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Maternal psychopathology and psychomotor development of children with GERD

Gul Karacetin1, Turkay Demir, Tulay Erkan

  • 1Department of Child and Adolescent Psychiatry, Cerrahpasa Medical Faculty, University of Istanbul, Istanbul, Turkey. drgul21@yahoo.com

Journal of Pediatric Gastroenterology and Nutrition
|June 24, 2011
PubMed

Insights

Maternal psychopathology, particularly insecure attachment, is linked to feeding problems in children with gastroesophageal reflux disease (GERD). GERD also negatively impacts children's psychomotor development, requiring integrated assessment and intervention.

Area of Science:

  • Pediatrics
  • Psychiatry
  • Developmental Psychology

Background:

  • Gastroesophageal reflux disease (GERD) in children has been associated with feeding difficulties, but the role of maternal psychopathology remains unclear.
  • Previous research suggested a link between maternal mental health, mother-child interactions, and persistent feeding problems in pediatric GERD.

Purpose of the Study:

  • To investigate the relationship between maternal psychopathology and feeding problems in children diagnosed with GERD.
  • To assess the impact of GERD on the psychomotor development of affected children.

Main Methods:

  • A case-control study involving 39 children with GERD and their mothers, compared to 39 healthy children and their mothers, matched for key demographics.
  • Maternal psychopathology was assessed using standardized scales (Beck Anxiety Inventory, Hamilton Depression Rating Scale, Eating Attitudes Test, Experiences in Close Relationships-Revised).
  • Children's psychomotor development was evaluated using the Brunet-Lezine Revised test.

Main Results:

  • Mothers of children with GERD exhibited significantly higher scores for anxiety, depression, disordered eating attitudes, and insecure attachment patterns.
  • Maternal attachment anxiety and avoidance correlated with forced feeding practices and perceptions of inadequate infant intake.
  • Children with GERD demonstrated significantly lower psychomotor development scores compared to controls.

Conclusions:

  • Maternal psychopathology, especially insecure attachment, is a significant factor contributing to feeding problems in pediatric GERD.
  • Early screening for maternal psychopathology and feeding issues in children with GERD is crucial for timely intervention.
  • The potential impact of GERD on children's psychomotor development warrants careful consideration and monitoring.
Abstract

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