Uninettuno and Faculty of Psychology, International Telematic University, 00186 Rome, Italy.
Department of Dynamic and Clinical Psychology, Sapienza University of Rome, 00186 Rome, Italy.
Int J Environ Res Public Health. 2020 May 27;17(11):3811. doi: 10.3390/ijerph17113811.
The literature on food intake disorder (ARFID) in early childhood has evidenced psychopathologic difficulties in both children and their mothers and a poor quality of feeding interactions. Only a few studies have focused on three different ARFID subtypes: irritable/impulsive (I/I), sensory food aversions (SFA) and post traumatic feeding disorder (PTFD). The aim of this study was to explore possible differences between the three groups in children's emotional-behavioral functioning, maternal psychopathologic risk and the quality of mother-child feeding interactions, comparing these clinical groups with a control group. The sample consisted of 100 child-mother dyads, of which 23 children with I/I, 25 children with SFA, 27 children with PTFD and 27 children with no diagnosis. The mothers primarily filled out questionnaires assessing their psychopathologic symptoms and children's emotional-behavioral functioning. Then, all dyads were videotaped during a main meal. Results revealed significant differences between the study groups in relation to children's emotional-adaptive functioning, mothers' psychological profile and mother-child interactions during feeding. These findings are relevant for the development of target intervention programs to treat specific ARFID disorders.
儿童期进食障碍（ARFID）的文献证据表明，儿童及其母亲都存在心理病理困难，以及喂养互动质量较差。只有少数研究集中在三种不同的 ARFID 亚型上：易激惹/冲动型（I/I）、感觉性食物回避型（SFA）和创伤后喂养障碍（PTFD）。本研究旨在探讨这三组儿童在情绪行为功能、母亲心理病理风险以及母婴喂养互动质量方面是否存在差异，并将这些临床组与对照组进行比较。该样本包括 100 对母子，其中 23 名儿童为 I/I 型，25 名儿童为 SFA 型，27 名儿童为 PTFD 型，27 名儿童无诊断。母亲主要填写了评估其心理病理症状和儿童情绪行为功能的问卷。然后，在一顿主餐期间，所有母子对都进行了录像。结果显示，研究组之间在儿童情绪适应功能、母亲心理特征以及喂养过程中的母婴互动方面存在显著差异。这些发现对于制定特定 ARFID 障碍的针对性干预计划具有重要意义。
