Chatoor I, Ganiban J, Colin V, Plummer N, Harmon R J
George Washington University (GWU), Washington, DC, USA.
J Am Acad Child Adolesc Psychiatry. 1998 Nov;37(11):1217-24. doi: 10.1097/00004583-199811000-00023.
To examine the relationship between attachment patterns, degree of security, and feeding problems.
Three groups of toddlers (age range = 12-37 months) were included: toddlers with infantile anorexia (n = 33), picky eaters (n = 34), and healthy eaters (n = 34). Participants in each group were matched for age, socioeconomic status, gender, and ethnicity. Attachment patterns and degree of attachment security were assessed through the Ainsworth Strange Situation.
The infantile anorexia group exhibited a higher rate of insecure attachment relationships than the picky eater and healthy eater groups. When measured on a continuous scale, the infantile anorexia group also displayed a higher degree of insecurity than the other groups. Contrary to previous research, elevated rates of type D attachments were not present within the infantile anorexia group.
Feeding problems and growth deficiencies can occur within the context of organized and secure attachment child-parent relationships. However, insecure attachment relationships may intensify feeding problems and may lead to more severe malnutrition. Implications for the treatment of specific feeding problems are discussed.
探讨依恋模式、安全感程度与喂养问题之间的关系。
纳入三组幼儿（年龄范围 = 12 - 37个月）：患有婴儿厌食症的幼儿（n = 33）、挑食幼儿（n = 34）和健康饮食幼儿（n = 34）。每组参与者在年龄、社会经济地位、性别和种族方面进行匹配。通过安斯沃思陌生情境法评估依恋模式和依恋安全感程度。
婴儿厌食症组不安全依恋关系的发生率高于挑食组和健康饮食组。在连续量表上进行测量时，婴儿厌食症组的不安全感程度也高于其他组。与先前的研究相反，婴儿厌食症组中D型依恋的发生率并未升高。
喂养问题和生长发育不足可能发生在有组织且安全的亲子依恋关系背景下。然而，不安全的依恋关系可能会加剧喂养问题，并可能导致更严重的营养不良。文中讨论了对特定喂养问题治疗的启示。
