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Feeding disorders of infancy: a longitudinal study to middle childhood
Massimo Ammaniti1, Loredana Lucarelli, Silvia Cimino
1Department of Dynamic and Clinical Psychology, Sapienza, University of Rome, Roma, Italy. massimo.ammaniti@uniroma1.it
Insights
Children with Infantile Anorexia (IA) show persistent feeding and emotional issues, alongside maternal distress, even by eight years old. Untreated IA impacts long-term child and mother well-being.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Eating Disorders
Background:
- Infantile Anorexia (IA) is a complex feeding disorder in early childhood.
- Longitudinal data on IA's long-term impact on behavior and maternal well-being is limited.
Purpose of the Study:
- To track feeding behavior and emotional-behavioral functioning in children with IA versus typically developing peers.
- To examine the link between maternal psychological state and child outcomes in IA.
Main Methods:
- Prospective evaluation of 72 children with IA and 70 controls.
- Assessments conducted at ages two, five, and eight years.
Main Results:
- Children with IA showed partial nutritional improvement but persistent eating problems.
- Ongoing emotional-behavioral issues (anxiety, withdrawal, social problems) were observed in IA group.
- Significant correlations found between child eating/emotional problems and maternal distress/eating attitudes.
Conclusions:
- Untreated IA course involves persistent eating and emotional adjustment difficulties for children.
- Maternal psychological functioning is closely linked to persistent challenges in children with IA.
- Longitudinal studies highlight the enduring nature of IA's impact on families.
Objective:
To evaluate over time feeding behavior and emotional-behavioral functioning in a sample of children diagnosed with Infantile Anorexia (IA) and a group of typically developing children; and to investigate the relationship between maternal psychological functioning and the children's feeding patterns and emotional-behavioral functioning.
Method:
Seventy-two children diagnosed with IA and 70 children in the control group were prospectively evaluated through several measures at two, five, and eight years of age.
Results:
Our findings revealed partial improvement in the nutritional status of the children with IA. However, they continued to show ongoing eating problems and, in addition, anxiety/depression and withdrawal, as well as rule-breaking behaviors and social problems. There were significant correlations between the children's eating problems and their emotional difficulties and their mothers' increased emotional distress and disturbed eating attitudes.
Discussion:
Our longitudinal study points out that the natural course of untreated IA is characterized by the persistence of difficulties in eating behavior and emotional-behavioral adjustment in both, the children and their mothers.
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