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Journal of Applied Behavior Analysis logoLink to Journal of Applied Behavior Analysis
. 2000 Spring;33(1):41–52. doi: 10.1901/jaba.2000.33-41

Analysis and treatment of finger sucking.

S A Ellingson 1, R G Miltenberger 1, J M Stricker 1, M A Garlinghouse 1, J Roberts 1, T L Galensky 1, J T Rapp 1
PMCID: PMC1284221  PMID: 10738951

Abstract

We analyzed and treated the finger sucking of 2 developmentally typical children aged 7 and 10 years. The functional analysis revealed that the finger sucking of both children was exhibited primarily during alone conditions, suggesting that the behavior was maintained by automatic reinforcement. An extended analysis provided support for this hypothesis and demonstrated that attenuation of stimulation produced by the finger sucking resulted in behavior reductions for both children. Treatment consisted of having each child wear a glove on the relevant hand during periods when he or she was alone. Use of the glove produced zero levels of finger sucking for 1 participant, whereas only moderate reductions were obtained for the other. Subsequently, an awareness enhancement device was used that produced an immediate reduction in finger sucking.

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Selected References

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  1. Friman P. C., McPherson K. M., Warzak W. J., Evans J. Influence of thumb sucking on peer social acceptance in first-grade children. Pediatrics. 1993 Apr;91(4):784–786. [PubMed] [Google Scholar]
  2. Friman P. C., Schmitt B. D. Thumb sucking: pediatricians' guidelines. Clin Pediatr (Phila) 1989 Oct;28(10):438–440. doi: 10.1177/000992288902801001. [DOI] [PubMed] [Google Scholar]
  3. Goh H. L., Iwata B. A., Shore B. A., DeLeon I. G., Lerman D. C., Ulrich S. M., Smith R. G. An analysis of the reinforcing properties of hand mouthing. J Appl Behav Anal. 1995 Fall;28(3):269–283. doi: 10.1901/jaba.1995.28-269. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Infante P. F. An epidemiologic study of finger habits in preschool children, as related to malocclusion, socioeconomic status, race, sex, and size of community. ASDC J Dent Child. 1976 Jan-Feb;43(1):33–38. [PubMed] [Google Scholar]
  5. Iwata B. A., Dorsey M. F., Slifer K. J., Bauman K. E., Richman G. S. Toward a functional analysis of self-injury. J Appl Behav Anal. 1994 Summer;27(2):197–209. doi: 10.1901/jaba.1994.27-197. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Iwata B. A., Pace G. M., Cowdery G. E., Miltenberger R. G. What makes extinction work: an analysis of procedural form and function. J Appl Behav Anal. 1994 Spring;27(1):131–144. doi: 10.1901/jaba.1994.27-131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kennedy C. H., Souza G. Functional analysis and treatment of eye poking. J Appl Behav Anal. 1995 Spring;28(1):27–37. doi: 10.1901/jaba.1995.28-27. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Larsson E. F., Dahlin K. G. The prevalence and the etiology of the initial dummy- and finger-sucking habit. Am J Orthod. 1985 May;87(5):432–435. doi: 10.1016/0002-9416(85)90203-9. [DOI] [PubMed] [Google Scholar]
  9. Luke L. S., Howard L. The effects of thumbsucking on orofacial structures and speech: a review. Compend Contin Educ Dent. 1983 Nov-Dec;4(6):575–579. [PubMed] [Google Scholar]
  10. Mazaleski J. L., Iwata B. A., Rodgers T. A., Vollmer T. R., Zarcone J. R. Protective equipment as treatment for stereotypic hand mouthing: sensory extinction or punishment effects? J Appl Behav Anal. 1994 Summer;27(2):345–355. doi: 10.1901/jaba.1994.27-345. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. doi: 10.1901/jaba.1999.32-119. [DOI] [PMC free article] [Google Scholar]
  12. Piazza C. C., Hanley G. P., Fisher W. W. Functional analysis and treatment of cigarette pica. J Appl Behav Anal. 1996 Winter;29(4):437–450. doi: 10.1901/jaba.1996.29-437. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Rapp J. T., Miltenberger R. G., Galensky T. L., Ellingson S. A., Long E. S. A functional analysis of hair pulling. J Appl Behav Anal. 1999 Fall;32(3):329–337. doi: 10.1901/jaba.1999.32-329. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Rapp J. T., Miltenberger R. G., Long E. S. Augmenting simplified habit reversal with an awareness enhancement device: preliminary findings. J Appl Behav Anal. 1998 Winter;31(4):665–668. doi: 10.1901/jaba.1998.31-665. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Reid D. A., Price A. H. Digital deformities and dental malocclusion due to finger sucking. Br J Plast Surg. 1984 Oct;37(4):445–452. doi: 10.1016/0007-1226(84)90128-0. [DOI] [PubMed] [Google Scholar]
  16. Roscoe E. M., Iwata B. A., Goh H. L. A comparison of noncontingent reinforcement and sensory extinction as treatments for self-injurious behavior. J Appl Behav Anal. 1998 Winter;31(4):635–646. doi: 10.1901/jaba.1998.31-635. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. TRAISMAN A. S., TRAISMAN H. S. Thumb- and finger-sucking: a study of 2,650 infants and children. J Pediatr. 1958 May;52(5):566–572. doi: 10.1016/s0022-3476(58)80034-7. [DOI] [PubMed] [Google Scholar]
  18. Watson T. S., Allen K. D. Elimination of thumb-sucking as a treatment for severe trichotillomania. J Am Acad Child Adolesc Psychiatry. 1993 Jul;32(4):830–834. doi: 10.1097/00004583-199307000-00019. [DOI] [PubMed] [Google Scholar]

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