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Behavioral feeding problems and parenting stress in eosinophilic gastrointestinal disorders in children

Yelena P Wu1, James P Franciosi, Marc E Rothenberg

  • 1Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.

Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology
|August 14, 2012
PubMed

Insights

Children with eosinophilic gastrointestinal disorders (EGID) experience more behavioral feeding problems, increasing parental stress. These issues, however, do not impact dietary adherence. Comprehensive support is recommended for EGID families.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology
  • Family Health

Background:

  • Eosinophilic gastrointestinal disorders (EGID) require strict dietary adherence for children.
  • Daily challenges associated with dietary restrictions impact families.
  • Limited understanding of psychosocial factors affecting adherence in pediatric EGID.

Purpose of the Study:

  • To investigate child and family functioning in pediatric EGID.
  • To examine the impact of psychosocial factors, like feeding problems, on dietary adherence.
  • To assess parenting stress and behavioral feeding issues in children with EGID.

Main Methods:

  • A gender- and age-matched case-control study was performed.
  • Parents of children with EGID and healthy controls completed validated questionnaires.
  • Measures included behavioral feeding problems, parenting stress, and dietary adherence.

Main Results:

  • Children with EGID exhibited significantly higher behavioral feeding problems than controls.
  • Younger children with EGID showed more pronounced behavioral feeding problems.
  • Behavioral feeding problems correlated positively with parenting stress but did not predict dietary adherence.

Conclusions:

  • Elevated behavioral feeding problems in EGID are linked to parental stress and maladjustment.
  • A multidisciplinary approach is crucial for evaluating and treating psychosocial and feeding issues in EGID.
  • Comprehensive care should address the complex needs of children with EGID and their families.
Abstract

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