  • History of abuse or neglect

  • Prior child with growth problems

  • Family substance abuse or addiction

  • Violence or chaotic family structure

  • Risks for or signs of maternal postpartum depression [5]

  • Educational level of parent or caregiver

  • Employment with caregiver arrangements

  • Food subsidy (eg, food stamps, Women, Infants, and Children [WIC] Program)

  • Transportation problems

  • Welfare or other aid programs

  • Health insurance

  • Family or cultural concepts on feeding and specific foods


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