Article |


Am J Dis Child. 1991;145(8):846. doi:10.1001/archpedi.1991.02160080019006.
Text Size: A A A
Published online

In Reply.—I appreciate Dr Lubicky's interest in my study of concurrent habits, but he has misunderstood it in two ways. First, it was not a study of thumb-sucking per se, but rather of covariation between chronic thumb-sucking and object attachment (ie, the "Linus" syndrome). To study this covariation, I treated thumb-sucking and measured, but did not treat, attachment. I followed guidelines derived from a thorough literature review for treatment of thumb-sucking.1,2 These guidelines recommend that only children aged 5 years or older be treated to reduce thumb-sucking, and then only if the habit is chronic (ie, occurs in more than one environment, such as at home and at school). Thumb-sucking is common in young children, but chronic thumb-sucking in children aged 5 years and older is not. No incidence figures are available, but my estimate, based on 9 years of research on thumb-sucking, is that about 5% to


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.