Feeding interactions of infants with unrepaired cleft lip and/or palate

Speltz, Matthew L.; Goodell, Elizabeth W.; Endriga, Marya C.; Clarren, Sterling K.

doi:10.1016/0163-6383(94)90048-5

Cited by 32 publications

(55 citation statements)

References 25 publications

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“…Consistent with an earlier study (Speltz, Goodell, Endriga, & Clarren, 1994), infants with CLP scored lower than control infants on the Clarity of Cues scale from the Nursing Child Assessment of Feeding Scale (NCAFS; Sumner & Spietz, 1994) (Endriga, Speltz, Marris, & Jones, 1998). Over time, feeding cues became increasingly clear for all groups.…”

Section: Feeding and Physical Growthsupporting

confidence: 72%

Social-Emotional Development of Infants and Young Children With Orofacial Clefts

Collett

Speltz

2006

Infants & Young Children

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Children with orofacial clefts are believed to have distinctly elevated risk for a variety of adverse social-emotional outcomes including behavior problems, poor self-concept, and parent-child relationship difficulties. This assumption has been based primarily on theories of facial appearance and social bias, a handful of empirical studies, and clinical impressions. Studies of these children have been limited by methodological problems such as diagnostic heterogeneity, ascertainment bias, and absent or poorly matched control groups. In an attempt to address at least some of these methodological problems, the longitudinal research described in this article examined the developmental course of infants with unilateral cleft lip & palate (CLP) and cleft palate only (CPO). We followed these infants to age 7, with ongoing comparisons to a demographically matched group of typical children. Outcome measures targeted child attachment, maternal/child interaction during feeding and teaching tasks, parent satisfaction with surgical outcomes, parent and teacher behavior rating scales, and child self-concept and behavioral adaptation. Although our findings have provided limited support for the hypothesis that infants and young children with CLP/CPO are at greater risk for social-emotional problems than their peers, we have found that among infants with clefts, early assessment can predict subsequent social-emotional outcomes. In this article, we review theory and data in this area of study, summarize our longitudinal findings, describe our success and failures with respect to methodological rigor, and discuss emerging research and areas for further inquiry.

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Section: Feeding and Physical Growthsupporting

confidence: 72%

Social-Emotional Development of Infants and Young Children With Orofacial Clefts

Collett

Speltz

2006

Infants & Young Children

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“…Feeding interactions are considered to be one of the most important domains of the mother-infant relationship during the first year because they influence the development of various socio-emotional capacities, such as self-regulation and social control (Speltz, Goodell, Endriga, & Clarren, 1994). In addition, these early feeding experiences establish later patterns of flavor preferences and food choices that affect children’s health and growth patterns.…”

Section: Discussionmentioning

confidence: 99%

More than just a pretty face. The relationship between infant’s temperament, food acceptance, and mothers’ perceptions of their enjoyment of food

Forestell

Mennella

2012

Appetite

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The goal of the present study was to determine whether mothers’ assessment of their infants’ temperament is associated with objective measures of their infant’s acceptance patterns and their judgments of their infants' liking of a green vegetable. To this end, infants (N=92) were video-recorded as their mothers fed them green beans. From these videos, we determined the frequency of facial distaste expressions made during the first two minutes of the feeding. Other measures included intake, maternal ratings of infants’ enjoyment of this vegetable, and temperament. Infants who scored high on the approach dimension of the temperament questionnaire were less likely to express facial expressions of distaste, consumed more food, and were perceived by their mothers as enjoying the food more. Mediation analyses revealed that ratings of enjoyment were not directly related to the child’s approach temperament, but rather the relationship between mothers’ ratings and temperament was mediated by the amount of time infants spent eating the vegetable. Regression analyses suggested that in addition to the length of time children ate, mothers’ ratings of their infants’ enjoyment was predicted by the number of squints that the infant expressed during the meal. These findings suggest that although certain aspects of children’s temperament are related to their food acceptance mothers attend to facial expressions and time spent eating independently of these temperamental characteristics when judging their infant’s enjoyment of a food. Understanding how mothers use this information to decide which foods to feed their infants is an important area for future research.

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“…Discovering that one's child has a disability is a major stress that may disrupt the entire family, and has been compared to that of grieving for a lost child (Emde & Brown, 1978;Marvin & Pianta, 1996;Sheeran, Marvin, & Pianta, 1997). Consequently, it is not surprising that parents of children with birth defects have been observed to be less sensitive and responsive to their children (Atkinson et al, 1999;Barden et al, 1989;Endriga, Speltz, Maris, & Jones, 1998;Speltz, Goodell, Endriga, & Clarren, 1994).…”

Section: Zusammenfassungmentioning

confidence: 95%

Parenting and attachment among toddlers with congenital anomalies: Examining the Strange Situation and attachment Q‐sort

Clements

Barnett

2002

Infant Mental Health Journal

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This study assessed parent and child predictors of attachment in a sample of 72 toddlers with neurological (e.g., cerebral palsy) and non-neurological (e.g., cleft lip and palate) birth defects and their mothers. Parenting quality (e.g., sensitivity) was expected to be more important in predicting the attachment relationship than type and severity of child medical condition. Parenting and indices of severity of child condition were measured via researcher observation. Attachment was measured via the Strange Situation and parent reported Attachment Q-sort. Parenting quality was better for children with more severe appearance disfigurements. Strange Situation and Q-sort assessments of attachment were not significantly related. Children with neurological impairments were at greater risk for developing insecure attachments than were children with non-neurological conditions. Parenting quality also directly predicted Strange Situation assessed attachment security and Q-sort comfort seeking/exploration but not standard Q-sort criterion scores. Parenting quality partially mediated the relation between child medical condition and attachment security. Results suggest child medical factors influence parenting, and thereby, child attachment.RESUMEN: El presente estudio evaluó las medidas de predicción de la afectividad entre madre e hijo, en un grupo muestra de 72 infantes con defectos neurológicos (v.g. parálisis cerebral) y no neurológicos (v.g. labios partidos y ausencia de la paleta bucal) de nacimiento, y sus respectivas madres. Se esperaba que la calidad de la crianza (v.g., sensibilidad) sería más importante en el proceso de predecir la relación de afectividad que el tipo y gravedad de la condición física del infante. La crianza y los índices de gravedad de la condición del infante fueron medidos por medio de la observación del investigador. La afectividad fue medida por medio de la "Situación Extraña" y el método "Q-sort" de tarjetas clasificadas, según reporte de las madres. La calidad de la crianza fue mejor para los niños con desfiguraciones más gaves en su apariencia física. Las evaluaciones basadas en la "Situación Extraña" y en "Q-sort," no This study was supported by grants from the March of Dimes Birth Defects Foundation and the National Institute of Mental Health. We would like to acknowledge Christine Butler for assistance coding attachment, Heather Chruscial and John McCaskill for coding severity indices, Kelli Hill Hunt for efforts coding parent behaviors, and Melissa Kaplan Estrin for assistance with the Bayley Scales of Infant Development. We are especially grateful to all of the families who so generously shared their time with us. Direct correspondence to: Melissa Clements or Douglas Barnett, Department of Psychology, Wayne State University, 71 W. Warren, Detroit, MI 48202; e-mail: dbarnett@sun.science.wayne.edu. • M. Clements and D. Barnettestuvieron relacionadas en forma significativa. Los niños con impedimentos neurológicos presentaron un más alto riesgo de desarrollar una unión afectiva...

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Feeding interactions of infants with unrepaired cleft lip and/or palate

Cited by 32 publications

References 25 publications

Social-Emotional Development of Infants and Young Children With Orofacial Clefts

Social-Emotional Development of Infants and Young Children With Orofacial Clefts

More than just a pretty face. The relationship between infant’s temperament, food acceptance, and mothers’ perceptions of their enjoyment of food

Parenting and attachment among toddlers with congenital anomalies: Examining the Strange Situation and attachment Q‐sort

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