ABSTRACT
Se explica una situación de consulta por una niña de cinco meses. Su alimentación estaba alterada por rechazo a la cuchara desde hacía un mes. Pediatría pidió apoyo al equipo de salud mental infantil. El artículo desarrolla la respuesta de este, que se construyó en forma de red profesional temporal, con la meta de ayudar a la díada madre-hija. A partir del relato de lo que ocurrió, se plantean reflexiones de cómo superar la compartimentación burocrática entre funciones de ayuda psicológica
The reason for the consultation was a five-month-old girl whose feeding was disturbed for a month because of her refusal for the spoon. Paediatrics requested support from the infant mental health team. The article develops the response of the latter, which was constructed in the form of a temporary professional network, to help the mother-daughter dyad. From the account of what happened, reflections are made on how to overcome the bureaucratic compartmentalisation between psychological support functions
S'explica una situació de consulta per a una nena de cinc mesos. La seva alimentació estava alterada pel rebuig a la cullera des de feia un mes. Pediatria va demanar suport a l'equip de salut mental infantil. L'article desenvolupa la resposta d'aquest, que es va construir en forma de xarxa professional temporal, amb l'objectiu d'ajudar la díada mare-filla. A partir del relat del que va esdevenir, es plantegen reflexions de com superar la compartimentació burocràtica entre funcions d'ajuda psicológica
Subject(s)
Humans , Female , Infant , Mental Health , Mother-Child Relations/psychology , Cooking and Eating Utensils , Infant Nutrition , Patient-Centered Care/methods , Professional-Patient RelationsABSTRACT
OBJECTIVE: The aim of this study was to validate a Spanish version of the Caregiver Skills scale (CASK) in a sample of eating disorder (ED) caregivers. A further aim was to examine the concordance/discrepancy between them (namely, between the mothers and fathers of ED patients). METHOD: Two hundred sixty-five ED caregivers were recruited from ED centers in Catalonia, Spain. Confirmatory factor analyses was used to test the factorial structure of the CASK scale. Cronbach's α was used to measure internal consistency of the CASK scales. A comparison of the CASK measures between respondents (mothers and fathers) was conducted using generalized estimating equations. RESULTS: Confirmatory factor analysis of the Spanish version of the CASK corroborated the strong factorial validity of the 6 factors of the original CASK questionnaire. Mothers and fathers did not differ significantly on CASK overall and subscale scores. There was however less concordance between parents on the bigger picture (ICC = 0.28) and biting your tongue (ICC = 0.08) subscales. CONCLUSIONS: The CASK is a valid tool to assess ED-related attitudes in Spanish-speaking caregivers. Furthermore, caregivers and patients alike could stand to benefit from interventions focused on improving areas such as ED beliefs, effective communication, quality of life, and emotional distancing.
