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婴儿喂养障碍:从中期儿童到成年的纵向研究。

Feeding disorders of infancy: a longitudinal study to middle childhood.

机构信息

Department of Dynamic and Clinical Psychology, Sapienza, University of Rome, Roma, Italy.

出版信息

Int J Eat Disord. 2012 Mar;45(2):272-80. doi: 10.1002/eat.20925. Epub 2011 Apr 14.

DOI:10.1002/eat.20925
PMID:21495054
Abstract

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.

摘要

目的

评估一组患有婴儿厌食症(IA)的儿童和一组正常发育的儿童在一段时间内的喂养行为和情绪行为功能,并探讨母亲心理功能与儿童喂养模式和情绪行为功能之间的关系。

方法

72 名被诊断为 IA 的儿童和 70 名对照组儿童在 2 岁、5 岁和 8 岁时通过多项措施进行前瞻性评估。

结果

我们的研究结果显示,IA 儿童的营养状况有所改善。然而,他们仍持续存在饮食问题,并且表现出焦虑/抑郁和退缩、违反规则行为和社会问题。儿童的饮食问题与他们的情绪困难以及他们母亲情绪困扰和饮食失调态度之间存在显著相关性。

讨论

我们的纵向研究表明,未经治疗的 IA 的自然病程表现为儿童和母亲的饮食行为和情绪行为调整方面的困难持续存在。

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