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Research on Child and Adolescent Psychopathology

Gepubliceerd in:

07-05-2020

Prematurity and Maladaptive Mealtime Dynamics: the Roles of Maternal Emotional Distress, Eating-Related Cognitions, and Mind-Mindedness

Auteurs: Tal Yatziv, Noa Gueron-Sela, Gal Meiri, Kyla Marks, Naama Atzaba-Poria

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 8/2020

Abstract

Premature birth and maternal emotional distress constitute risk factors for feeding disorders. This study examined the roles of maternal cognitions in the link between prematurity, emotional distress and mother-infant maladaptive mealtime dynamics in a sample of 134 families (70 preterm, low medical risk; 64 full-term) followed longitudinally. Specifically, maternal cognitions related to eating and health (perception of child vulnerability and concerns about child’s eating) and understanding of mental states (interactional mind-mindedness) were considered. A multiple-mediators model was tested, controlling for infants’ weight and breastfeeding history. Although prematurity did not directly predict mealtime dynamics, multiple-mediation analyses revealed indirect pathways: mothers of preterm newborns reported higher emotional distress, which subsequently predicted perception of child vulnerability and concerns about child’s eating at 6-months; perception of child vulnerability predicted more conflictual mealtime dynamics, whereas concern about child’s eating predicted less reciprocal mealtime dynamics at 12-months. Mind-mindedness at 6-months predicted more reciprocal and less conflictual mealtime dynamics but did not act as a mediator. Implications for understanding pathways from prematurity to feeding disorders are discussed.

vorige artikel Reparative Prosocial Behavior Difficulties across Childhood Predict Poorer Social Functioning and Depression in Adolescence

volgende artikel Moderators of School Intervention Outcomes for Children with Autism Spectrum Disorder

We also examined these models with mean emotional distress at 6 and 12 months as a serial mediator between emotional distress at birth and maternal cognitions variables at 6 months. This model revealed the same pathways reported in the main text, with the inclusion of emotional distress at 6 and 12 months as an additional mediator. Because this finding does not alter the theoretical meaning of these pathways, we report the more parsimonious model in the main text.

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Titel: Prematurity and Maladaptive Mealtime Dynamics: the Roles of Maternal Emotional Distress, Eating-Related Cognitions, and Mind-Mindedness
Auteurs: Tal Yatziv
Noa Gueron-Sela
Gal Meiri
Kyla Marks
Naama Atzaba-Poria
Publicatiedatum: 07-05-2020
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 8/2020
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-020-00639-2

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Prematurity and Maladaptive Mealtime Dynamics: the Roles of Maternal Emotional Distress, Eating-Related Cognitions, and Mind-Mindedness

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