Feeding Disorder

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Silvia Cimino - One of the best experts on this subject based on the ideXlab platform.

  • emotional behavioral functioning maternal psychopathologic risk and quality of mother child Feeding interactions in children with avoidant restrictive food intake Disorder
    International Journal of Environmental Research and Public Health, 2020
    Co-Authors: Luca Cerniglia, Eleonora Marzilli, Silvia Cimino
    Abstract:

    The literature on food intake Disorder (ARFID) in early childhood has evidenced psychopathologic difficulties in both children and their mothers and a poor quality of Feeding interactions. Only a few studies have focused on three different ARFID subtypes: irritable/impulsive (I/I), sensory food aversions (SFA) and post traumatic Feeding Disorder (PTFD). The aim of this study was to explore possible differences between the three groups in children’s emotional-behavioral functioning, maternal psychopathologic risk and the quality of mother–child Feeding interactions, comparing these clinical groups with a control group. The sample consisted of 100 child–mother dyads, of which 23 children with I/I, 25 children with SFA, 27 children with PTFD and 27 children with no diagnosis. The mothers primarily filled out questionnaires assessing their psychopathologic symptoms and children’s emotional-behavioral functioning. Then, all dyads were videotaped during a main meal. Results revealed significant differences between the study groups in relation to children’s emotional–adaptive functioning, mothers’ psychological profile and mother–child interactions during Feeding. These findings are relevant for the development of target intervention programs to treat specific ARFID Disorders.

  • maternal psychopathology and child risk factors in infantile anorexia
    International Journal of Eating Disorders, 2009
    Co-Authors: Massimo Ammaniti, Loredana Lucarelli, Silvia Cimino, Francesca Dolimpio, Irene Chatoor
    Abstract:

    Objective: This study examines a transactional and multirisk model for Infantile Anorexia (IA) and investigates the contributions of the parent, the child, and dyadic interactional variables related to this Feeding Disorder. Method: The sample consisted of 371 mother-child pairs (children aged 6–36 months), of which 187 pairs of mothers and normally developing children (ND-group), and 184 mothers and IA children. All dyads were videotaped during Feeding; mothers completed questionnaires assessing their psychological profiles and eating attitudes, as well as their children's temperament and emotional/ behavioral functioning. Results: Analyses revealed that the IA-group showed higher scores in symptomatic characteristics both of the mother and of the child, and dysfunctional interactions during Feeding as compared with the ND-group. Further analyses revealed that both child and maternal characteristics are significant predictors of dyadic interactional conflict. Discussion: Results confirm that a multidimensional assessment is critical in the evaluation of IA. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010

Irene Chatoor - One of the best experts on this subject based on the ideXlab platform.

  • maternal psychopathology and child risk factors in infantile anorexia
    International Journal of Eating Disorders, 2009
    Co-Authors: Massimo Ammaniti, Loredana Lucarelli, Silvia Cimino, Francesca Dolimpio, Irene Chatoor
    Abstract:

    Objective: This study examines a transactional and multirisk model for Infantile Anorexia (IA) and investigates the contributions of the parent, the child, and dyadic interactional variables related to this Feeding Disorder. Method: The sample consisted of 371 mother-child pairs (children aged 6–36 months), of which 187 pairs of mothers and normally developing children (ND-group), and 184 mothers and IA children. All dyads were videotaped during Feeding; mothers completed questionnaires assessing their psychological profiles and eating attitudes, as well as their children's temperament and emotional/ behavioral functioning. Results: Analyses revealed that the IA-group showed higher scores in symptomatic characteristics both of the mother and of the child, and dysfunctional interactions during Feeding as compared with the ND-group. Further analyses revealed that both child and maternal characteristics are significant predictors of dyadic interactional conflict. Discussion: Results confirm that a multidimensional assessment is critical in the evaluation of IA. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010

  • food refusal by infants and young children diagnosis and treatment
    Cognitive and Behavioral Practice, 2003
    Co-Authors: Irene Chatoor, Jody M Ganiban
    Abstract:

    Parents report that 25% of toddlers exhibit food refusal. A subgroup of these children demonstrate such severe food refusal that their nutritional status is compromised, leading to the diagnosis of a Feeding Disorder. Although food refusal is common, and can pose a significant health risk for some children, few researchers and clinicians have described the different forms food refusal may take, or have related food refusal subtype to Feeding Disorders subtypes. Such critical issues must be addressed and discussed because different types of food refusal and Feeding Disorders may necessitate different treatment approaches. This review proposes that food refusal can be expressed in qualitatively different ways, including (a) unpredictable food refusal; (b) selective food refusal; and (c) fear-based food refusal. Furthermore, it is proposed that each form of food refusal gives rise to a qualitatively different Feeding Disorder: Unpredictable food refusal is associated with infantile anorexia; selective food refusal is related to sensory food aversions; and fear-based food refusal is central to a posttraumatic Feeding Disorder. Implications for the treatment of each type of Feeding Disorder are discussed.

  • Observation of Feeding in the Diagnosis of Posttraumatic Feeding Disorder of Infancy
    Journal of the American Academy of Child and Adolescent Psychiatry, 2001
    Co-Authors: Irene Chatoor, Jody M Ganiban, Joyce N. Harrison, Robert Hirsch
    Abstract:

    ABSTRACT Objectives To delineate diagnostic criteria for posttraumatic Feeding Disorder (PTFD) of infancy and to differentiate PTFD from infantile anorexia (IA) via observation of Feeding interactions. Method Three groups of infants (aged 6–32 months) participated: PTFD ( n = 30), IA ( n = 30), and healthy eater controls ( n = 30). The three groups were matched with regard to age, gender, ethnicity, and socioeconomic status. Child psychiatrists used infants' medical and Feeding histories and observed 20-minute mother–infant Feeding interactions to determine diagnoses and group placement. Feeding interactions were also videotaped, and two raters assessed infants' resistance to Feeding situations and to swallowing, as well as specific qualities of mother–infant Feeding interactions. Results Overall, the clinical groups (PTFD and IA) demonstrated more problematic Feeding interactions than did the control group. However, the PTFD group exhibited more resistance during Feeding interactions than did the other two groups. In particular, the PTFD group displayed the most resistance to swallowing food. Conclusions Infants' medical and Feeding histories, as well as observations of Feeding, are important to making the diagnosis of PTFD and differentiating it from other Feeding Disorders. Implications for treatment of PTFD are discussed.

Luca Cerniglia - One of the best experts on this subject based on the ideXlab platform.

  • emotional behavioral functioning maternal psychopathologic risk and quality of mother child Feeding interactions in children with avoidant restrictive food intake Disorder
    International Journal of Environmental Research and Public Health, 2020
    Co-Authors: Luca Cerniglia, Eleonora Marzilli, Silvia Cimino
    Abstract:

    The literature on food intake Disorder (ARFID) in early childhood has evidenced psychopathologic difficulties in both children and their mothers and a poor quality of Feeding interactions. Only a few studies have focused on three different ARFID subtypes: irritable/impulsive (I/I), sensory food aversions (SFA) and post traumatic Feeding Disorder (PTFD). The aim of this study was to explore possible differences between the three groups in children’s emotional-behavioral functioning, maternal psychopathologic risk and the quality of mother–child Feeding interactions, comparing these clinical groups with a control group. The sample consisted of 100 child–mother dyads, of which 23 children with I/I, 25 children with SFA, 27 children with PTFD and 27 children with no diagnosis. The mothers primarily filled out questionnaires assessing their psychopathologic symptoms and children’s emotional-behavioral functioning. Then, all dyads were videotaped during a main meal. Results revealed significant differences between the study groups in relation to children’s emotional–adaptive functioning, mothers’ psychological profile and mother–child interactions during Feeding. These findings are relevant for the development of target intervention programs to treat specific ARFID Disorders.

Jennifer J Thomas - One of the best experts on this subject based on the ideXlab platform.

  • co occurrence of avoidant restrictive food intake Disorder and traditional eating psychopathology
    Journal of the American Academy of Child and Adolescent Psychiatry, 2020
    Co-Authors: Kendra R Becker, Lauren Breithaupt, Elizabeth A Lawson, Kamryn T Eddy, Jennifer J Thomas
    Abstract:

    Avoidant/restrictive food intake Disorder (ARFID) is a Feeding/eating Disorder introduced in the fifth edition of the DSM-5 that is characterized by inadequate volume and/or variety of food intake.1 ARFID represents an expansion of the prior DSM-IV Disorder "Feeding Disorder of Early Childhood" that can be diagnosed across the lifespan.1,2DSM-5 clearly states that ARFID cannot be diagnosed in the context of significant shape/weight concerns and associated behaviors.1 However, our clinical team has observed multiple instances in which adolescent girls have presented with frank ARFID and simultaneously reported, or ultimately developed, traditional eating-Disorder psychopathology. The following two cases are representative of the most common presentations of this diagnostic overlap that we have seen. We discuss possible reasons for this overlap and suggest two revisions to DSM criteria that may help in treatment planning for this unexpected comorbidity. Each patient provided written consent for her case to be included.

Baruch Yerushalmi - One of the best experts on this subject based on the ideXlab platform.

  • mealtime dynamics in child Feeding Disorder the role of child temperament parental sense of competence and paternal involvement
    Journal of Pediatric Psychology, 2015
    Co-Authors: Inbal Aviram, Gal Meiri, Naama Atzabaporia, Alison Pike, Baruch Yerushalmi
    Abstract:

    Objective We examined how child temperament, parental sense of competence, and paternal involvement predicted observed mealtime dynamics. Method 97 families of children with Feeding Disorder (FD), sleep problems (SP), and typically developing (TD) children participated in the study. Data were collected during home visits, where mother–child and father–child mealtime dynamics were videotaped and parents completed questionnaires. Results More mother–child and father–child conflict and control was observed during mealtimes in the FD than SP and TD groups. Among the FD group, maternal sense of competence was negatively correlated with mother–child conflict and control, and child temperament was linked to father–child conflict and control, but only for families in which fathers were highly involved. These correlations were not significant among the SP and TD groups. Conclusion Different patterns of results were seen for mothers and fathers and among the FD and control groups. Clinical implications for the treatment of FD are discussed.

  • Maternal worries about child underweight mediate and moderate the relationship between child Feeding Disorders and mother–child Feeding interactions
    2011
    Co-Authors: Noa Gueron-sela, Naama Atzaba-poria, Gal Meiri, Baruch Yerushalmi
    Abstract:

    Objective To examine the role of maternal worries about child underweight and undereating in mother– child Feeding interactions with children having a Feeding Disorder (FD). Method Participants were 27 children diagnosed with nonorganic-based FD and 28 children without FD. Mothers were interviewed about their worries about child underweight and undereating. Mother–child interactions were videotaped during Feeding. Results Maternal child weight-related worries acted as both a mediator and a moderator. The more negative mother–child interactions found in the FD group, compared to the control group, were explained by greater maternal worry regarding child underweight. Furthermore, mother–child interactions within the FD group were not at risk per se, but only when coupled with high maternal worries about children’s underweight. Conclusion Worry about child underweight partially explains the development of negative Feeding interactions when having children with FD, signifying clinical implications for the treatment of FD. Key words Eating and Feeding Disorders; failure to thrive; motherhood; parenting

  • father child and mother child interaction in families with a child Feeding Disorder the role of paternal involvement
    Tradition, 2010
    Co-Authors: Naama Atzabaporia, Gal Meiri, Maaian Millikovsky, Anat Barkai, Maayan Dunaevskyidan, Baruch Yerushalmi
    Abstract:

    A ce jour, les recherches sur les troubles de l'alimentation se sont presque exclusivement portees sur la dyade mere-enfant, tout en ignorant le role des peres. Cette presente etude s'est penchee sur les interactions pere-enfant avec les enfants atteints de troubles de l'alimentation (TA). L'echantillon a consiste en 67 enfants (de 1 a 3 ans), leurs meres et meres. Trente quatre enfants, diagnostiques avec un TA non-organique (groupe TA) et trente trois enfants sans TA (groupe de controle) ont ete assortis par âge, sexe, ordre de naissance et education maternelle. Les donnees ont ete rassemblees lors de visites a domicile. Les meres ont subi un entretien sur leur implication, ainsi que celle du pere, dans les soins a l'enfant. De plus, les interactions mere-enfant et pere-enfant ont ete filmees a la video lors d'une seance de jeu et une prise de nourriture. A la fois les meres et les peres du groupe TA ont fait l'experience d'interactions parent-enfant moins positives que les parents du groupe de controle. De plus, les meres du groupe TA ont fait etat de bien plus d'implication maternelle que l'implication paternelle que les meres du groupe de controle. Enfin, les meres du groupe TA ont fait preuve de plus de sensibilite parentale que les peres durant les interactions pendant la prise de nourriture. Dans les familles ou les peres etaient tres impliques, aucune difference n'etait evidente dans la sensibilite paternelle ou maternelle. Ces resultats mettent en evidence l'important de l'implication des peres, surtout dans les familles avec des enfants faisant preuve d'un TA.