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Lamm K, Kristensson Hallström I, Landgren K. Parents' experiences of living with a child with Paediatric Feeding Disorder: An interview study in Sweden. Scand J Caring Sci 2023; 37:949-958. [PMID: 35142385 DOI: 10.1111/scs.13070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 12/20/2021] [Accepted: 01/23/2022] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Children affected by Paediatric Feeding Disorder (PFD) cannot consume enough nourishment by mouth. PFD is highly prevalent and can affect the child's growth and development as well as family life. AIM To illuminate Swedish parents' experiences of living with a child with PFD. METHOD Semi-structured interviews via telephone or video calls were conducted with 14 purposefully recruited mothers and six fathers. The interviews were analysed using content analysis. Ethics approval was obtained, and the parents all gave informed consent. RESULTS Four overarching themes emerged: Living with stress; Advocating for the child; Adapting family life; and Gaining hope. Parents described fearing for their child's life and health, feeling pressure over meals and being emotionally affected. They told of experiencing a lack of understanding from healthcare professionals, friends and family. Parents expressed a struggle for help, the need for early interventions and more effective treatment, and developed strategies for coping with the demands of feeding and caring for their child, accepting their living reality. Finding support from a network helped, but the adaptation of daily life affected their family relations. They felt gratitude towards helpful professionals and relief and joy when their child was doing better. CONCLUSIONS A more cohesive chain of care is important for children with PFD, and guidelines and educational support for healthcare providers are needed. Parental experiences provide a base for knowledge for further development of early detection and intervention for children with PFD.
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Affiliation(s)
- Kajsa Lamm
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
| | | | - Kajsa Landgren
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
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Chee Din MA, Mohd Fahmi Teng NI, Abdul Manaf Z. Maternal depression and child feeding practices: Determinants to malnutrition among young children in Malaysian rural area. WOMEN'S HEALTH (LONDON, ENGLAND) 2023; 19:17455057221147800. [PMID: 36633122 PMCID: PMC9982386 DOI: 10.1177/17455057221147800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
BACKGROUND Maternal depression may affect child feeding practices and growth. OBJECTIVE The objective of this study is to determine the relationship between child feeding practices and current maternal depression with malnutrition among young children in a rural community. METHODS This is a case-control study consisting of 52 Malay mothers of malnourished children (case) and 50 Malay mothers of well-nourished children (control) in Kuala Langat, Selangor, Malaysia. Structured questionnaires on child feeding practices and Beck Depression Inventory: Second Edition questionnaire were distributed to mothers. RESULTS Depressed mothers stopped exclusive breastfeeding (2.8 ± 2.1 months) earlier than non-depressed mothers (3.7 ± 2.0 months; p = 0.045). Binary logistic regression analysis showed current maternal depression was a primary contributor associated with risk of malnutrition in children (adjusted odds ratio: 2.5, 95% confidence interval: 1.08-6.09), and followed by the number of children (adjusted odds ratio: 1.3, 95% confidence interval: 1.02-1.77). CONCLUSION Mothers who experienced depression were twice as likely to have malnourished children. Each additional child in the family will increase the risk of malnutrition by 1.3 times. Maternal depression is associated with child feeding practices and malnutrition among young children in the studied population. Preliminary screening to identify depression symptoms should be conducted to all mothers as early as the first trimester to prevent the incidence of malnutrition in children.
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Affiliation(s)
- Maizatul Azlina Chee Din
- Centre for Dietetics Studies, Maternal,
Infant and Young Child (MiCHILD) Research Group, Faculty of Health Sciences,
Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia,Non-Communicable Disease Section,
Disease Control Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Nur Islami Mohd Fahmi Teng
- Centre for Dietetics Studies, Maternal,
Infant and Young Child (MiCHILD) Research Group, Faculty of Health Sciences,
Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia,Nur Islami Mohd Fahmi Teng, Centre for
Dietetics Studies, Maternal, Infant and Young Child (MiCHILD) Research Group,
Faculty of Health Sciences, Universiti Teknologi MARA, Cawangan Selangor, Kampus
Puncak Alam, Bandar Puncak Alam, Selangor 42300, Malaysia.
| | - Zahara Abdul Manaf
- Dietetic Programme, Centre for Healthy
Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia,
Kuala Lumpur, Malaysia
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Culpin I, Hammerton G, Bornstein MH, Heron J, Evans J, Cadman T, Sallis HM, Tilling K, Stein A, Kwong AS, Pearson RM. Maternal postnatal depression and offspring depression at age 24 years in a UK-birth cohort: the mediating role of maternal nurturing behaviours concerning feeding, crying and sleeping. Wellcome Open Res 2022; 6:187. [PMID: 36312455 PMCID: PMC9585356 DOI: 10.12688/wellcomeopenres.17006.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/12/2022] [Indexed: 11/20/2022] Open
Abstract
Background: Maternal postnatal depression (PND) is a risk factor for offspring depression in adulthood. However, few longitudinal studies have examined the role of maternal nurturing parenting behaviours in the association between maternal PND and offspring depression in adulthood. Methods: We examined pathways from maternal PND measured using self-reported Edinburgh Postnatal Depression Scale at 8 weeks to offspring ICD-10 depression diagnosed using the Clinical Interview Schedule-Revised computerised assessment at 24 years through maternal-reported nurturing behaviours concerning feeding, sleeping and crying measured from pregnancy to age 3 years 6 months in 5,881 members of the UK-based birth cohort study, the Avon Longitudinal Study of Parents and Children. Results: The fully adjusted model revealed an indirect effect from PND to adult offspring depression through the combination of all parenting factors (probit regression coefficient [ B]=0.038, 95% confidence interval [CI] 0.005, 0.071); however, there was no evidence of a direct effect from early maternal PND to offspring depression once the indirect effect via parenting factors was accounted for ( B=0.009, 95%CI -0.075, 0.093). Specificity analyses revealed indirect effects through maternal worries about feeding ( B=0.019, 95%CI 0.003, 0.035, p=0.010) and maternal perceptions and responses to crying ( B=0.018, 95%CI 0.004, 0.032, p=0.012). Conclusions: The adverse impact of maternal PND on offspring depression in early adulthood was explained by maternal nurturing behaviours concerning feeding, crying and sleeping in early childhood. Residual confounding and measurement error likely limit reliable conclusions. If found causal, interventions providing support to reduce worries around maternal nurturing behaviours and treating depression could reduce adverse outcomes in adult offspring of depressed mothers.
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Affiliation(s)
- Iryna Culpin
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
| | - Gemma Hammerton
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS82BN, UK
| | - Marc H. Bornstein
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Child Health and Human Development, Bethesda, MD, USA
- Institute for Fiscal Studies, Institute for Fiscal Studies, London, UK
| | - Jon Heron
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS82BN, UK
- NIHR Biomedical Research Centre, University of Bristol, Bristol, UK
| | - Jonathan Evans
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- NIHR Biomedical Research Centre, University of Bristol, Bristol, UK
| | - Tim Cadman
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS82BN, UK
| | - Hannah M. Sallis
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS82BN, UK
- School of Psychological Science, University of Bristol, Bristol, UK
| | - Kate Tilling
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS82BN, UK
- NIHR Biomedical Research Centre, University of Bristol, Bristol, UK
| | - Alan Stein
- Department of Psychiatry, Medical Sciences Division, University of Oxford, Oxford, UK
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Alex S.F. Kwong
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
| | - Rebecca M. Pearson
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- NIHR Biomedical Research Centre, University of Bristol, Bristol, UK
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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Perez A, Göbel A, Stuhrmann LY, Schepanski S, Singer D, Bindt C, Mudra S. Born Under COVID-19 Pandemic Conditions: Infant Regulatory Problems and Maternal Mental Health at 7 Months Postpartum. Front Psychol 2022; 12:805543. [PMID: 35153928 PMCID: PMC8826543 DOI: 10.3389/fpsyg.2021.805543] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Accepted: 12/09/2021] [Indexed: 11/24/2022] Open
Abstract
Background The SARS-COVID-19 pandemic and its associated disease control restrictions have in multiple ways affected families with young children, who may be especially vulnerable to mental health problems. Studies report an increase in perinatal parental distress as well as symptoms of anxiety or depression in children during the pandemic. Currently, little is known about the impact of the pandemic on infants and their development. Infant regulatory problems (RPs) have been identified as early indicators of child socio-emotional development, strongly associated with maternal mental health and the early parent–infant interaction. Our study investigates whether early parenthood under COVID-19 is associated with more maternal depressive symptoms and with a perception of their infants as having more RPs regarding crying/fussing, sleeping, or eating, compared to mothers assessed before the pandemic. Methods As part of a longitudinal study, 65 women who had given birth during the first nationwide disease control restrictions in Northern Germany, were surveyed at 7 months postpartum and compared to 97 women assessed before the pandemic. RPs and on maternal depressive symptoms were assessed by maternal report. Number of previous children, infant negative emotionality, and perceived social support were assessed as control variables. Results Compared to the control cohort, infants born during the COVID-19 pandemic and those of mothers with higher depressive symptoms were perceived as having more sleeping and crying, but not more eating problems. Regression-based analyses showed no additional moderating effect of parenthood under COVID-19 on the association of depressive symptoms with RPs. Infant negative emotionality was positively, and number of previous children was negatively associated with RPs. Limitations Due to the small sample size and cross-sectional assessment, the possibility for more complex multivariate analysis was limited. The use of parent-report questionnaires to assess infant RPs can support but not replace clinical diagnosis. Conclusions The pandemic conditions affecting everyday life may have a long-term influence on impaired infant self- and maternal co-regulation and on maternal mental health. This should be addressed in peripartum and pediatric care. Qualitative and longitudinal studies focusing on long-term parental and infant outcomes under ongoing pandemic conditions are encouraged.
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Affiliation(s)
- Anna Perez
- Division of Neonatology and Pediatric Intensive Care, Center for Obstetrics and Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Ariane Göbel
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Lydia Yao Stuhrmann
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Steven Schepanski
- Division of Experimental Feto-Maternal Medicine, Department of Obstetrics and Fetal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.,Institute of Developmental Neurophysiology, Center for Molecular Neurobiology Hamburg (ZMNH), University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Dominique Singer
- Division of Neonatology and Pediatric Intensive Care, Center for Obstetrics and Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Carola Bindt
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Susanne Mudra
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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Ross CF, Surette VA, Bernhard CB, Smith-Simpson S, Lee J, Russell CG, Keast R. Development and application of specific questions to classify a child as food texture sensitive. J Texture Stud 2021; 53:3-17. [PMID: 34435671 DOI: 10.1111/jtxs.12627] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Revised: 07/30/2021] [Accepted: 08/05/2021] [Indexed: 11/26/2022]
Abstract
Understanding food texture sensitivity in children is important in guiding food selection. The objective of this work was to develop a short questionnaire that could be completed by parents in nonclinical settings to provide a categorization for food texture sensitivity in children. This study evaluated the distribution of children as texture sensitive (TS) or non-texture sensitive (NTS) and the predictive validity of these questions to explain rejection of specific food textures. Three sets of survey data were examined, including data from a home-use test (HUT) in children with and without Down syndrome (DS), and lingual tactile sensitivity measured by grating orientation task (GOT). From three parent-completed surveys, the use of the questionnaire yielded a similar distribution of children in the TS category (16-22%) as previously reported. TS children (4-36 months) were more likely to reject specific food textures, including chewy, hard, lumpy, and "tough meat" (p < .05). A higher percentage of children with a diagnosis of DS were TS (36.9%). Children who were TS showed increased negative behaviors to foods and ate less than NTS children. In older children (5-12 years), TS children were fussier than NTS children (p < .001). Lingual tactile sensitivity was not significantly different by TS/NTS categorization (p = .458). This study demonstrated that the use of these five questions specific to food texture provides a useful tool in categorizing a child as TS/NTS, with this information being useful in selecting preferred food textures. Future studies involving these TS questions should perform psychometric assessments and measures of criterion validity using other questionnaires.
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Affiliation(s)
- Carolyn F Ross
- School of Food Science, Washington State University, Pullman, Washington, USA
| | - Victoria A Surette
- School of Food Science, Washington State University, Pullman, Washington, USA
| | - Charles B Bernhard
- School of Food Science, Washington State University, Pullman, Washington, USA
| | | | - Jookyeong Lee
- CASS Food Research Centre, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia
| | - Catherine G Russell
- CASS Food Research Centre, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia
| | - Russell Keast
- CASS Food Research Centre, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia
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6
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Culpin I, Hammerton G, Bornstein MH, Heron J, Evans J, Cadman T, Sallis HM, Tilling K, Stein A, Kwong AS, Pearson RM. Maternal postnatal depression and offspring depression at age 24 years in a UK-birth cohort: the mediating role of maternal nurturing behaviours concerning feeding, crying and sleeping. Wellcome Open Res 2021; 6:187. [PMID: 36312455 PMCID: PMC9585356 DOI: 10.12688/wellcomeopenres.17006.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/05/2021] [Indexed: 11/20/2022] Open
Abstract
Background: Maternal postnatal depression (PND) is a risk factor for offspring depression in adulthood. However, few longitudinal studies have examined the role of maternal nurturing parenting behaviours in the association between maternal PND and offspring depression in adulthood. Methods: We examined pathways from maternal PND measured using self-reported Edinburgh Postnatal Depression Scale at 8 weeks to offspring ICD-10 depression diagnosed using the Clinical Interview Schedule-Revised computerised assessment at 24 years through maternal-reported nurturing behaviours concerning feeding, sleeping and crying measured from pregnancy to age 3 years 6 months in 5,881 members of the UK-based birth cohort study, the Avon Longitudinal Study of Parents and Children. Results: The fully adjusted model revealed an indirect effect from PND to adult offspring depression through the combination of all parenting factors (probit regression coefficient [ B]=0.038, 95% confidence interval [CI] 0.005, 0.071); however, there was no evidence of a direct effect from early maternal PND to offspring depression once the indirect effect via parenting factors was accounted for ( B=0.009, 95%CI -0.075, 0.093). Specificity analyses revealed indirect effects through maternal worries about feeding ( B=0.019, 95%CI 0.003, 0.035, p=0.010) and maternal perceptions and responses to crying ( B=0.018, 95%CI 0.004, 0.032, p=0.012). Conclusions: The adverse impact of maternal PND on offspring depression in early adulthood was explained by maternal nurturing behaviours concerning feeding, crying and sleeping in early childhood. Residual confounding and measurement error likely limit reliable conclusions. If found causal, interventions providing support to reduce worries around maternal nurturing behaviours and treating depression could reduce adverse outcomes in adult offspring of depressed mothers.
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Affiliation(s)
- Iryna Culpin
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
| | - Gemma Hammerton
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS82BN, UK
| | - Marc H. Bornstein
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Child Health and Human Development, Bethesda, MD, USA
- Institute for Fiscal Studies, Institute for Fiscal Studies, London, UK
| | - Jon Heron
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS82BN, UK
- NIHR Biomedical Research Centre, University of Bristol, Bristol, UK
| | - Jonathan Evans
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- NIHR Biomedical Research Centre, University of Bristol, Bristol, UK
| | - Tim Cadman
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS82BN, UK
| | - Hannah M. Sallis
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS82BN, UK
- School of Psychological Science, University of Bristol, Bristol, UK
| | - Kate Tilling
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol, BS82BN, UK
- NIHR Biomedical Research Centre, University of Bristol, Bristol, UK
| | - Alan Stein
- Department of Psychiatry, Medical Sciences Division, University of Oxford, Oxford, UK
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Alex S.F. Kwong
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
| | - Rebecca M. Pearson
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS82BN, UK
- NIHR Biomedical Research Centre, University of Bristol, Bristol, UK
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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Haycraft E, Witcomb GL, Farrow C. The Child Feeding Guide: A digital health intervention for reducing controlling child feeding practices and maternal anxiety over time. NUTR BULL 2020. [DOI: 10.1111/nbu.12445] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- E. Haycraft
- School of Sport, Exercise and Health Sciences Loughborough University Loughborough UK
| | - G. L. Witcomb
- School of Sport, Exercise and Health Sciences Loughborough University Loughborough UK
| | - C. Farrow
- School of Life and Health Sciences Aston University Birmingham UK
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8
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Qu G, Wang L, Tang X, Wu W, Zhang J, Sun Y. Association between caregivers' anxiety and depression symptoms and feeding difficulties of preschool children: A cross-sectional study in rural China. Arch Pediatr 2019; 27:12-17. [PMID: 31784294 DOI: 10.1016/j.arcped.2019.11.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 08/20/2019] [Accepted: 11/11/2019] [Indexed: 12/18/2022]
Abstract
PURPOSE To investigate the prevalence of feeding difficulties in preschool children and explore the association between caregivers' anxiety and depression symptoms and preschool children's feeding difficulties. METHODS This cross-sectional study was conducted between June 2017 and January 2018 in rural areas of Anhui province, China. A total of 2231 preschool children and their caregivers were interviewed. Feeding difficulties of preschool children were reported by caregivers using the adapted Identification and Management of Feeding Difficulties (IMFeD) tool. Anxiety and depression symptoms of caregivers were evaluated via the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS). RESULTS In total, 54.1% of preschool children were reported to have feeding difficulties by their caregivers. Among all children, when the caregivers had symptoms of anxiety or depression, the children had a higher risk of feeding difficulties. Specifically, for caregivers' anxiety symptoms, the odds ratios (ORs) of feeding difficulties in all children, left-behind children (LBC), and non-LBC were 1.91 (95% confidence interval [CI]: 1.42-2.57), 2.04 (95% CI: 1.34-3.09), and 1.86 (95% CI: 1.21-2.87), respectively; for caregivers' depression symptoms, the ORs of feeding difficulties in all children, LBC, and non-LBC were 1.86 (95% CI: 1.46-2.39), 1.76 (95% CI: 1.24-2.51), and 2.08 (95% CI: 1.45-2.97), respectively. In addition, when caregivers who were parents or grandparents had anxiety or depression symptoms, their children had a higher risk of feeding difficulties. Specifically, for parents and grandparents with anxiety symptoms, the ORs of feeding difficulties were 1.84 (95% CI: 1.14-2.98) and 2.17 (95% CI: 1.46-3.22), respectively; for parents and grandparents with depression symptoms, the ORs of feeding difficulties were 2.03 (95% CI: 1.40-2.95) and 1.93 (95% CI: 1.37-2.73), respectively. CONCLUSION Caregivers' anxiety or depression symptoms are positively associated with feeding difficulties in children.
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Affiliation(s)
- G Qu
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan road, 230032 Hefei, Anhui, China
| | - L Wang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan road, 230032 Hefei, Anhui, China
| | - X Tang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan road, 230032 Hefei, Anhui, China
| | - W Wu
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan road, 230032 Hefei, Anhui, China
| | - J Zhang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan road, 230032 Hefei, Anhui, China; Department of Neonatology, Children's Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Y Sun
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan road, 230032 Hefei, Anhui, China; Center for Evidence-Based Practice, Anhui Medical University, No. 81 Meishan road, 230032 Hefei, Anhui, China.
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9
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Haycraft E. Mental health symptoms are related to mothers' use of controlling and responsive child feeding practices: A replication and extension study. Appetite 2019; 147:104523. [PMID: 31756410 DOI: 10.1016/j.appet.2019.104523] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 10/21/2019] [Accepted: 11/17/2019] [Indexed: 11/15/2022]
Abstract
Parents have an important role in feeding their children. Parents' child feeding practices can be influenced by numerous factors. The presence of mental health symptoms can be associated with more controlling, less sensitive parent-child feeding interactions. However, it is not known whether mental health symptoms are related to parents' use of responsive, more autonomy supportive feeding practices which are important for promoting children's healthy eating habits. This study therefore aimed to examine the relationships between mental health symptoms and the use of controlling and responsive child feeding practices. A community sample of 415 UK mothers with a child age 2-4 years took part. They completed self-report measures of their levels of anxiety, depression and disordered eating behaviours as well as a comprehensive measure of their child feeding practices. The presence of mental health symptoms was significantly associated with greater self-reported use of controlling feeding practices, such as more restriction for weight control and using food as a reward. Maternal symptoms of anxiety and depression were related to lower use of modelling and monitoring but to giving children more control around food. Mothers' restrained and external eating behaviours were associated with greater use of several responsive feeding practices, including encouraging balance and variety, involvement, and teaching about nutrition. Together, these findings highlight the broad impact that mental health symptoms can have on mothers' controlling and responsive child feeding interactions. Interventions to support families to promote healthy child eating habits need to be aware of the role of even fairly mild, non-clinical levels of mental health symptoms on maternal sensitivity and involvement in feeding their children.
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Affiliation(s)
- Emma Haycraft
- School of Sport, Exercise and Health Sciences, Loughborough University, UK.
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11
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Webb HJ. Maternal self-rated health and psychological distress predict early feeding difficulties: Results from the longitudinal study of Australian children. Int J Eat Disord 2018; 51:1312-1321. [PMID: 30488588 DOI: 10.1002/eat.22971] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 09/24/2018] [Accepted: 09/26/2018] [Indexed: 12/21/2022]
Abstract
BACKGROUND Drawing from the extended UNICEF model of children's eating and weight problems and growing empirical evidence, exposure to adversity may place mothers at increased risk for child feeding difficulties. AIM The aim of the present study of a community sample of mothers was to examine whether maternal psychological distress, exposure to stressful events, and poor self-rated health in their child's first year of life were associated with breastfeeding duration, as well as concurrent and prospective feeding problems. MATERIALS & METHODS Participants were 5107 Australian mother-child dyads from the infant cohort of the Longitudinal Study of Australian Children (LSAC). Data for the present study was drawn from questionnaires completed by the mother at Wave 1 and Wave 2 (conducted 2 years apart). On average, at Wave 1, mothers and children (51% male) were aged 31 years and 9 months, respectively; while at Wave 2 their ages were 33 years and 34 months, respectively. RESULTS Maternal psychological distress and poorer self-rated health were uniquely predictive of concurrent and prospective child feeding difficulties, while poorer self-rated health was also concurrently associated with a shorter duration of breastfeeding. DISCUSSION These findings suggest that poorer maternal functioning poses a significant risk for early child feeding difficulties, and highlights the potential benefit of screening and early intervention for mothers experiencing emotional and physical health problems. CONCLUSION Further research is needed that takes a broad view of maternal functioning, and examines reciprocal interactions between maternal and child characteristics in understanding the development of child feeding problems.
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Affiliation(s)
- Haley J Webb
- School of Applied Psychology & Menzies Health Institute of Queensland, Griffith University, Gold Coast, Australia
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The Stability and Continuity of Maternally Reported and Observed Child Eating Behaviours and Feeding Practices across Early Childhood. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15051017. [PMID: 29783638 PMCID: PMC5982056 DOI: 10.3390/ijerph15051017] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Revised: 05/11/2018] [Accepted: 05/11/2018] [Indexed: 12/02/2022]
Abstract
Given that many eating behaviours and food preferences develop early in childhood and track across childhood, adolescence and into adulthood, interest has grown in the developmental trajectory of these behaviours. The aims of this study were twofold. First, to explore whether maternal reports of child eating behaviour and feeding practices are validated by independent observations of these constructs. Second, to explore the continuity and stability of both maternally reported and independently observed child eating behaviours and maternal feeding practices during early childhood. Sixty-five mothers completed measures of their child’s eating behaviour and their own feeding practices and mother–child dyads were observed during a family mealtime at approximately 3 and 4 years of age. Maternal reports of their child’s eating behaviours were validated by independent observations, however maternally reported feeding practices were not validated by observations of these behaviours. Maternally reported and independently observed child eating behaviours and parental feeding practices remained stable and showed continuity between 3 and 4 years of age, with the exception of child difficulty to feed and maternal pressure to eat which both significantly decreased over time. Findings provide an insight into the validity of maternal reports of fussy eating behaviour and parental feeding practices and the developmental trajectory of these behaviours across early childhood.
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Marduel Boulanger A, Vernet M. Introduction of new food textures during complementary feeding: Observations in France. Arch Pediatr 2018; 25:6-12. [DOI: 10.1016/j.arcped.2017.10.025] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2015] [Revised: 05/06/2017] [Accepted: 10/26/2017] [Indexed: 11/26/2022]
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14
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Evans S, Daly A, MacDonald J, Pinto A, MacDonald A. Fifteen years of using a second stage protein substitute for weaning in phenylketonuria: a retrospective study. J Hum Nutr Diet 2017; 31:349-356. [PMID: 28940742 DOI: 10.1111/jhn.12510] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND In phenylketonuria (PKU), during weaning, it is necessary to introduce a second stage phenylalanine (Phe)-free protein substitute (PS) to help meet non-Phe protein requirements. Semi-solid weaning Phe-free PS have been available for >15 years, although no long-term studies have reported their efficacy. METHODS Retrospective data from 31 children with PKU who commenced a weaning PS were collected from clinical records from age of weaning to 2 years, on: gender; birth order; weaning age; anthropometry; blood Phe levels; age commenced and dosage of weaning PS and Phe-free infant L-amino acid formula; natural protein intake; and issues with administration of PS or food. RESULTS Median commencement age for weaning was 17 weeks (range 12-25 weeks) and, for weaning PS, 20 weeks (range 13-37 weeks). Median natural protein was 4 g day-1 (range 3-11 g day-1 ) and total protein intake was >2 g kg-1 day-1 from weaning to 2 years of age. Children started on 2-4 g day-1 protein equivalent (5-10 g day-1 of powder) from weaning PS, increasing by 0.2 g kg-1 day-1 (2 g day-1 ) monthly to 12 months of age. Teething and illness adversely affected the administration of weaning PS and the acceptance of solid foods. Altogether, 32% of children had delayed introduction of more textured foods, associated with birth order (firstborn 80% versus 38%; P = 0.05) and food refusal when teething (80% versus 29%; P = 0.02). CONCLUSIONS Timing of introduction of solid foods and weaning PS, progression onto more textured foods and consistent feeding routines were important in aiding their acceptance. Any negative behaviour with weaning PS was mainly associated with food refusal, teething and illness. Parental approach influenced the acceptance of weaning PS.
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Affiliation(s)
- S Evans
- Dietetic Department, Birmingham Children's Hospital, Birmingham, UK
| | - A Daly
- Dietetic Department, Birmingham Children's Hospital, Birmingham, UK
| | - J MacDonald
- Dietetic Department, Birmingham Children's Hospital, Birmingham, UK
| | - A Pinto
- Dietetic Department, Birmingham Children's Hospital, Birmingham, UK
| | - A MacDonald
- Dietetic Department, Birmingham Children's Hospital, Birmingham, UK
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Abstract
PURPOSE OF REVIEW A sensitive period in development is one in which it is easier for learning to take place; the behaviour can however still be learned at a later stage, but with more difficulty. This is in contrast to a critical period, a time at which a behaviour must be learned, and if this window of opportunity is missed, then the behaviour can never be acquired. Both might determine food acceptance in childhood. RECENT FINDINGS There is evidence to support the idea of a sensitive period for the introduction of tastes, a critical period for the introduction of textures and for the development of oral motor function, and a possible critical period for the introduction of new foods but only in children where there is an innate disposition to develop early and extreme disgust responses. SUMMARY There are both sensitive and critical periods in the acquisition of food preferences.
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Affiliation(s)
- Gillian Harris
- School of Psychology, University of Birmingham, Birmingham, UK
| | - Sarah Mason
- School of Psychology, University of Birmingham, Birmingham, UK
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Dömötör S, Cserép M. Treatment methods of avoidant/restrictive food intake disorder: Review with therapeutic implications. PSIHIJATRIJA DANAS 2017. [DOI: 10.5937/psihdan1701005d] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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17
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Complementary Feeding Strategies to Facilitate Acceptance of Fruits and Vegetables: A Narrative Review of the Literature. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:ijerph13111160. [PMID: 27869776 PMCID: PMC5129370 DOI: 10.3390/ijerph13111160] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Revised: 11/15/2016] [Accepted: 11/16/2016] [Indexed: 12/17/2022]
Abstract
Complementary feeding (CF), which should begin after exclusive breastfeeding for six months, according to the World Health Organization (WHO), or after four months and before six months according to the European Society for Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN), is a period when the infant implicitly learns what, when, how, and how much to eat. At the onset of CF, the brain and the gut are still developing and maturing, and food experiences contribute to shaping brain connections involved in food hedonics and in the control of food intake. These learning processes are likely to have a long-term impact. Children’s consumption of fruit and vegetables (FV) is below recommendations in many countries. Thus, it is crucial to establish preferences for FV early, when infants are learning to eat. The development of food preferences mainly starts when infants discover their first solid foods. This narrative review summarizes the factors that influence FV acceptance at the start of the CF period: previous milk feeding experience; timing of onset of CF; repeated exposures to the food; variety of foods offered as of the start of the CF period; quality and sensory properties of the complementary foods; quality of the meal time context; and parental responsive feeding.
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18
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Coulthard H, Harris G, Fogel A. Association between tactile over-responsivity and vegetable consumption early in the introduction of solid foods and its variation with age. MATERNAL & CHILD NUTRITION 2016; 12:848-59. [PMID: 26792423 PMCID: PMC6860046 DOI: 10.1111/mcn.12228] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2015] [Revised: 08/29/2015] [Accepted: 09/03/2015] [Indexed: 12/25/2022]
Abstract
The main aim of the current study was to test the hypothesis that early reactions to a vegetable in infants may be associated with sensory processing, in particular, tactile over-responsivity. A secondary aim was to see whether the relationship between sensory over-responsivity and vegetable consumption would be moderated by the age of the infant. A sample of 61 infants was recruited from children's centres and playgroups in South Birmingham, UK. Infant's acceptance of carrot was measured in grams during the first week of complementary feeding in one testing situation. Mothers filled in self-report measures of infant sensory processing, as well as their own fruit and vegetable consumption. Infant carrot consumption in the first week of solid food consumption was negatively associated with total sensory over-responsivity across different sensory domains (P < 0.01). Across the sensory domains only tactile over-responsivity predicted carrot consumption, accounting for 10.7% of the variance in consumption scores. Across the sample as a whole, the relationship between carrot consumption and tactile over-responsivity varied according to the age of introduction to solid foods. In particular, those who were weaned later and had high tactile over-responsivity ate less carrot (P < 0.001). Infants who were weaned early ate a similar amount of carrot, regardless of their tactile responsivity (P > 0.05). This study constitutes some of the first evidence to suggest that sensory processing styles be associated with early vegetable acceptance; however, more research is needed to evaluate the best strategies to use when feeding infants who are sensitive to tactile information.
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Affiliation(s)
- Helen Coulthard
- Division of Psychology, Faculty of Health and Life Sciences, Hawthorn Building, De Montfort University, Leicester, LE1 9BH, UK.
| | - Gillian Harris
- School of Psychology, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK
| | - Anna Fogel
- School of Psychology, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK
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19
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de Barse LM, Cardona Cano S, Jansen PW, Jaddoe VVW, Verhulst FC, Franco OH, Tiemeier H, Tharner A. Are parents' anxiety and depression related to child fussy eating? Arch Dis Child 2016; 101:533-538. [PMID: 26916538 DOI: 10.1136/archdischild-2015-309101] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2015] [Accepted: 01/09/2016] [Indexed: 12/19/2022]
Abstract
OBJECTIVE To examine the association between parental anxiety and depression with child fussy eating-that is, consistent rejection of particular food items. DESIGN This study was embedded in Generation R, a prospective cohort from fetal life onwards in the Netherlands. SETTING Population-based. PARTICIPANTS 4746 4-year-old children and their parents. EXPOSURE Parental internalising problems (ie, symptoms of anxiety and depression) were assessed with the Brief Symptoms Inventory during pregnancy and the preschool period (child age 3 years). MAIN OUTCOME MEASURE The food fussiness scale of the Children's Eating Behaviour Questionnaire. RESULTS Maternal anxiety during pregnancy and during the child's preschool period was related to higher food fussiness sum-scores in children. For instance, per point on the anxiety scale in pregnancy, children had on average a 1.02 higher sum-score (95% CI 0.59 to 1.46) on the food fussiness scale, after adjustment for confounders. Likewise, mothers' depressive symptoms at both time points were associated with fussy eating behaviour in their children (eg, in the antenatal period: per point on the depression scale, children had a 0.91 point higher sum-score on the food fussiness scale, 95% CI 0.49 to 1.33). We found largely similar associations between fathers' internalising problems and children's fussy eating. However, fathers' anxiety during the antenatal period was not related to child fussy eating. CONCLUSIONS Maternal and paternal internalising problems were prospectively associated with fussy eating in preschoolers. Healthcare practitioners should be aware that non-clinical symptoms of anxiety and depression in parents are risk factors for child fussy eating.
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Affiliation(s)
- Lisanne M de Barse
- The Generation R Study Group, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.,Department of Epidemiology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands
| | | | - Pauline W Jansen
- Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.,Institute of Psychology, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | - Vincent V W Jaddoe
- The Generation R Study Group, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.,Department of Epidemiology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.,Department of Pediatrics, Erasmus MC-University Medical Center, Rotterdam, The Netherlands
| | - Frank C Verhulst
- Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands
| | - Oscar H Franco
- Department of Epidemiology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands
| | - Henning Tiemeier
- Department of Epidemiology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.,Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.,Department of Psychiatry, Erasmus MC-University Medical Center, Rotterdam, The Netherlands
| | - Anne Tharner
- Department of Epidemiology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.,Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.,Department of Psychology, University of Copenhagen, København K, Denmark
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Harris G, Coulthard H. Early Eating Behaviours and Food Acceptance Revisited: Breastfeeding and Introduction of Complementary Foods as Predictive of Food Acceptance. Curr Obes Rep 2016; 5:113-20. [PMID: 26956951 PMCID: PMC4796330 DOI: 10.1007/s13679-016-0202-2] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Current dietary advice for children is that they should eat at least five portions of fruit and vegetables a day (Department of Health. National Diet and Nutrition Survey, 2014). However, many parents report that children are reluctant to eat vegetables and often fail to comply with the five-a-day rule. In fact, in surveys carried out in areas in the UK, the number of children eating according to the five-a-day rule has been found to be as low as 16 % (Cockroft et al. Public Health Nutr 8(7):861-69, 2005). This narrative review looks at those factors which contribute to food acceptance, especially fruit and vegetables, and how acceptance might be enhanced to contribute to a wider dietary range in infancy and later childhood. The questions we address are whether the range of foods accepted is determined by the following: innate predispositions interacting with early experience with taste and textures, sensitive periods in infancy for introduction, breastfeeding and the pattern of introduction of complementary foods. Our conclusions are that all of these factors affect dietary range, and that both breastfeeding and the timely introduction of complementary foods predict subsequent food acceptance.
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Affiliation(s)
- Gillian Harris
- />School of Psychology, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Helen Coulthard
- />Division of Psychology, De Montfort University, Leicester, LE1 9BH UK
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21
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Abstract
Previous research suggests that parental report of children's feeding corresponds with their child's nutritional intake (Cooke et al., 2006; Ekstein et al., 2010). The current study aimed to determine whether there is a relationship between parental report of children's feeding problems and their child's nutritional intake in a non-clinical population and, in addition, to establish whether parental anxiety (Cooke et al., 2003) can predict whether parental report of feeding problems correspond with the child's intake. Sixty-one parents of children aged two to seven years completed the parent report measure; the Behavioural Paediatric Feeding Assessment Scale as well as a food diary detailing their child's intake, which was analysed using CompEAT nutritional software. They also completed the anxiety subscale of the Hospital Anxiety and Depression Scale. Previous findings of an association between parent report of feeding problems and child's intake (Cooke et al., 2006) were not replicated. However, an association was found between parents' anxiety and their reports of feeding problems. Parental anxiety was also found to independently predict whether parent report of feeding problems matched the child's intake. Findings highlight the importance of a multifactorial approach to understanding childhood feeding difficulties. This requires replication with a clinical sample.
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Affiliation(s)
- Lucy Harvey
- Great Ormond Street Hospital for Children NHS Foundation Trust, UKLoughborough University, UK
| | - Rachel Bryant-Waugh
- Great Ormond Street Hospital for Children NHS Foundation Trust, UKLoughborough University, UK
| | - Beth Watkins
- Great Ormond Street Hospital for Children NHS Foundation Trust, UK
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22
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Benelam B, Gibson-Moore H, Stanner S. Healthy eating for 1-3 year-olds: A food-based guide. NUTR BULL 2015. [DOI: 10.1111/nbu.12134] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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23
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Associations between child emotional eating and general parenting style, feeding practices, and parent psychopathology. Appetite 2014; 80:35-40. [DOI: 10.1016/j.appet.2014.04.017] [Citation(s) in RCA: 70] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2013] [Revised: 03/17/2014] [Accepted: 04/11/2014] [Indexed: 11/21/2022]
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24
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Goulding AN, Rosenblum KL, Miller AL, Peterson KE, Chen YP, Kaciroti N, Lumeng JC. Associations between maternal depressive symptoms and child feeding practices in a cross-sectional study of low-income mothers and their young children. Int J Behav Nutr Phys Act 2014; 11:75. [PMID: 24935753 PMCID: PMC4072610 DOI: 10.1186/1479-5868-11-75] [Citation(s) in RCA: 64] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2014] [Accepted: 06/10/2014] [Indexed: 11/13/2022] Open
Abstract
Background Maternal depression may influence feeding practices important in determining child eating behaviors and weight. However, the association between maternal depressive symptoms and feeding practices has been inconsistent, and most prior studies used self-report questionnaires alone to characterize feeding. The purpose of this study was to identify feeding practices associated with maternal depressive symptoms using multiple methodologies, and to test the hypothesis that maternal depressive symptoms are associated with less responsive feeding practices. Methods In this cross-sectional, observational study, participants (n = 295) included low-income mothers and their 4- to 8-year-old children. Maternal feeding practices were assessed via interviewer-administered questionnaires, semi-structured narrative interviews, and videotaped observations in home and laboratory settings. Maternal depressive symptoms were measured using the Center for Epidemiologic Studies-Depression scale (CES-D). Regression analyses examined associations between elevated depressive symptoms (CES-D score ≥16) and measures of maternal feeding practices, adjusting for: child sex, food fussiness, number of older siblings; and maternal age, body mass index (BMI), education, race/ethnicity, single parent status, perceived child weight, and concern about child weight. Results Thirty-one percent of mothers reported depressive symptoms above the screening cutoff. Mothers with elevated depressive symptoms reported more pressuring of children to eat (β = 0.29; 95% Confidence Interval (CI): 0.03, 0.54) and more overall demandingness (β = 0.16; 95% CI: 0.03, 0.29), and expressed lower authority in child feeding during semi-structured narrative interview (Odds Ratio (OR) for low authority: 2.82; 95% CI: 1.55, 5.12). In homes of mothers with elevated depressive symptoms, the television was more likely audible during meals (OR: 1.91; 95% CI: 1.05, 3.48) and mothers were less likely to eat with children (OR: 0.48; 95% CI: 0.27, 0.85). There were no associations between maternal depressive symptoms and encouragement or discouragement of food in laboratory eating interactions. Conclusions Mothers with elevated depressive symptoms demonstrated less responsive feeding practices than mothers with lower levels of depressive symptoms. These results suggest that screening for maternal depressive symptoms may be useful when counseling on healthy child feeding practices. Given inconsistencies across methodologies, future research should include multiple methods of characterizing feeding practices and direct comparisons of different methodologies.
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Affiliation(s)
| | | | | | | | | | | | - Julie C Lumeng
- Center for Human Growth and Development, University of Michigan, 300 North Ingalls Street, 10th Floor, 48109 Ann Arbor, MI, USA.
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25
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An KJ, Joung YS, Jang BS, Kwon J. The Effects of Multidisciplinary Approach for Children with Feeding Disorder and Failure to Thrive on Their Mothers. Soa Chongsonyon Chongsin Uihak 2014. [DOI: 10.5765/jkacap.2014.25.1.20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Jones C, Bryant-Waugh R. The relationship between child-feeding problems and maternal mental health: a selective review. ACTA ACUST UNITED AC 2013. [DOI: 10.1080/21662630.2013.742972] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Golik T, Avni H, Nehama H, Greenfeld M, Sivan Y, Tauman R. Maternal cognitions and depression in childhood behavioral insomnia and feeding disturbances. Sleep Med 2013; 14:261-5. [DOI: 10.1016/j.sleep.2012.10.025] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2012] [Revised: 10/21/2012] [Accepted: 10/23/2012] [Indexed: 10/27/2022]
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Mitchell GL, Farrow C, Haycraft E, Meyer C. Parental influences on children’s eating behaviour and characteristics of successful parent-focussed interventions. Appetite 2013; 60:85-94. [DOI: 10.1016/j.appet.2012.09.014] [Citation(s) in RCA: 142] [Impact Index Per Article: 12.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2012] [Revised: 08/14/2012] [Accepted: 09/15/2012] [Indexed: 10/27/2022]
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Farrow CV, Coulthard H. Relationships between sensory sensitivity, anxiety and selective eating in children. Appetite 2012; 58:842-6. [DOI: 10.1016/j.appet.2012.01.017] [Citation(s) in RCA: 100] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2011] [Revised: 01/16/2012] [Accepted: 01/17/2012] [Indexed: 11/16/2022]
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Jones C, Bryant-Waugh R. Development and pilot of a group skills-and-support intervention for mothers of children with feeding problems. Appetite 2012; 58:450-6. [DOI: 10.1016/j.appet.2011.12.017] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2011] [Revised: 12/14/2011] [Accepted: 12/23/2011] [Indexed: 11/15/2022]
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Dovey TM, Martin CI. A quantitative psychometric evaluation of an intervention for poor dietary variety in children with a feeding problem of clinical significance. Infant Ment Health J 2012; 33:148-162. [PMID: 28520095 DOI: 10.1002/imhj.21315] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Few studies have been published that offer a quantitative evaluation of interventions for feeding problems of clinical significance. Twenty-four children referred to the service for clinically significant feeding problems were administered the Behavioral Pediatric Feeding Assessment Scale (BPFAS; W. Crist & A. Napier-Phillips, 2001) and the Child Feeding Assessment Questionnaire (CFAQ; G. Harris & I.W. Booth, 1992) before and after a duel targeted 16-week therapeutic intervention to improve dietary variety. Dietary variety was assessed through a food diary where only items that were accepted on more than one occasion were deemed to be part of the child's habitual diet. Results indicated that all subscales of the BPFAS and the CFAQ were responsive to the intervention, with scores falling from those of clinical significance to those more representative of non-feeding-problem children. Regression analysis indicated that children's problem scores on the BPFAS predicted 15% of the variance in increased dietary variety following the intervention. The outcome of this evaluation indicated that improving dietary variety in children with clinically significant feeding problems is challenging. With the right approach, however, large improvements can be observed relatively quickly.
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Affiliation(s)
| | - Clarissa I Martin
- Loughborough University and Staffordshire General Hospital, Stafford, Staffordshire, United Kingdom
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32
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Children's acceptance of new foods at weaning. Role of practices of weaning and of food sensory properties. Appetite 2011; 57:812-5. [DOI: 10.1016/j.appet.2011.05.321] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2011] [Accepted: 05/22/2011] [Indexed: 10/18/2022]
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Powell FC, Farrow CV, Meyer C. Food avoidance in children. The influence of maternal feeding practices and behaviours. Appetite 2011; 57:683-92. [DOI: 10.1016/j.appet.2011.08.011] [Citation(s) in RCA: 90] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2011] [Revised: 08/11/2011] [Accepted: 08/23/2011] [Indexed: 11/25/2022]
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Abstract
OBJECTIVES The relation between gastroesophageal reflux disease (GERD) and maternal psychopathology as well as the role of impairments in mother-child interactions in the perpetuation of feeding problems in children with GERD was previously implicated but not confirmed. The present study aimed to study the relation between maternal psychopathology and feeding problems in children with GERD and the effects of GERD on the psychomotor development of children. SUBJECTS AND METHODS The case group included 39 children with GERD and their mothers and the comparison group included 39 healthy children and their mothers. The groups were matched for age, gestational age, socioeconomic status, and sex. Scales used for the psychiatric assessment of mothers were the Beck Anxiety Inventory, Hamilton Rating Scale for Depression, Eating Attitudes Test, and Experiences in Close Relationships-Revised. The children's developmental levels were assessed by the Brunet-Lezine Revised test. RESULTS Maternal Beck Anxiety Inventory, Hamilton Rating Scale for Depression, Eating Attitudes Test, and Experiences in Close Relationships-Revised scores were significantly higher in the case group. Forced feeding and maternal thoughts of the child's feeding as insufficient were associated with a high level of maternal attachment-related anxiety and avoidance. Children with GERD had significantly lower Brunet-Lezine-Revised scores. CONCLUSIONS Maternal psychopathology, especially insecure attachment, may play a role in the feeding problems in children with GERD. Children with GERD should be examined for maternal psychopathology and feeding problems so that maladaptive feeding behaviors can receive appropriate intervention before the development of negative reinforcement to feeding. The psychomotor development of children should be kept in mind.
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Micali N, Simonoff E, Stahl D, Treasure J. Maternal eating disorders and infant feeding difficulties: maternal and child mediators in a longitudinal general population study. J Child Psychol Psychiatry 2011; 52:800-7. [PMID: 21073463 DOI: 10.1111/j.1469-7610.2010.02341.x] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Maternal eating disorders (ED) have been shown to increase the risk of feeding difficulties in the offspring. Very few studies, however, have investigated whether the effect of a maternal ED on childhood feeding is a direct effect or whether it can be ascribed to other child or maternal factors. We aimed to determine the role of maternal anxiety and depression in mediating the risk for feeding difficulties in infants of women with ED. METHODS A prospective study comparing women with lifetime ED (441) and without any lifetime psychiatric disorder (10,461) and their infants from the Avon Longitudinal Study of Parents and Children (ALSPAC). We investigated the effect of: maternal anxiety and depression in late pregnancy (32 weeks) and the post-partum (8 weeks), child temperament and developmental status on infant feeding difficulties at 1 and 6 months. We also investigated the effect of active pregnancy ED symptoms. We tested 3 models and their fit to the data using structured equation modelling: a direct effect model, a fully mediational model and an integrated (partial meditational) model. RESULTS The integrated model including a direct effect of maternal lifetime ED on infant feeding and a mediational path via maternal distress (a latent variable combining anxiety and depression) fitted the data best. This also applied to maternal pregnancy ED symptoms. Feeding difficulties in turn increased maternal distress over time. CONCLUSIONS Lifetime ED and active pregnancy ED increase the risk for infant feeding difficulties and do so via maternal distress (i.e., depression and anxiety). This has important implications for prevention and early intervention in relation to infant feeding difficulties, as well as for future research in the field.
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Affiliation(s)
- Nadia Micali
- King's College London, Child and Adolescent Psychiatry Department, Institute of Psychiatry, London, UK.
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Aldridge VK, Dovey TM, Martin CI, Meyer C. Identifying clinically relevant feeding problems and disorders. J Child Health Care 2010; 14:261-70. [PMID: 20534637 DOI: 10.1177/1367493510370456] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This paper outlines what is currently understood, and what can be hypothesized about paediatric feeding dysfunctions. The paper highlights the current lack of awareness of psychological factors implicated in infant and child feeding, and promotes a behavioural approach to the identification, referral and treatment of non-organic derived feeding problems and disorders. Potential risk factors to poor feeding development are outlined, and characteristic child and caregiver behaviours which may signify problems with feeding are suggested. The aim of this paper is to promote early identification of these symptoms in frontline healthcare in the hope of increasing early intervention before physical complaints, medical complications and/or disorders arise.
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Affiliation(s)
- Victoria K Aldridge
- Loughborough University Centre for Research into Eating Disorders, Loughborough University, UK.
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38
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Abstract
OBJECTIVE To review the literature related to the current DSM-IV-TR diagnostic criteria for feeding disorder of infancy or early childhood; pica; rumination disorder; and other childhood presentations that are characterized by avoidance of food or restricted food intake, with the purpose of informing options for DSM-V. METHOD Articles were identified by computerized and manual searches and reviewed to evaluate the evidence supporting possible options for revision of criteria. RESULTS The study of childhood feeding and eating disturbances has been hampered by inconsistencies in classification and use of terminology. Greater clarity around subtypes of feeding and eating problems in children would benefit clinicians and patients alike. DISCUSSION A number of suggestions supported by existing evidence are made that provide clearer descriptions of subtypes to improve clinical utility and to promote research.
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Affiliation(s)
- Rachel Bryant-Waugh
- Department of Child and Adolescent Mental Health, Great Ormond Street Hospital for Children NHS Trust, London, United Kingdom.
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39
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Glasheen C, Richardson GA, Fabio A. A systematic review of the effects of postnatal maternal anxiety on children. Arch Womens Ment Health 2010; 13:61-74. [PMID: 19789953 PMCID: PMC3100191 DOI: 10.1007/s00737-009-0109-y] [Citation(s) in RCA: 202] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2009] [Accepted: 09/07/2009] [Indexed: 01/14/2023]
Abstract
Several decades of research have focused on the impact of exposure to postnatal depression on children, while anxiety has been largely overlooked. Estimates of the prevalence of postnatal maternal anxiety (PMA) range from 3% to 43%, suggesting PMA may be an important risk factor for adverse outcomes in children. This review summarizes what is known about the effects of PMA exposure on children and makes recommendations for future research. A systematic search of Ovid MEDLINE and PsychINFO through 2008 identified 18 studies that evaluated child outcomes associated with PMA exposure. Identified studies covered three domains: somatic, developmental, and psychological outcomes. The strongest evidence for an adverse effect of PMA exposure is in somatic and psychological outcomes; the evidence for an effect of PMA on child development is inconclusive. Methodological differences among the studies make comparisons difficult and there are a number of common limitations that challenge the validity of these studies.
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40
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Dovey TM, Isherwood E, Aldridge VK, Martin CI. Typology of Feeding Disorders Based on a Single Assessment System. ACTA ACUST UNITED AC 2010. [DOI: 10.1177/1941406409359350] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The highly individual and complex nature of feeding disorders makes the initial diagnosis and subsequent choice of which management strategy (MS) to employ professionally challenging. This article describes a clinical decision-making model employed and successfully implemented in England. Based on previous case study descriptions and quantitative data, the model offered here also suggests that there may be potential for subtypes of feeding disorders beyond the generic attribution of “feeding disordered” or “not feeding disordered.” To exemplify the current model, a brief description and prevalence breakdown of the types of feeding problems encountered within the authors’ clinical setting was also outlined. Following from these potential subtypes, specific and focused MS were delineated to offer guidance to professionals faced with developing and implementing feeding-based interventions.
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Affiliation(s)
- Terence M. Dovey
- Centre for Research into Eating Disorders (LUCRED),
Department of Human Sciences, Loughborough University, Loughborough, Leicestershire,
United Kingdom,
| | - Elaine Isherwood
- Nutrition and Dietetic Services, Stafford Central Service,
North Walls, Stafford, United Kingdom
| | - Victoria K. Aldridge
- Centre for Research into Eating Disorders (LUCRED),
Department of Human Sciences, Loughborough University, Loughborough, Leicestershire,
United Kingdom
| | - Clarissa I. Martin
- CAMHS Paediatric Psychology Specialty, South Staffordshire & Shropshire NHS FT, Staffordshire General Hospital, Stafford, Staffordshire, United Kingdom
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41
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Ystrom E, Niegel S, Vollrath ME. The impact of maternal negative affectivity on dietary patterns of 18-month-old children in the Norwegian Mother and Child Cohort Study. MATERNAL AND CHILD NUTRITION 2009; 5:234-42. [PMID: 20572926 DOI: 10.1111/j.1740-8709.2008.00177.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Early dietary habits are formative for dietary habits later in life. Maternal personality might be an important factor in unhealthy feeding of children. The current study aims to assess the degree to which the personality trait of negative affectivity in mothers predicts their child's diet at age 18 months. This study is a part of the Norwegian Mother and Child Cohort Study conducted at the Norwegian Institute of Public Health. A total of 27 763 mothers completed 3 repeated assessments of negative affectivity before and after childbirth and of the child's diet when the child was 18 months old. Exploratory factor analysis was used to identify the dietary patterns, and structural equation modeling was used to investigate the relationship with negative affectivity adjusted for socio-demographical variables. Exploratory factor analysis of a foods frequency questionnaire revealed two dietary patterns in the child, labeled unhealthy diet and wholesome diet. The unhealthy diet comprised foods rich in sugar and fat; the wholesome diet comprised foods rich in fibre, vitamins and minerals. Mothers high in negative affectivity were more inclined to feed their child an unhealthy diet. The results were adjusted for maternal age, years of education, relative income, marital status, number of children, having the child in daycare, maternal smoking, maternal body mass index, and child gender. This study shows that a maternal personality trait, negative affectivity, is related to feeding the child an unhealthy diet after controlling for key socio-demographic variables.
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Affiliation(s)
- Eivind Ystrom
- Department of Psychosomatics and Health Behavior, Norwegian Institute of Public Health, Oslo, Norway.
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Micali N, Simonoff E, Treasure J. Infant feeding and weight in the first year of life in babies of women with eating disorders. J Pediatr 2009; 154:55-60.e1. [PMID: 18783793 DOI: 10.1016/j.jpeds.2008.07.003] [Citation(s) in RCA: 59] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2008] [Revised: 05/22/2008] [Accepted: 07/02/2008] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To examine feeding patterns and growth in the first year of life in infants of women with eating disorders in a population-based cohort. STUDY DESIGN Women and their infants (n = 12 050) from the Avon Longitudinal Study of Parents and Children were studied. Prospectively collected data on feeding difficulties at age 1 and 6 months, breast-feeding during the first year, and weight and conditional growth at age 9 months were compared for infants of women with a self-reported history of an eating disorder (anorexia nervosa or bulimia nervosa) and women with and without other severe psychiatric disorders. RESULTS The women with eating disorders were more likely to breast-feed. Infants of women with anorexia nervosa were at higher risk for feeding difficulties between age 0 and 6 months compared with those of women without psychiatric disorders, after controlling for relevant confounders. Women with other psychiatric disorders reported more feeding difficulties than those without psychiatric disorders. Infants of bulimic women were significantly more likely to be overweight and to have faster growth rates at age 9 months compared with controls. CONCLUSIONS Maternal eating disorders affect infant feeding and growth in the first year. Health professionals should be alert to these potential effects.
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Affiliation(s)
- Nadia Micali
- Child and Adolescent Psychiatry Department, Institute of Psychiatry, King's College London, London, UK.
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43
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Wachs TD. Multiple influences on children's nutritional deficiencies: A systems perspective. Physiol Behav 2008; 94:48-60. [DOI: 10.1016/j.physbeh.2007.11.018] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2007] [Accepted: 11/15/2007] [Indexed: 11/16/2022]
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Blissett J, Meyer C, Haycraft E. Maternal mental health and child feeding problems in a non-clinical group. Eat Behav 2007; 8:311-8. [PMID: 17606229 DOI: 10.1016/j.eatbeh.2006.11.007] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2006] [Revised: 06/14/2006] [Accepted: 11/06/2006] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To compare the contribution of symptoms of anxiety, depression and eating psychopathology to reports of child feeding difficulties in a non-clinical group of mothers of male and female children. METHOD A community sample of 56 mothers of male children and 40 mothers of female children with a mean age of 32 months completed measures of anxiety, depression, eating psychopathology and child feeding problems. RESULTS In mothers of male children, symptoms of depression and anxiety, but not eating psychopathology, were predictors of difficult feeding interactions. In contrast, in mothers of female children, symptoms of bulimia and depression, but not anxiety, were significant predictors of reported food refusal. DISCUSSION Different aspects of psychopathological symptomology may be risk factors for reports of feeding problems dependent on the child's gender. Further work should continue to assess the nature and motivation for the controlling of feeding behaviors exhibited by mothers of children of different genders.
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Affiliation(s)
- J Blissett
- School of Psychology, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
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Blissett J, Meyer C. The mediating role of eating psychopathology in the relationship between unhealthy core beliefs and feeding difficulties in a nonclinical group. Int J Eat Disord 2006; 39:763-71. [PMID: 16868996 DOI: 10.1002/eat.20315] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE To determine whether maternal eating psychopathology mediates the relationship between unhealthy core beliefs and reports of child feeding difficulties. METHOD A community sample of 114 mothers of 65 male children and 49 female children between 4 months and 5 years completed the Eating Disorders Inventory-II, (Garner, Eating Disorder Inventory-2 Professional Manual, Odessa, 1991) the Child Feeding Assessment Questionnaire, (Harris and Booth, Monographs in Clinical Pediatrics, Vol 5, 1992) and the Young Schema Questionnaire (Short Form) (Young, Young's Schema Questionnaire: Short Form, Available in electronic form at, http://www.schematherapy.com, 1998). RESULTS Drive for thinness significantly mediated the relationship between maternal defectiveness/shame beliefs and food refusal in mothers of daughters, but no mediational relationships were found for mothers of sons in this nonclinical group. CONCLUSION Maternal drive for thinness mediates the effect of unhealthy beliefs on mothers' tendencies to report feeding difficulties in their daughters.
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Affiliation(s)
- Jackie Blissett
- School of Psychology, University of Birmingham, United Kingdom.
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46
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Farrow C, Blissett J. Maternal cognitions, psychopathologic symptoms, and infant temperament as predictors of early infant feeding problems: a longitudinal study. Int J Eat Disord 2006; 39:128-34. [PMID: 16231348 DOI: 10.1002/eat.20220] [Citation(s) in RCA: 63] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE The current study examined the contribution of prenatal and postnatal maternal core beliefs, self-esteem, psychopathologic symptoms, and postnatal infant temperament to the prediction of infant feeding difficulties. METHOD Ninety-nine women completed questionnaires assessing their core beliefs, psychopathology, and self-esteem during pregnancy and at 6 months postpartum. At 6 months, mothers also rated their infant's temperament and feeding, and were ob-served feeding their infants. RESULTS Maternal reports of child feeding difficulties were predicted by higher levels of emotional deprivation and entitlement core beliefs and lower levels of self-sacrifice and enmeshment core beliefs during pregnancy. Postnatal social isolation core beliefs, lower maternal self-esteem, and more difficult infant temperament added significantly to the variance explained by prenatal factors. Maternal core beliefs, self-esteem, psychopathology, and infant temperament failed to significantly predict independent observations of child food refusal. CONCLUSION Maternal cognitions are implicated in the development of maternal reports of feeding difficulty.
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Affiliation(s)
- Claire Farrow
- School of Psychology, Dorothy Hodgkin Building, Keele University, Straffordshire, UK.
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Farrow CV, Blissett JM. Is maternal psychopathology related to obesigenic feeding practices at 1 year? ACTA ACUST UNITED AC 2006; 13:1999-2005. [PMID: 16339132 DOI: 10.1038/oby.2005.245] [Citation(s) in RCA: 78] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVE To investigate the relationship between maternal psychopathological symptomatology during pregnancy and at 6 and 12 months postnatally and maternal use of controlling and restrictive feeding practices at 1 year. RESEARCH METHODS AND PROCEDURES Eighty-seven women completed a measure of psychological distress during pregnancy and at 6 and 12 months postpartum, and at 12 months postnatally these women reported their usage of controlling and restrictive feeding practices and were observed feeding their infants. RESULTS General psychological distress, particularly anxious psychopathology, during pregnancy and at 6 and 12 months postnatally was significantly associated with maternal use of restrictive feeding practices at 1 year, even when controlling for length of breast-feeding and the infants' weights at 1 year. Contrary to expectations, depression and eating psychopathology as measured by the SCOFF eating disorder measure during pregnancy or at 6 or 12 months postnatally were not associated with the use of controlling or restrictive feeding practices at 1 year. DISCUSSION These findings indicate that anxious maternal psychopathology may partially explain the development of maternal use of restriction when feeding.
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Affiliation(s)
- Claire V Farrow
- School of Psychology, Keele University, Dorothy Hodgkin Building, Keele, Staffordshire ST5 5BG, UK.
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