早产和不适应进餐时间动态:母亲情绪困扰,饮食相关认知和心智的作用。

IF 3.6
Tal Yatziv, Noa Gueron-Sela, Gal Meiri, Kyla Marks, Naama Atzaba-Poria
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引用次数: 5

摘要

早产和母亲情绪困扰构成喂养障碍的危险因素。本研究在134个家庭样本(70个早产儿,低医疗风险;64个足月)纵向随访。具体而言,考虑了与饮食和健康相关的母亲认知(对儿童脆弱性的感知和对儿童饮食的关注)和对心理状态的理解(相互作用的心智)。测试了一个多介质模型,控制婴儿体重和母乳喂养史。虽然早产并不能直接预测进餐时间动态,但多重中介分析揭示了间接途径:早产新生儿的母亲报告了更高的情绪困扰,这随后预测了6个月时儿童脆弱性的感知和对儿童饮食的担忧;对儿童脆弱性的感知预示着更多的冲突用餐时间动态,而对儿童饮食的关注预示着12个月时较少的互惠用餐时间动态。6个月大的心智倾向预示着更多的互惠和更少的冲突的用餐时间动态,但没有起到中介作用。对理解从早产到喂养障碍的途径的意义进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prematurity and Maladaptive Mealtime Dynamics: the Roles of Maternal Emotional Distress, Eating-Related Cognitions, and Mind-Mindedness.

Premature birth and maternal emotional distress constitute risk factors for feeding disorders. This study examined the roles of maternal cognitions in the link between prematurity, emotional distress and mother-infant maladaptive mealtime dynamics in a sample of 134 families (70 preterm, low medical risk; 64 full-term) followed longitudinally. Specifically, maternal cognitions related to eating and health (perception of child vulnerability and concerns about child's eating) and understanding of mental states (interactional mind-mindedness) were considered. A multiple-mediators model was tested, controlling for infants' weight and breastfeeding history. Although prematurity did not directly predict mealtime dynamics, multiple-mediation analyses revealed indirect pathways: mothers of preterm newborns reported higher emotional distress, which subsequently predicted perception of child vulnerability and concerns about child's eating at 6-months; perception of child vulnerability predicted more conflictual mealtime dynamics, whereas concern about child's eating predicted less reciprocal mealtime dynamics at 12-months. Mind-mindedness at 6-months predicted more reciprocal and less conflictual mealtime dynamics but did not act as a mediator. Implications for understanding pathways from prematurity to feeding disorders are discussed.

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来源期刊
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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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