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1.
Front Psychol ; 15: 1369252, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38646127

RESUMEN

Objective: This study aimed to investigate the mediating effects of caregiver responses to a child's negative emotions on the associations between infant temperament and emotional overeating in preschool children. Method: A sample of 358 children and their caregivers enrolled in the STRONG Kids 2 (SK2) birth cohort study (N = 468) provided data for this analysis. Caregivers completed questionnaires assessing child temperament at 3 months, caregiver response to negative emotions at 18 months, and child emotional overeating at 36 months. Structural Equation Modeling was conducted using the lavaan package in RStudio to test hypothesized models examining whether the relations between early temperament and subsequent emotional eating were mediated by caregiver responses to a child's emotions. Results: Findings revealed that infant temperamental orienting/regulation predicted the later development of emotional overeating through supportive caregiver responses to a child's negative emotions. Lower levels of orienting/regulation were associated with greater emotional overeating, explained by less supportive caregiver responses to the child's emotions. Moreover, infant surgency had a positive direct influence on emotional overeating at 36 months. Both supportive and non-supportive caregiver responses to a child's negative emotions had significant direct influences on emotional overeating. Conclusion: The results highlight the importance of caregiver response to a child's negative emotions as a mediator between infant temperament and emotional overeating in preschool children. Intervention strategies can be implemented to support caregivers in adopting supportive responses to their child's negative emotions to promote healthy eating behaviors from early childhood. Future studies are needed to explore these pathways of influences throughout child development.

2.
Pediatr Obes ; 18(3): e12993, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-36479850

RESUMEN

BACKGROUND: The quality of parent-child relationships has been examined as a contributor to children's healthy behaviours and weight outcomes, but the mechanisms accounting for associations remain understudied. OBJECTIVE: This study examined whether the quality of early parent-child relationship is associated with adolescent obesity risk and whether self-regulation and (un)healthful food consumption mediate these associations. METHODS: Employing structural equation modelling, two theory-driven models were examined using a large sample (N = 1237) drawn from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. Indicators of the quality of parent-child relationship included assessments of child attachment security and observational assessments of maternal sensitivity (15, 24, and 36 months). Self-regulation at 54 months was assessed using behavioural and computerized tasks and, at ages 11-12 and 15 years, using parental ratings of self-control. Food consumption was self-reported at age 11-12. Height and weight measures in early/middle childhood and adolescence were used to compute BMI z-scores. RESULTS: No direct associations between the quality of parent-child relationship and adolescent obesity risk were found in either model. Instead, child self-regulation was found to mediate the associations between the quality of parent-child relationship and both unhealthy food consumption and higher adolescent BMI status. CONCLUSION: The findings highlight how the nature of parent-child relationships impacts developing regulatory processes in children which, in turn, have implications for obesity-related behaviours and outcomes. Interventions to reduce childhood obesity should consider self-regulation skills across multiple domains, and early parenting practices that foster these capacities.


Asunto(s)
Obesidad Infantil , Autocontrol , Niño , Adolescente , Humanos , Obesidad Infantil/epidemiología , Obesidad Infantil/prevención & control , Padres , Relaciones Padres-Hijo , Responsabilidad Parental , Conducta Alimentaria , Índice de Masa Corporal
3.
Appetite ; 177: 106157, 2022 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-35780936

RESUMEN

Eating behaviors are shaped at an early age, persist into adulthood, and are implicated in the development of physical health outcomes, including obesity. Faster bite speed has been identified as an obesogenic eating behavior, prompting researchers to examine child and family factors associated with children's variability in bite speed. Child temperament, involving phenotypes of reactivity and regulation, and distractions in family food contexts are fruitful areas of investigation, but few studies have examined the interplay among these factors and their associations with bite speed. To address the gap in the literature, we examined relations between early child temperament, family mealtime distractions, and children's observed bite speed. Caregiver report of child temperament at 3 months was measured using the Infant Behavior Questionnaire Very Short Form - Revised. Child mealtime distractions and bite speed were assessed using family mealtime videos that were collected during home visits when children were 18-24 months of age (n = 109). Results revealed that children who were reported to be higher on orienting/regulation at 3 months, and who were more distracted during mealtimes at 18-24 months, had relatively slower bite speeds. No significant interactions were found. The findings from this correlational study inform further investigations into the implications of early temperament and food contexts for the development of eating behaviors implicated in obesity risk.


Asunto(s)
Conducta Infantil , Temperamento , Niño , Conducta Infantil/fisiología , Conducta Alimentaria/fisiología , Humanos , Comidas , Obesidad
4.
Child Obes ; 18(8): 523-532, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-35231179

RESUMEN

Background: Emotional eating has been linked to child temperament and family environment factors, such as household chaos. However, few studies have examined how child and home characteristics independently and together influence children's overeating and undereating in response to negative emotions. Objective: The current study examined associations among child temperament, household chaos, and emotional eating in children 18-24 months of age, and interaction effects were also tested. Methods: The study included an analysis sample of 371 families participating in the larger STRONG Kids2 longitudinal birth cohort study (N = 468). The Early Childhood Behavior Questionnaire was used to assess child temperament at 18 months, and the Confusion, Hubbub, and Order Scale was used to assess disorganization in the household at 24 months. Child emotional eating at 24 months was assessed using parental reports of the Child Eating Behavior Questionnaire. Results: Negative affectivity and household chaos were independently associated with child emotional overeating. Negative affectivity, effortful control, and household chaos were significantly associated with emotional undereating. No significant interactions were found. Conclusions: Child temperament and household environment independently influence emotional eating in young children, highlighting the need to consider these factors in early prevention. Longitudinal studies are warranted to determine mechanisms that may be involved in these relations.


Asunto(s)
Obesidad Infantil , Niño , Preescolar , Humanos , Estudios de Cohortes , Padres
5.
Dev Psychol ; 57(4): 548-556, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-34594056

RESUMEN

The role of early child care experiences on the development of the mother-child attachment relationship has been studied extensively. However, no prospective studies of early child care have addressed how these experiences might be reflected in the content of attachment representations during adolescence and beyond. The goal of this study was to estimate relatively precise associations between child care quality, child care quantity, and type of care in the first 54 months of life and the content of adolescents' attachment representations around age 18 years (N = 857; 51% female; 78% White, non-Hispanic; M income-to-needs ratio = 4.13), leveraging data from the longitudinal NICHD Study of Early Child Care and Youth Development (SECCYD). We identified a small positive association between the observed quality of early child care (but not quantity or type of care) and secure attachment states of mind as measured by the Adult Attachment Interview (but not the Attachment Script Assessment) at age 18 years that was robust to demographic covariates and observations of maternal and paternal sensitivity during childhood. We observed no significant interactions among child care variables. Associations between early child care experiences and indicators of adolescent attachment were likewise not moderated by maternal sensitivity from infancy to mid-adolescence or by maternal reports of child temperament in early childhood.


Asunto(s)
Cuidado del Niño , National Institute of Child Health and Human Development (U.S.) , Adolescente , Adulto , Niño , Desarrollo Infantil , Preescolar , Femenino , Humanos , Masculino , Relaciones Madre-Hijo , Apego a Objetos , Estados Unidos
6.
Nutrients ; 13(10)2021 Oct 12.
Artículo en Inglés | MEDLINE | ID: mdl-34684573

RESUMEN

Increasing evidence suggests that attachment plays an important role in obesity. However, few studies examined this relationship in preschool children. This study aimed to systematically examine the empirical, peer-reviewed evidence regarding the relationship between attachment quality and obesity in the preschool years. Using established guidelines, relevant peer-reviewed literature published between 2000 and July 2021 was searched through EBSCO. This yielded a total of 1124 records for review. Established inclusion criteria comprised: empirical studies published in peer-review journals; include at least one anthropometric measure and/or food consumption measure. Exclusion criteria comprised: attachment measures not following Bowlby-Ainsworth conceptualization of the construct; children in institutionalized settings; context of severe mental illness, documented substance use disorders, or eating disorders; include only a measure of the psychological aspects of eating; intervention programs. After exclusions, eight studies with a total of 9225 participants met the inclusion criteria. Results support the role of attachment in weight-related outcomes, suggesting that considering attachment in the risk of obesity could contribute to the elaboration of effective prevention and intervention programs. Limitations included the small number of studies, predominately cross-sectional designs, the diversity of methodologies, most samples not including fathers, and lack of evidence about the developmental mechanisms underlying the association between attachment and obesity. More evidence is needed to determine how attachment and obesity are linked, and the potential underlying mechanisms accounting for this relationship.


Asunto(s)
Obesidad/psicología , Apego a Objetos , Peso Corporal , Cuidadores , Preescolar , Conducta Alimentaria , Humanos
7.
Sleep ; 44(8)2021 08 13.
Artículo en Inglés | MEDLINE | ID: mdl-33624804

RESUMEN

STUDY OBJECTIVES: The first objective of this study was to determine whether establishing bedtime routines in the first year of life predicts better sleep outcomes (i.e. longer sleep duration, less nighttime waking, earlier bedtime, shorter sleep latency, fewer sleep problems) across the first 2 years of life. The second objective was to determine whether specific adaptive bedtime activities (e.g. book reading) were associated with sleep outcomes. The third objective was to describe changes in adaptive bedtime activities (hug/kiss caregiver, say goodnight to family) across the first 2 years of life. METHODS: Parents of 468 children from the STRONG Kids 2 birth cohort were surveyed about bedtime and bedtime routines, their child's sleep duration, nighttime waking, sleep latency, and sleep problems at 3, 12, 18, and 24 months of age. RESULTS: Cross-lagged panel models revealed partial evidence for reciprocal associations between bedtime routine consistency and adaptive bedtime activities and better sleep outcomes over time. Specifically, more bedtime routine consistency predicted less nighttime waking and sleep problems, and more bedtime adaptive activities predicted longer sleep duration and fewer sleep problems. DISCUSSION: The findings are discussed from a developmental perspective to highlight how consistency of bedtime routines established as early as 3 months of age may affect sleep outcomes and that the adaptive activities associated with these routines may increase in frequency over the first 2 years of life.


Asunto(s)
Trastornos del Inicio y del Mantenimiento del Sueño , Sueño , Niño , Preescolar , Humanos , Padres , Encuestas y Cuestionarios , Factores de Tiempo
8.
Attach Hum Dev ; 23(5): 643-664, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-33107784

RESUMEN

Increasingly, attachment representations are being assessed via secure base script knowledge - the degree to which individuals show awareness of the temporal-causal schema that summarizes the basic features of seeking and receiving effective support from caregivers during times of need. Limited research has assessed the links between secure base script knowledge and aspects of adult functioning and the role that secure base script knowledge may play in accounting for associations between early caregiving quality and adulthood functioning. We used follow-up assessments of the NICHD Study of Early Child Care and Youth Development cohort (N = 585) to examine whether secure base script knowledge at age 18 years: (a) is associated with later romantic relationship quality, depressive symptoms, and body mass index (BMI) at age 26 years, and (b) mediates expected associations between the quality of maternal and paternal sensitivity across the first 15 years of life and age-26 outcomes. More access to, and elaborated knowledge of the secure base script predicted less extreme hostility with romantic partners, and better emotional and physical health. Moreover, secure base script knowledge mediated the links between early maternal and paternal sensitivity and both later romantic partner hostility and depressive symptoms, but not BMI.


Asunto(s)
Apego a Objetos , Padres , Adolescente , Adulto , Cuidadores , Humanos , Tiempo
9.
Eat Behav ; 40: 101465, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33310487

RESUMEN

BACKGROUND: Picky eating (PE) behavior is common in early childhood, but persistent PE is associated with unhealthy development and caregiver-child stress during feeding. Identifying modifiable feeding and parent-child relationship factors that impact PE is important for decreasing risks associated with PE. OBJECTIVE: This study examined associations between caregiver Feeding Responsiveness (FR) and child PE behaviors using caregiver reports and observations of family mealtimes. An additional aim examined whether children's attachment behavior moderates this association. METHODS: The analysis sample consisted of 110 families participating in a larger longitudinal study of nutrition and child health. Home observations were conducted when children were 18-24 months (52% females) to assess caregiver-child interactions. Caregivers were, on average, 30.9 years old and mostly White (73.6%). Family mealtimes were videotaped and coded for FR and child PE behaviors. Caregivers completed surveys regarding FR and PE behaviors. RESULTS: Caregiver-reported FR was significantly correlated with observed FR, r (107) = 0.26, p = 0.007; and caregiver-reported PE was associated with observed PE, r (107) = 0.21, p = 0.029. Caregiver-reported FR was inversely related to observed PE, but only when children were characterized by observers to have more positively toned and smooth interactions with caregivers. Using observational data, child attachment significantly moderated the relationship between FR and PE behaviors. CONCLUSIONS: The quality of caregiver-child interactions may impact the degree to which FR is effective in reducing PE. Future longitudinal studies that include more diverse populations, multiple caregivers, and potential mechanisms accounting for these associations are needed.


Asunto(s)
Irritabilidad Alimentaria , Adulto , Niño , Conducta Infantil , Preescolar , Ingestión de Alimentos , Conducta Alimentaria , Femenino , Humanos , Estudios Longitudinales , Masculino , Relaciones Padres-Hijo , Encuestas y Cuestionarios
10.
Child Obes ; 16(6): 393-402, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32678984

RESUMEN

Background: Research indicates that youths with overweight and obesity often face difficulties in peer relationships. The current research examined longitudinal associations between youths' peer competence (i.e., successful interactions with peers), friendship quality (i.e., disclosure, conflict resolution, and companionship with a best friend), and body mass index (BMI) z-score when they were 3 to 15 years of age. Methods: A subsample of 1292 majority White families from the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development (SECCYD) were included in the analyses. Measured height and weight were used to compute BMI z-scores. Youths reported on their friendship quality starting when they were 8-9 years. Peer competence was assessed with an observation of dyadic peer play when participants were 3 years old, and with maternal reports after that. Associations were examined using autoregressive cross-lagged path models. Results: Bidirectional associations between peer competence and friendship quality were noted when participants were 8-9 and 15 years old. Greater BMI z-scores when youths were 3 and 10-11 years old predicted lower peer competence when they were 15 and 11-12 years old, respectively. Peer competence when youths were 11-12 years old was negatively associated with BMI z-score at 15 years old. Multigroup Structural Equation Modeling (SEM) indicated that significant paths differed between boys and girls. Conclusions: Findings extend previous literature considering peer outcomes and weight by examining associations as early as 3 years old, and indicate the need for early outreach to buffer against detrimental effects on developing peer competencies, especially for girls.


Asunto(s)
Imagen Corporal/psicología , Acoso Escolar/psicología , Víctimas de Crimen/psicología , Obesidad Infantil/psicología , Adolescente , Índice de Masa Corporal , Niño , Preescolar , Femenino , Amigos , Humanos , Relaciones Interpersonales , Estudios Longitudinales , Masculino , Obesidad Infantil/prevención & control , Grupo Paritario , Autoimagen
11.
J Dev Behav Pediatr ; 40(8): 622-632, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31318779

RESUMEN

OBJECTIVE: To address calls for a resilience-informed approach to understand the cause and prevention of childhood obesity, the current study aims to investigate the independent and interactive associations between household chaos, maternal emotional responsiveness, and eating behavior in early childhood. METHOD: A sample of (n = 108) families of 18- to 24-month-olds completed self-report surveys and consented to home visits as part of the larger STRONG Kids 2 (N = 468) study. Videotapes of family mealtimes were collected during home visits and coded for observed maternal emotional responsiveness. Mothers completed questionnaires assessing maternal emotional responsiveness, household chaos, and child eating behaviors. Moderation analyses assessed independent and interactive effects of chaos and emotional responsiveness on child appetite self-regulation. RESULTS: In moderation analyses controlling for demographic covariates, higher levels of chaos were associated with more emotional overeating and with more food responsiveness, but only among children of mothers observed engaging in low levels of responsiveness at mealtimes. There was no association between chaos and eating behavior among children of mothers observed engaging in high levels of emotional responsiveness at mealtimes. There was also no independent or interactive association between chaos and child eating behaviors characterized by food avoidance. CONCLUSION: Preliminary evidence suggests that maternal emotional responsiveness at mealtimes may attenuate the deleterious effects of chaos on child overeating and food responsiveness. Future research should prioritize using longitudinal designs, developing observational assessments of early childhood eating behaviors, and understanding these processes among families exposed to greater socioeconomic adversity.


Asunto(s)
Conducta Infantil/fisiología , Emociones/fisiología , Familia , Conducta Alimentaria/fisiología , Conducta Materna/fisiología , Adulto , Preescolar , Femenino , Humanos , Lactante , Masculino , Persona de Mediana Edad , Adulto Joven
12.
J Fam Psychol ; 33(4): 465-475, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30816780

RESUMEN

Responsive feeding and frequency of family mealtimes are related to healthier eating behaviors and weight outcomes in children and adolescents. Distractions at mealtimes are related to greater intake of unhealthy food and a less positive mealtime emotional climate. However, there is little understanding of the effects of routines and father availability on distractions at family meals, and there is limited research investigating the effects of distractions among all family members on maternal feeding practices in toddlerhood. This study aims to characterize distractions at family mealtimes and examine associations between father availability, distractions, and observed responsive feeding. Descriptive analyses, nonlinear mixed models, and path analyses were conducted using observational (home-based family mealtimes) and self-report data collected from a subsample of families (n = 109) of 18- to 24-month-old children in the larger STRONG Kids 2 Study (N = 468). Between fathers, mothers, and children, families spent almost half of the mealtime distracted. Fathers and mothers engaged in about equal amounts of distractions, and children engaged in more technology-related distractions than parents. Fathers' absence at the mealtime was associated with more child distractions and less maternal feeding responsiveness. Lower paternal total distractions, maternal non-technology-object-related distractions, and higher household income were significantly associated with more observed maternal feeding responsiveness. Future research should investigate how father availability and family mealtime distractions may be associated directly and indirectly with children's eating behaviors and weight outcomes. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Asunto(s)
Conducta Infantil/psicología , Padre , Conducta Alimentaria/psicología , Conducta Materna/psicología , Comidas/psicología , Madres , Conducta Paterna , Adulto , Desarrollo Infantil , Preescolar , Ingestión de Alimentos/psicología , Femenino , Humanos , Conducta Imitativa/fisiología , Lactante , Masculino , Conducta Paterna/psicología
13.
Curr Dev Nutr ; 3(3): nzz007, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30882062

RESUMEN

BACKGROUND: Dietary habits formed during the first 5 y of life portend lifelong eating patterns. OBJECTIVE: The Synergistic Theory Research Obesity and Nutrition Group (STRONG) Kids 2 birth cohort study aimed to examine multilevel predictors of weight trajectories and dietary habits including individual biology, child socioemotional and behavioral characteristics, family environment, and child care environment over the first 5 y of life. This report describes recruitment strategies, an overview of survey measures, and basic descriptive statistics of the cohort. METHODS: The cohort includes 468 mothers and their offspring. A brief survey was completed at a 1-wk home visit including child's birth weight, intent to breastfeed, collection of an infant stool sample, and additional contact information should the family move. Mothers completed surveys including diet, child temperament, family environment, and child care when their child was 6 wk, 3, 12, 18, 24, 36, 48, and 60 mo of age. Height and weight of the mother and child were collected at each visit. Stool samples of the child were collected at each visit as well as saliva at 1 visit. RESULTS: Close to half of the mothers were either overweight (24.2%) or obese (25.2%) prepregnancy. At 6 wk of age, 32.9% of the children were overweight and 31.4% were obese based on direct measurement. CONCLUSIONS: The STRONG Kids 2 research team has adopted a socioecological model that accounts for multiple influences on children's health including biological, child social and behavioral, family household organization, and community factors. The study is limited by a relatively educated and nondiverse sample. However, variations in maternal and child weight may inform future prevention programs and policy aimed at improving the diet and health of children under the age of 5 y.This trial was registered at clinicaltrials.gov as NCT03341858.

14.
Appetite ; 129: 94-102, 2018 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-29981802

RESUMEN

INTRODUCTION: The Comprehensive Feeding Practices Questionnaire (CFPQ) assesses 12 specific parent feeding practices (Musher-Eizenman & Holub, 2007). However, the original 12-factor structure may not be consistent across age groups, and no studies have yet evaluated the factor structure of the CFPQ over time. Therefore, the aim of the current study is to evaluate the model fit of the original and alternative CFPQ factor structures at two time points in early childhood. METHOD: Mothers (n = 260) of preschoolers completed validated surveys assessing parent feeding practices and child eating behaviors when children were on average 37 months of age at Time 1 (T1), and 57 months of age at Time 2 (T2). Confirmatory Factor Analysis (CFA) and Exploratory Factor Analysis (EFA) procedures were used to evaluate the original CFPQ factor structure, and to identify and evaluate modified factor structures at both time points. RESULTS: The original 12-factor CFPQ model did not adequately fit the data at T1 or T2. EFA identified a 7-factor model at T1, and a 5-factor model at T2. Bivariate correlations provided preliminary evidence for the validity of the modified scales. DISCUSSION: Overall, these findings suggest that parent feeding measures should the developmental significance of specific feeding practices, and/or that parents' reliance on certain feeding practices may shift as children age. Thus, a developmental framework to conceptualize how feeding changes during early childhood is sorely needed.


Asunto(s)
Conducta Alimentaria , Madres , Responsabilidad Parental , Encuestas y Cuestionarios , Índice de Masa Corporal , Preescolar , Dieta Saludable , Análisis Factorial , Femenino , Humanos , Medio Oeste de Estados Unidos
15.
J Pediatr Psychol ; 43(2): 195-206, 2018 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-29471526

RESUMEN

Objective: Mealtime emotional climate (MEC) is related to parent feeding and mental health, and possibly to child food consumption. However, MEC has been inconsistently assessed with a variety of coding schemes and self-report instruments, and has not been examined longitudinally. This study aims to characterize MEC systematically using an observational, count-based coding scheme; identify whether parent feeding or mental health predict MEC; and examine whether MEC predicts child food consumption and weight. Methods: A subsample of parents (n = 74) recruited from a larger study completed questionnaires when children were about 37 months, participated in a home visit to videotape a mealtime when children were about 41 months, and completed questionnaires again when children were about 51 months old. Maternal and child positive and negative emotions were coded from videotaped mealtimes. Observational data were submitted to cluster analyses, to identify dyads with similar emotion expression patterns, or MEC. Logistic regression was used to identify predictors of MEC, and Analysis of Covariance was used to examine differences between MEC groups. Results: Dyads were characterized as either Positive Expressers (high positive, low negative emotion) or All Expressers (similar positive and negative emotion). Increased food involvement feeding practices were related to decreased likelihood of being an All Expresser. Positive Expressers reported that their children ate more healthy food, compared with All Expressers. Conclusions: Observed MEC is driven by maternal emotion, and may predict child food consumption. Food involvement may promote positive MEC. Improving MEC may increase child consumption of healthy foods.


Asunto(s)
Emociones/fisiología , Familia/psicología , Conducta Alimentaria/psicología , Adulto , Preescolar , Femenino , Humanos , Masculino , Madres/psicología
16.
J Affect Disord ; 226: 178-187, 2018 01 15.
Artículo en Inglés | MEDLINE | ID: mdl-28988000

RESUMEN

BACKGROUND: Stress affects people of all ages, genders, and cultures and is associated with physical and psychological complications. Stressful life events are an important research focus and a psychometrically valid measure could provide useful clinical information. The purpose of the study was to develop a reliable and valid measurement of stressful life events and to assess its reliability and validity using established measures of social support, stress, depression, anxiety and maternal and child health. METHODS: The authors used an adaptation from the Social Readjustment Rating Scale (SRRS) to describe the prevalence of life events; they developed a 4-factor stressful life events subscales and used Medical Outcomes Social Support Scale, Social Support Scale, Depression, Anxiety and Stress Scale and 14 general health items for validity analysis. Analyses were performed with descriptive statistics, Cronbach's alpha, Spearman's rho, Chi-square test or Fisher's exact test and Wilcoxon 2-sample test. RESULTS: The 4-factor stressful life events subscales showed acceptable reliability. The resulting subscale scores were significantly associated with established measures of social support, depression, anxiety, stress, and caregiver health indicators. LIMITATIONS: The study presented a number of limitations in terms of design and recall bias. CONCLUSIONS: Despite the presence of a number of limitations, the study provided valuable insight and suggested that further investigation is needed in order to determine the effectiveness of the measures in revealing the family's wellbeing and to develop and strengthen a more detailed analysis of the stressful life events/health association.


Asunto(s)
Ansiedad/clasificación , Depresión/clasificación , Acontecimientos que Cambian la Vida , Estrés Psicológico/clasificación , Adulto , Preescolar , Trastorno Depresivo/clasificación , Femenino , Humanos , Masculino , Persona de Mediana Edad , Psicometría , Reproducibilidad de los Resultados , Apoyo Social
17.
Int J Behav Nutr Phys Act ; 13: 89, 2016 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-27484590

RESUMEN

BACKGROUND: Although it is known that maternal disordered eating is related to restrictive feeding practices, there is little research exploring mechanisms for this association or its effects on other feeding practices. The purpose of this study was to assess whether maternal emotion responses mediate the association between maternal binge eating (BE) and child feeding practices, in order to identify potential risk factors for feeding practices that influence child weight. METHODS: This longitudinal observational study included (n = 260) mothers and children from the STRONG Kids Panel Survey. At Wave 1, children were an average of 37 months old (SD = 6.9), and at Wave 2 children were an average of 57 months old (SD = 8.3). Mothers self-reported their frequency of binge eating behavior (Wave 1), responses to children's negative emotions (Wave 1), feeding practices (Wave 1 and Wave 2), and child height and weight were measured at both time points. Using bias-corrected bootstrapping procedures, we tested the hypothesis that longitudinal associations between maternal BE and nonresponsive parent feeding practices would be mediated by parents' unsupportive responses to children's negative emotion. We also tested a serial mediation model positing that maternal BE predicts child body mass index (BMI) percentile change 18-24 months later, indirectly through unsupportive responses to negative emotion and nonresponsive feeding practices. RESULTS: Maternal BE predicted use of more nonresponsive feeding practices (e.g. Emotion Regulation, Restriction for Health, Pressure to Eat, and Food as Reward), indirectly through more Distress responses to children's negative emotions. In the serial mediation model, maternal BE was associated with greater use of Distress responses, which indirectly predicted higher child BMI percentile through Food as Reward feeding practices. CONCLUSIONS: These results suggest that maternal eating and emotion responsiveness are important for understanding the interpersonal context of feeding behaviors, and child weight outcomes. Distress responses may serve as a risk factor for use of unhealthful feeding practices among mothers with BE and these responses may increase children's risk for weight gain. TRIAL REGISTRATION: This study used an observational prospective design. Therefore, it has not been registered as a clinical intervention trial.


Asunto(s)
Peso Corporal , Bulimia/psicología , Ingestión de Alimentos/psicología , Emociones , Conducta Alimentaria/psicología , Madres/psicología , Obesidad Infantil/etiología , Adaptación Psicológica , Adulto , Índice de Masa Corporal , Niño , Conducta Infantil/psicología , Preescolar , Femenino , Humanos , Estudios Longitudinales , Masculino , Relaciones Madre-Hijo , Responsabilidad Parental/psicología , Obesidad Infantil/psicología , Estudios Prospectivos , Aumento de Peso
18.
Attach Hum Dev ; 18(4): 317-36, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-27032953

RESUMEN

Although attachment theory claims that early attachment representations reflecting the quality of the child's "lived experiences" are maintained across developmental transitions, evidence that has emerged over the last decade suggests that the association between early relationship quality and adolescents' attachment representations is fairly modest in magnitude. We used aspects of parenting beyond sensitivity over childhood and adolescence and early security to predict adolescents' scripted attachment representations. At age 18 years, 673 participants from the NICHD Study of Early Child Care and Youth Development completed the Attachment Script Assessment from which we derived an assessment of secure base script knowledge. Measures of secure base support from childhood through age 15 years (e.g., parental monitoring of child activity, father presence in the home) were selected as predictors and accounted for an additional 8% of the variance in secure base script knowledge scores above and beyond direct observations of sensitivity and early attachment status alone, suggesting that adolescents' scripted attachment representations reflect multiple domains of parenting. Cognitive and demographic variables also significantly increased predicted variance in secure base script knowledge by 2% each.


Asunto(s)
Relaciones Madre-Hijo/psicología , Apego a Objetos , Responsabilidad Parental/psicología , Adolescente , Niño , Cognición , Ambiente , Femenino , Humanos , Masculino , Privación Paterna , Solución de Problemas , Teoría Psicológica , Análisis de Regresión , Factores Socioeconómicos
19.
Eat Behav ; 21: 150-4, 2016 04.
Artículo en Inglés | MEDLINE | ID: mdl-26966790

RESUMEN

OBJECTIVE: Parents' emotion regulation difficulties are related to binge eating (BE), and to responses to children's negative emotion. However, less is known about how responses to children's negative emotion are related to eating and feeding in the parenting context. We examined the degree to which BE had both direct and indirect effects on parental restrictive feeding practices, through parents' reported responses to negative emotion. METHOD: Parents of preschoolers (n=441) completed validated questionnaires about their feeding strategies, responses to children's negative emotion, and their children's eating behaviors. Height and weight were measured in children and self-reported by parents. Unsupportive (Distress, Minimizing, and Punitive), and Supportive (Emotion-focused, Problem-focused, and Expressive Encouragement) responses to negative emotion were measured using the Coping with Children's Negative Emotions Scale. RESULTS: Parent's BE was correlated with Distress responses, Restriction for health, and Restriction for weight control. Controlling for confounders, BE was associated with Restriction for weight control, and Restriction for health. Model testing revealed that BE had significant direct (R(2) [SE]=.073 [.031], 95% CI [.013, .134]) and indirect effects (R(2) [SE]=.011 [.005], 95% CI [.003, .023]) on Restriction for weight control, through Distress responses, but only indirect effects on Restriction for health (R(2) [SE]=.018 [.009], 95% CI [.004, .039]). CONCLUSIONS: This study shows an association between emotion regulation and energy-intake regulation in the parenting context. Efforts to modify feeding practices may be more effective if parents' eating behaviors and their emotional responsiveness to distress are taken into account.


Asunto(s)
Adaptación Psicológica , Bulimia/psicología , Emociones , Conducta Alimentaria/psicología , Relaciones Padres-Hijo , Responsabilidad Parental/psicología , Padres/psicología , Estatura , Peso Corporal , Niño , Dieta Reductora/psicología , Femenino , Humanos , Masculino , Encuestas y Cuestionarios
20.
Dev Psychol ; 51(6): 823-30, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25775111

RESUMEN

There is increasing evidence that attachment representations abstracted from childhood experiences with primary caregivers are organized as a cognitive script describing secure base use and support (i.e., the secure base script). To date, however, the latent structure of secure base script knowledge has gone unexamined-this despite that such basic information about the factor structure and distributional properties of these individual differences has important conceptual implications for our understanding of how representations of early experience are organized and generalized, as well as methodological significance in relation to maximizing statistical power and precision. In this study, we report factor and taxometric analyses that examined the latent structure of secure base script knowledge in 2 large samples. Results suggested that variation in secure base script knowledge-as measured by both the adolescent (N = 674) and adult (N = 714) versions of the Attachment Script Assessment-is generalized across relationships and continuously distributed.


Asunto(s)
Relaciones Interpersonales , Apego a Objetos , Adolescente , Adulto , Cuidadores/psicología , Cognición , Análisis Factorial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
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