Objectives: The assessment of the quality of the parent-infant/toddler relationship in children with feeding disorders is crucial, not only to observe parent-child interactions in settings where the child and his/her mother are distressed but also in settings where activities can be pleasurable. Most observational tools for assessing parent-child interactions suffered from a lack of empirical research, and the psychometric properties of these tools should be considered more carefully. Therefore, this work explores the factor structure and validity of the Parent-Child Play Scale. It is a complement to the Feeding Scale to evaluate mother-child interactions in children with feeding disturbances and disorders. The Play Scale can be used with children ranging in age from one month to three years and provides ratings of mother-child interactions during 10 minutes of videotaped free-play observations. The scale consists of 32 mother and child interactive behaviors, which are rated by trained observers. Methods: This study examines the factor structure and the ability of the Play Scale to differentiate between healthy children and children with three subtypes of developmental feeding disorders; the relationship between the mother-infant/toddler interactions measured on the Feeding Scale versus the Play Scale. A sample group of 124 mother-child dyads (74 children with feeding disorders; 50 children who were typically developing) participated in the study. Children ranged in age from one to 36 months. Results: The factor analysis extracted four factors, which we labeled: dyadic reciprocity, maternal unresponsiveness to infant/toddler’s cues, dyadic conflict, and maternal intrusiveness. All four factors together explain 57.7 percent of the total variance. The Play Scale discriminates between children with and without feeding disorders, as well as between children with different subtypes of feeding disorders. Significant correlations (P < 0.05; P < 0.01) between the subscales of the Feeding Scale and the Play Scale were found for mothers and children who had feeding disorders. Conclusions: The Play Scale can be used for research or clinical practice to enhance observational skills, to assess the pervasiveness of mother-infant/ toddler difficulties, and to monitor changes following therapy.
3.44 A COMPARISON OF MOTHER-CHILD INTERACTIONS DURING FEEDING AND PLAY IN THE ASSESSMENT OF FEEDING DISORDERS
SECHI, CRISTINA;LUCARELLI, LOREDANA
2017-01-01
Abstract
Objectives: The assessment of the quality of the parent-infant/toddler relationship in children with feeding disorders is crucial, not only to observe parent-child interactions in settings where the child and his/her mother are distressed but also in settings where activities can be pleasurable. Most observational tools for assessing parent-child interactions suffered from a lack of empirical research, and the psychometric properties of these tools should be considered more carefully. Therefore, this work explores the factor structure and validity of the Parent-Child Play Scale. It is a complement to the Feeding Scale to evaluate mother-child interactions in children with feeding disturbances and disorders. The Play Scale can be used with children ranging in age from one month to three years and provides ratings of mother-child interactions during 10 minutes of videotaped free-play observations. The scale consists of 32 mother and child interactive behaviors, which are rated by trained observers. Methods: This study examines the factor structure and the ability of the Play Scale to differentiate between healthy children and children with three subtypes of developmental feeding disorders; the relationship between the mother-infant/toddler interactions measured on the Feeding Scale versus the Play Scale. A sample group of 124 mother-child dyads (74 children with feeding disorders; 50 children who were typically developing) participated in the study. Children ranged in age from one to 36 months. Results: The factor analysis extracted four factors, which we labeled: dyadic reciprocity, maternal unresponsiveness to infant/toddler’s cues, dyadic conflict, and maternal intrusiveness. All four factors together explain 57.7 percent of the total variance. The Play Scale discriminates between children with and without feeding disorders, as well as between children with different subtypes of feeding disorders. Significant correlations (P < 0.05; P < 0.01) between the subscales of the Feeding Scale and the Play Scale were found for mothers and children who had feeding disorders. Conclusions: The Play Scale can be used for research or clinical practice to enhance observational skills, to assess the pervasiveness of mother-infant/ toddler difficulties, and to monitor changes following therapy.
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