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Emotional-Behavioral Functioning, Maternal Psychopathologic Risk and Quality of Mother-Child Feeding Interactions in

Luca Cerniglia1, Eleonora Marzilli2, Silvia Cimino2

  • 1Uninettuno and Faculty of Psychology, International Telematic University, 00186 Rome, Italy.

International Journal of Environmental Research and Public Health
|May 31, 2020
PubMed

Insights

This study found significant differences in emotional functioning, maternal psychopathology, and feeding interactions among Avoidant/Restrictive Food Intake Disorder (ARFID) subtypes in children. These findings aid in developing targeted ARFID interventions.

Area of Science:

  • Pediatric Psychology
  • Child Psychiatry
  • Developmental Psychology

Background:

  • Avoidant/Restrictive Food Intake Disorder (ARFID) in early childhood is linked to maternal psychopathology and poor feeding interactions.
  • Limited research exists on specific ARFID subtypes: irritable/impulsive (I/I), sensory food aversions (SFA), and post-traumatic feeding disorder (PTFD).

Purpose of the Study:

  • To investigate differences in emotional-behavioral functioning, maternal psychopathology, and mother-child feeding interactions across three ARFID subtypes and a control group.
  • To compare clinical ARFID groups with a non-clinical control group.

Main Methods:

  • A study of 100 child-mother dyads, including children with I/I (n=23), SFA (n=25), PTFD (n=27), and controls (n=27).
  • Mothers completed questionnaires on their psychopathology and child's emotional-behavioral functioning.
  • Child-mother dyads were videotaped during a mealtime interaction.

Main Results:

  • Significant variations were observed between the groups regarding children's emotional-adaptive functioning.
  • Mothers' psychological profiles differed significantly across the study groups.
  • Mother-child feeding interaction quality showed significant differences among the ARFID subtypes and the control group.

Conclusions:

  • Distinct patterns of child emotional functioning, maternal psychopathology, and feeding interactions exist among ARFID subtypes.
  • Findings support the need for tailored intervention programs addressing the specific needs of each ARFID subtype.

Keywords:
avoidant/restrictive food intake disorderchildren emotional-behavioral functioningdiagnostic subtypesmaternal psychopathologic riskmother–child feeding interactions

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