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Mother-infant feeding interactions in mothers with and without eating disorder history: Results of a structured observational study.
Doersam, Annica Franziska; Throm, Jana Katharina; Sörensen, Ferdinand; Martus, Peter; Kraegeloh-Mann, Ingeborg; Preissl, Hubert; Micali, Nadia; Giel, Katrin Elisabeth.
Afiliação
  • Doersam AF; Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany; Centre of Excellence for Eating Disorders (KOMET), University Hospital Tuebingen, Tuebingen, Germany; German Center for Mental Health (DZPG), Tuebingen, Baden-Wuerttemberg, Germany; Graduate Tr
  • Throm JK; Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany; Centre of Excellence for Eating Disorders (KOMET), University Hospital Tuebingen, Tuebingen, Germany; German Center for Mental Health (DZPG), Tuebingen, Baden-Wuerttemberg, Germany.
  • Sörensen F; Graduate Training Centre of Neuroscience, International Max Planck Research School, Eberhard Karls University Tuebingen, Tuebingen, Germany; Pediatric Neurology & Developmental Medicine, University Children's Hospital Tuebingen, Tuebingen, Germany; Department of Psychiatry and Psychotherapy, Tüb
  • Martus P; Institute for Medical Biometrics and Clinical Epidemiology, University Hospital Tuebingen, Tuebingen, Germany.
  • Kraegeloh-Mann I; Pediatric Neurology & Developmental Medicine, University Children's Hospital Tuebingen, Tuebingen, Germany.
  • Preissl H; Institute for Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Center Munich at the Eberhard Karls University of Tuebingen, FMEG Center, German Centre for Diabetes Research (DZD), Tuebingen, Germany; Department of Internal Medicine IV, Division of Endocrinology, Diabetology, and Nephr
  • Micali N; Mental Health Services of the Capital Region of Denmark, Center for Eating and Feeding Disorders Research, Psychiatric Centre Ballerup, Ballerup, Denmark; University College London, Great Ormond Street Institute of Child Health, London, UK.
  • Giel KE; Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany; Centre of Excellence for Eating Disorders (KOMET), University Hospital Tuebingen, Tuebingen, Germany; German Center for Mental Health (DZPG), Tuebingen, Baden-Wuerttemberg, Germany.
Appetite ; 200: 107551, 2024 09 01.
Article em En | MEDLINE | ID: mdl-38857768
ABSTRACT

BACKGROUND:

A growing body of evidence suggests that children of mothers with eating disorders (EDs) have a greater risk of early feeding problems. Recognizing and reacting adequately to the infant's signals during feeding is crucial for the child's development of internal and external regulatory mechanisms of food intake. Parental EDs might affect this ability. Therefore, we investigated the quality of mother-infant interactions during feeding using video recording and a structured coding system.

METHODS:

The data of this pilot study was collected in a prospective cohort study investigating the influence of maternal EDs on child outcomes. Twenty women with ED history and 31 control women were videotaped while feeding their infant during a main meal at ten months postpartum. The mother-infant interactions were evaluated by two raters using the Chatoor Feeding Scale. We assessed birth outcomes, the mother's ED and depression status, breastfeeding practices, infant feeding problems and infant temperament by maternal self-report.

RESULTS:

Mothers with and without ED history scored very similar on the Feeding Scale, however mothers from the control group experienced more struggle for control with their infants during feeding (p = 0.046) and made more negative comments about the infant's food intake (p = 0.010). Mothers with ED history were more concerned about infant feeding at three months postpartum and reported significantly more problems with solid foods in their children. Birth outcomes were comparable between groups, except for lower weight-for-length birth percentiles in children of women with ED history.

CONCLUSION:

Whilst examined mothers with ED history are more concerned about feeding their children, ED psychopathology does not affect the quality of mother-infant interaction during feeding at the transition to autonomous eating at ten months of age.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Transtornos da Alimentação e da Ingestão de Alimentos / Comportamento Alimentar / Relações Mãe-Filho / Mães Limite: Adult / Female / Humans / Infant / Male Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Transtornos da Alimentação e da Ingestão de Alimentos / Comportamento Alimentar / Relações Mãe-Filho / Mães Limite: Adult / Female / Humans / Infant / Male Idioma: En Ano de publicação: 2024 Tipo de documento: Article