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Published on: August 21, 2015
Child attachment behavior as a moderator of the relation between feeding responsiveness and picky eating behavior
Samantha Iwinski1, Natasha Chong Cole2, Jaclyn A Saltzman3
1Department of Human Development and Family Studies, University of Illinois, Urbana, IL, United States of America.
Insights
Caregiver feeding responsiveness (FR) can reduce picky eating (PE) in toddlers, especially when children have positive interactions. Child attachment also influences this relationship, highlighting the importance of caregiver-child dynamics.
Area of Science:
- Child Development
- Pediatric Nutrition
- Family Studies
Background:
- Persistent picky eating (PE) in early childhood is linked to poor development and caregiver stress.
- Identifying feeding and parent-child factors influencing PE is crucial for mitigating associated risks.
Purpose of the Study:
- To investigate the association between caregiver Feeding Responsiveness (FR) and child PE behaviors.
- To determine if children's attachment behaviors moderate the FR-PE relationship.
Main Methods:
- 110 families with toddlers (18-24 months) were observed during mealtimes.
- Caregiver-child interactions, FR, and PE behaviors were coded from videotaped observations.
- Caregiver surveys assessed FR and PE, complementing observational data.
Main Results:
- Caregiver reports of FR and PE correlated with observed behaviors.
- Caregiver FR was inversely related to observed PE, particularly in children with positive caregiver interactions.
- Child attachment significantly moderated the link between FR and PE behaviors.
Conclusions:
- The quality of caregiver-child interactions influences the effectiveness of FR in reducing PE.
- Future research should explore diverse populations and multiple caregivers in longitudinal studies.
Background:
Picky eating (PE) behavior is common in early childhood, but persistent PE is associated with unhealthy development and caregiver-child stress during feeding. Identifying modifiable feeding and parent-child relationship factors that impact PE is important for decreasing risks associated with PE.
Objective:
This study examined associations between caregiver Feeding Responsiveness (FR) and child PE behaviors using caregiver reports and observations of family mealtimes. An additional aim examined whether children's attachment behavior moderates this association.
Methods:
The analysis sample consisted of 110 families participating in a larger longitudinal study of nutrition and child health. Home observations were conducted when children were 18-24 months (52% females) to assess caregiver-child interactions. Caregivers were, on average, 30.9 years old and mostly White (73.6%). Family mealtimes were videotaped and coded for FR and child PE behaviors. Caregivers completed surveys regarding FR and PE behaviors.
Results:
Caregiver-reported FR was significantly correlated with observed FR, r (107) = 0.26, p = 0.007; and caregiver-reported PE was associated with observed PE, r (107) = 0.21, p = 0.029. Caregiver-reported FR was inversely related to observed PE, but only when children were characterized by observers to have more positively toned and smooth interactions with caregivers. Using observational data, child attachment significantly moderated the relationship between FR and PE behaviors.
Conclusions:
The quality of caregiver-child interactions may impact the degree to which FR is effective in reducing PE. Future longitudinal studies that include more diverse populations, multiple caregivers, and potential mechanisms accounting for these associations are needed.
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