Introduction: The Post-traumatic Feeding Disorder has been introduced to define clinical evidence characterized by intense anticipatory anxiety of the child at the sight of food and great distress if the child is encouraged to eat by the caregiver; these children often show clinical history of actual unpleasant events namely of highly food or oral traumatic experiences due to medical treatments. Objective: To identify variables and interactive features of the maternal and child psychological profile in the context of some types of feeding disorders: Post-Traumatic Feeding Disorder, Infantile Anorexia and Food Sensory Aversions. Methodology: Sample: The sample consisted of 80 mother-infant dyads (age range of children: 17-36 months). Tools and procedures: Observing mother-child interaction during feeding was assessed using the following coding systems: Feeding Scale and Feeding Resistance Scale. The mother's psychological profile was assessed through the Psychiatric Symptom Checklist and Eating Attitude Test. The psychological profile of the child was assessed by the Child Behavior Checklist 1 ½-5. Results: Interactive variables: There were significant differences between all clinical groups examined and the control group to scores of Feeding Scale. In particular, children with Posttraumatic Feeding Disorder obtained higher average scores in all dimensions of Feeding Resistance Scale. Risk indicators in the psychological functioning of mothers: mothers of children with Post-traumatic Eating Disorder get average scores higher anxiety than mothers of children with Infantile Anorexia. Risk indicators in the psychological functioning of children: Children with Post-traumatic Feeding Disorder obtained higher average scores in Externalizing syndromes (aggressive behavior) than other clinical groups and control. Discussion and Conclusions: The results of our study confirm the specific clinical features of emotional dysregulation in children with Post-traumatic Feeding Disorder and the interconnections between psychological of mothers' and children's profile.
Infantile post-traumatic feeding disorder and infantile anorexia: A clinical evaluation on maternal and child psychopathological risk factors
LUCARELLI, LOREDANA;
2010-01-01
Abstract
Introduction: The Post-traumatic Feeding Disorder has been introduced to define clinical evidence characterized by intense anticipatory anxiety of the child at the sight of food and great distress if the child is encouraged to eat by the caregiver; these children often show clinical history of actual unpleasant events namely of highly food or oral traumatic experiences due to medical treatments. Objective: To identify variables and interactive features of the maternal and child psychological profile in the context of some types of feeding disorders: Post-Traumatic Feeding Disorder, Infantile Anorexia and Food Sensory Aversions. Methodology: Sample: The sample consisted of 80 mother-infant dyads (age range of children: 17-36 months). Tools and procedures: Observing mother-child interaction during feeding was assessed using the following coding systems: Feeding Scale and Feeding Resistance Scale. The mother's psychological profile was assessed through the Psychiatric Symptom Checklist and Eating Attitude Test. The psychological profile of the child was assessed by the Child Behavior Checklist 1 ½-5. Results: Interactive variables: There were significant differences between all clinical groups examined and the control group to scores of Feeding Scale. In particular, children with Posttraumatic Feeding Disorder obtained higher average scores in all dimensions of Feeding Resistance Scale. Risk indicators in the psychological functioning of mothers: mothers of children with Post-traumatic Eating Disorder get average scores higher anxiety than mothers of children with Infantile Anorexia. Risk indicators in the psychological functioning of children: Children with Post-traumatic Feeding Disorder obtained higher average scores in Externalizing syndromes (aggressive behavior) than other clinical groups and control. Discussion and Conclusions: The results of our study confirm the specific clinical features of emotional dysregulation in children with Post-traumatic Feeding Disorder and the interconnections between psychological of mothers' and children's profile.
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