Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany; Centre of Excellence for Eating Disorders (KOMET), University Hospital Tuebingen, Tuebingen, Germany; German Center for Mental Health (DZPG), Tuebingen, Baden-Wuerttemberg, Germany; Graduate Training Centre of Neuroscience, International Max Planck Research School, Eberhard Karls University Tuebingen, Tuebingen, Germany.
Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany; Centre of Excellence for Eating Disorders (KOMET), University Hospital Tuebingen, Tuebingen, Germany; German Center for Mental Health (DZPG), Tuebingen, Baden-Wuerttemberg, Germany.
Appetite. 2024 Sep 1;200:107551. doi: 10.1016/j.appet.2024.107551. Epub 2024 Jun 8.
A growing body of evidence suggests that children of mothers with eating disorders (EDs) have a greater risk of early feeding problems. Recognizing and reacting adequately to the infant's signals during feeding is crucial for the child's development of internal and external regulatory mechanisms of food intake. Parental EDs might affect this ability. Therefore, we investigated the quality of mother-infant interactions during feeding using video recording and a structured coding system.
The data of this pilot study was collected in a prospective cohort study investigating the influence of maternal EDs on child outcomes. Twenty women with ED history and 31 control women were videotaped while feeding their infant during a main meal at ten months postpartum. The mother-infant interactions were evaluated by two raters using the Chatoor Feeding Scale. We assessed birth outcomes, the mother's ED and depression status, breastfeeding practices, infant feeding problems and infant temperament by maternal self-report.
Mothers with and without ED history scored very similar on the Feeding Scale, however mothers from the control group experienced more struggle for control with their infants during feeding (p = 0.046) and made more negative comments about the infant's food intake (p = 0.010). Mothers with ED history were more concerned about infant feeding at three months postpartum and reported significantly more problems with solid foods in their children. Birth outcomes were comparable between groups, except for lower weight-for-length birth percentiles in children of women with ED history.
Whilst examined mothers with ED history are more concerned about feeding their children, ED psychopathology does not affect the quality of mother-infant interaction during feeding at the transition to autonomous eating at ten months of age.
越来越多的证据表明，患有饮食失调症（ED）的母亲的孩子更容易出现早期喂养问题。在喂养过程中识别和适当回应婴儿的信号对于儿童内部和外部食物摄入调节机制的发展至关重要。父母的 ED 可能会影响这种能力。因此，我们使用视频记录和结构化编码系统研究了喂养期间母婴互动的质量。
本研究的数据来自一项前瞻性队列研究，该研究调查了母亲 ED 对儿童结局的影响。在产后十个月的一次主餐期间，对 20 名有 ED 病史的女性和 31 名对照女性进行录像，同时记录她们的婴儿喂养情况。两位评分员使用 Chatoor 喂养量表评估母婴互动。我们通过母亲自我报告评估了出生结果、母亲的 ED 和抑郁状况、母乳喂养实践、婴儿喂养问题和婴儿气质。
有和没有 ED 病史的母亲在喂养量表上的得分非常相似，但对照组的母亲在喂养过程中与婴儿的控制斗争更多（p=0.046），并且对婴儿的食物摄入做出更多负面评价（p=0.010）。有 ED 病史的母亲在产后三个月对婴儿喂养更为关注，并报告其孩子在固体食物方面存在更多问题。两组之间的出生结果相当，除了 ED 病史组的儿童体重长度百分位较低。
尽管检查的 ED 病史母亲对喂养孩子更为关注，但在向自主进食过渡到十个月时，ED 心理病理学并不会影响喂养期间母婴互动的质量。
