How mothers interact with children with suspected cow's milk allergy symptoms

Abstract

Dysfunctional mother-child emotional interaction was frequent in young children with suspected GI-CMA ruled out by the cow's milk challenge. Appropriate psychological support should be considered.

Attention to Faces Expressing Negative Emotion at 7 Months Predicts Attachment Security at 14 Months

“…The EAS data were available for 69 (of 73) mother–infant dyads. The average sensitivity score within this sample was 5.14 ( SD = 1.14, skewness = .20), which is similar to nationally representative maternal sensitivity data (e.g., Merras‐Salmio et al., ). Intercoder agreement (intraclass correlation [ICC]) between the main coder and an independent certified coder on a set of 20 cases was ICC = .95.…”

Gastroesophageal reflux disease and the mother-infant relationship

“…The less than optimal EA scores found by Merras-Salmio et al [14] in a sample of mothers and their infants with suspected cow's milk allergy are similar to findings of this current study. Infants with GERD or other gastrointestinal problems who are experiencing discomfort that is not alleviated while being held and fed by the mother would potentially have difficulty developing trust in the mother that would impact the mother-child relationship.…”

“…limited facial or verbal expression and lack of enjoyment in mothers, and lack of eye contact and/or smiling in infants) in the context of feeding problems. [13] Most closest to the topic of this paper is the innovative study by Merras-Salmio and colleagues, [14] who found that EA was lower in mother-baby dyads where the baby was suspected as having gastrointestinally manifested cow's milk allergy (that is, babies who appeared to show the types of qualities indicative of cow's milk allergy) as compared to a normative group with no suspected cow's milk allergy.…”

Gastrointestinal Symptoms of Food Challenge‐proven Non‐IgE Cow's Milk Allergy Are Dissipated by Early School Age

“…Infants with FD often present with nonspecific GI symptoms as well (17) raising parental suspicion of gastrointestinally manifesting CMPA. In line with this, we have previously shown the mother‐child emotional interaction to be problematic specifically in infants with GI symptoms suggestive of non‐IgE CMPA but with negative DBPCFC for CM (18). Functional GI symptoms are common during infancy (19), and thus significantly influence the diagnostics of non‐IgE GI‐CMPA.…”

“…Among the challenge‐negative children, almost half (n = 18) experienced significant symptoms during the placebo challenge, thus underlying the challenges of non‐IgE FA diagnostics. The original study included surveys addressing maternal views on infant temperament and parenting stress (26), and a validated evaluation of the mother‐child interaction (18). Therefore, only mothers were invited to respond to the present study.…”