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父亲在小儿厌食症中的作用。

Father`s role in infantile anorexia.

作者信息

Özyurt Gonca, Çağan-Appak Yeliz, Karakoyun Miray, Eliaçık Kayı, Baran Maşallah

机构信息

Departments of Child and Adolescent Psychiatry, İzmir Katip Çelebi University Medical Faculty, İzmir, Turkey.

Division of Pediatric Gastroenterology, İzmir Katip Çelebi University Medical Faculty, İzmir, Turkey.

出版信息

Turk J Pediatr. 2018;60(5):608-611. doi: 10.24953/turkjped.2018.05.024.

Abstract

Özyurt G, Çağan-Appak Y, Karakoyun M, Eliaçık K, Baran M. Father`s role in infantile anorexia. Turk J Pediatr 2018; 60: 608-611. Organic diseases account for only 16-30% of early feeding disorders. During the infancy period, mother-child relationship is in the center of feeding and disturbances in this relationship can also cause feeding disorders. Infantile anorexia (IA) usually begins within the first three years of age, but it has most commonly been observed to emerge between 9 and 18 months of age, a time during which babies transition to spoon and self-feeding. It is also worth noting that babies start to gain autonomy during this time frame. The present study discusses the case of an 8-month-old girl diagnosed with IA after ruling out food allergies, gastro-esophageal reflux disease, malrotation, and neurological problems. The patient was diagnosed with IA was treated with the relational regulation of parents and active participation of her father during the treatment process. It is found that mother-child relational disturbances and conflicts decreased dyadic reciprocity and non-appropriate affects in feeding times are associated with IA. Effective treatment strategies for non-organic feeding disorders might be developed by giving importance to maternal mental health and providing paternal involvement in baby caregiving.

摘要

厄祖尔特·G、恰甘 - 阿帕克·Y、卡拉科云·M、埃利亚吉克·K、巴兰·M。父亲在婴儿厌食症中的作用。《土耳其儿科学杂志》2018年;60: 608 - 611。器质性疾病仅占早期喂养障碍的16% - 30%。在婴儿期,母婴关系是喂养的核心,这种关系的紊乱也会导致喂养障碍。婴儿厌食症(IA)通常在三岁前开始,但最常见于9至18个月大时出现,这是婴儿过渡到用勺子和自主进食的时期。同样值得注意的是,婴儿在这个时间段开始获得自主性。本研究讨论了一名8个月大女孩的病例,在排除食物过敏、胃食管反流病、肠旋转不良和神经问题后被诊断为IA。被诊断为IA的患者在治疗过程中通过父母关系调节和其父亲的积极参与进行治疗。研究发现,母婴关系紊乱和冲突会降低二元互动性,喂食时不适当的情感与IA有关。重视母亲心理健康并让父亲参与婴儿护理,可能会制定出针对非器质性喂养障碍的有效治疗策略。

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