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6岁儿童母亲喂养方式与焦虑和抑郁症状之间的关联

Association Between Maternal Feeding Practices and Symptoms of Anxiety and Depression Among 6-Year-Old Children.

作者信息

Flahive Shannon, Chavan Bhakti, Haile Zelalem T

机构信息

Heritage College of Osteopathic Medicine, Ohio University, Dublin, OH, USA.

Department of Social Medicine, Heritage College of Osteopathic Medicine, Ohio University, Dublin, OH, USA.

出版信息

Clin Med Insights Pediatr. 2019 Mar 29;13:1179556519839334. doi: 10.1177/1179556519839334. eCollection 2019.

Abstract

BACKGROUND

Maternal feeding practices (MFPs) have been linked to childhood obesity and other eating disorders. However, population-based research examining the association between MFPs and children's emotional well-being is currently lacking.

METHODS

We examined 1241 participants from Year 6 Follow-Up of the Infant Feeding Practices Study II, conducted from March to June 2012 in the United States.

RESULTS

Approximately 57.5% and 47.8% of participants reported at least one symptom of childhood anxiety and depression, respectively. After adjusting for potential confounders, mothers who responded "yes" to "If I did not guide or regulate my child's eating, he or she would eat too much of his or her favorite food" had higher odds of having a child who has symptoms of depression and anxiety compared with mothers who responded "no" (odds ratio [OR], 95% confidence interval [CI]) (2.02; 1.47-2.78,  < .001) and (1.41, 1.05-1.91,  = .024), respectively. The odds of having a child who has symptoms of depression were lower among mothers who responded "yes" to "I make sure that my child does not eat too many sweets or junk foods" compared with mothers who responded "no" (0.49; 0.26-0.91,  = .020). Mothers who responded "yes" to "I encourage my 6 year-old to eat all of the food on his or her plate" had higher odds of having a child who has symptoms of anxiety compared with mothers who responded "no" (1.43; 1.01-2.05,  = .049).

CONCLUSIONS

Controlling MFPs may influence a child's emotional well-being. Further research is needed to address the complex relationships between MFPs and psychosocial well-being in children.

摘要

背景

母亲的喂养方式与儿童肥胖及其他饮食失调有关。然而,目前缺乏基于人群的研究来探讨母亲喂养方式与儿童情绪健康之间的关联。

方法

我们对2012年3月至6月在美国进行的婴儿喂养方式研究II六年级随访中的1241名参与者进行了调查。

结果

分别约有57.5%和47.8%的参与者报告至少有一项儿童焦虑和抑郁症状。在对潜在混杂因素进行调整后,对“如果我不指导或规范孩子的饮食,他或她会吃太多最喜欢的食物”回答“是”的母亲,其孩子出现抑郁和焦虑症状的几率高于回答“否”的母亲(优势比[OR],95%置信区间[CI])(分别为2.02;1.47 - 2.78,<0.001)和(1.41,1.05 - 1.91,=0.024)。对“我确保我的孩子不吃太多甜食或垃圾食品”回答“是”的母亲,其孩子出现抑郁症状的几率低于回答“否”的母亲(0.49;0.26 - 0.91,=0.020)。对“我鼓励我6岁的孩子吃完他或她盘子里的所有食物”回答“是”的母亲,其孩子出现焦虑症状的几率高于回答“否”的母亲(1.43;1.01 - 2.05,=0.049)。

结论

控制母亲的喂养方式可能会影响孩子的情绪健康。需要进一步研究来探讨母亲喂养方式与儿童心理社会健康之间的复杂关系。

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