The Breastfeeding Experiences of Mother-Infant Dyads and the Effects of an FMR1 Mutation.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL
Emily Cheves, Sarah Nelson Potter, Oksana Kutsa, Sara M Andrews, Angela Gwaltney, Anne Wheeler
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Abstract

This study examined the early breastfeeding experiences of mothers with an FMR1 premutation (FXPM) and their infants with and without fragile X syndrome (FXS) to identify early feeding needs and potential opportunities for intervention. Data collection occurred through a retrospective national survey that captured data on breastfeeding experiences and co-occurring conditions of mother and child. Participants were 246 mothers with an FXPM. Of their 384 infants, 287 had FXS and 97 were unaffected (i.e., they did not have FXS or an FXPM). Unaffected infants had a longer breastfeeding duration relative to infants with FXS, and infants of mothers who had postpartum depression (PPD). Additionally, infants who were reported to display aggressiveness towards others later in childhood had a shorter breastfeeding duration than those who did not go on to display aggression. Approximately 42% percent of mothers reported difficulties with breastfeeding infants with FXS compared to only 17% of unaffected infants. The most common reason for breastfeeding cessation for mothers of children with FXS was perceived difficulties in breastfeeding for the child (37%), whereas the most common reason for mothers of unaffected infants was a personal choice to stop (37%). This study provides preliminary evidence that infants with FXS show early phenotypes that make breastfeeding more difficult. Future research should investigate whether interventions for infants with FXS could improve breastfeeding outcomes.

母婴二人组的母乳喂养经历及 FMR1 基因突变的影响。
本研究调查了患有 FMR1 早发型突变(FXPM)的母亲及其患有和未患有脆性 X 综合征(FXS)的婴儿的早期母乳喂养经历,以确定早期喂养需求和潜在的干预机会。数据收集是通过一项回顾性全国调查进行的,该调查收集了有关母乳喂养经历和母婴并发症的数据。参与调查的有 246 位患有 FXPM 的母亲。在她们的 384 名婴儿中,287 名患有 FXS,97 名未受影响(即没有 FXS 或 FXPM)。与患有 FXS 的婴儿和患有产后抑郁症(PPD)的母亲的婴儿相比,未受影响的婴儿的母乳喂养时间更长。此外,据报告在童年后期对他人表现出攻击性的婴儿,其母乳喂养持续时间比没有表现出攻击性的婴儿要短。约有 42% 的母亲表示在母乳喂养患有 FXS 的婴儿时遇到困难,而在未受影响的婴儿中,这一比例仅为 17%。FXS患儿的母亲停止母乳喂养的最常见原因是认为母乳喂养对孩子有困难(37%),而未受影响婴儿的母亲停止母乳喂养的最常见原因是个人选择(37%)。这项研究提供了初步证据,表明患有 FXS 的婴儿表现出的早期表型会增加母乳喂养的难度。未来的研究应探讨对 FXS 婴儿的干预措施能否改善母乳喂养的结果。
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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
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