Mealtime Disruption and Caregiver Stress in Referrals to an Outpatient Feeding Clinic

“…Therefore, it is likely that both meals that are too short (hence limiting opportunities for exposure) and those that are too long (with the potential to increase caregiver stress) are problematic. This is important to consider, as caregivers of young children with feeding disorders already demonstrate higher levels of stress than caregivers of children without feeding disorders (Fishbein et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Mealtime behaviours of young children with sensory food aversions: An observational study

Caldwell

Krause

2021

Aus Occup Therapy J

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Proper nutritional intake is imperative for successful development in early childhood (Samuel et al., 2018); however, many children are not consuming well-rounded diets due to selective eating (Carruth et al., 2004). Selective, or picky, eating has been defined in a variety of ways but includes an element of low dietary variety (Dovey et al., 2008). Among children, dietary selectivity is often based on the sensory characteristics of food, such as texture, smell or temperature. Approximately 50% of children demonstrate caregiverreported selective eating behaviours by the age of two, many of whom (58%) will outgrow this behaviour pattern (Carruth et al., 2004;Mascola et al., 2010). However, young children (0-8 years) who demonstrate sensory food aversions (SFA) avoid food based on sensory characteristics (e.g., colour,

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“…Having developmental challenges can make this transition difficult, as they may not have the developmental skills or ability to overcome and adapt to new feeding demands (27). This can potentially lead to feeding difficulties (10), which can negatively affect development and parent-child relations (15). …”

Section: Discussionmentioning

confidence: 99%

“…Feeding is an important part of growth and development, and can be a major source of social interaction within the family system. Caring for a child with feeding difficulties can be distressing for parents and may alter the parent-child relationship (14, 15). Reactions and responses to feeding difficulties can also further exacerbate an existing feeding problem (16).…”

mentioning

confidence: 99%

Neurodevelopmental Profile, Growth, and Psychosocial Environment of Preterm Infants with Difficult Feeding Behavior at Age 2 Years

Crapnell

Woodward

Rogers

et al. 2015

The Journal of Pediatrics

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Objectives To examine the association of difficult feeding behaviors in very preterm infants at two years of age with growth and neurodevelopmental outcomes and family factors and functioning. Study design Eighty children born ≤30 weeks gestation were studied from birth until two years of age. Feeding difficulties were assessed using the Eating Subscale of the Infant-Toddler Social Emotional Assessment at age two years alongside growth and developmental testing. Maternal mental health and family factors were assessed using standardized questionnaires. ANOVA and chi-square analyses were used to determine associations between feeding difficulties and growth, neurodevelopmental outcomes, and family characteristics. Results Twenty-one (26%) of the cohort were at risk for feeding difficulties, and an additional 18 (23%) had definite feeding difficulties at age two years. Those with feeding difficulties were more likely to be subject to a range of neurodevelopmental problems including impaired cognition (p=0.02), language (p=0.04), motor (p=0.01) and socio-emotional (p<0.007) skills. Parents of very preterm born children with feeding difficulties had higher parenting stress (p=0.02) and reported more difficulty managing their child’s behavior (p=0.002) and more frequent parent-child interaction problems (p=0.002) than parents of children with fewer feeding difficulties. No associations were found between difficult feeding behaviors and growth, maternal mental health, and family factors. Conclusions Difficult feeding behaviors in children born very preterm appear to be highly comorbid with other developmental and family challenges, including neurodevelopmental impairment and parent-child interaction difficulties. Focusing on improving feeding skills, in conjunction with supporting positive parent-child interactions, may be beneficial for improving outcomes.

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Mealtime Disruption and Caregiver Stress in Referrals to an Outpatient Feeding Clinic

Abstract: Increased maladaptive behaviors and parenting stress were evident in children with feeding disorder regardless of the presence of comorbidity. Parenting stress was exacerbated by the presence of comorbidity.

Cited by 16 publications

References 25 publications

Feeding problems in infancy and early childhood: evolutionary concept analysis

Feeding problems in infancy and early childhood: evolutionary concept analysis

Mealtime behaviours of young children with sensory food aversions: An observational study

Neurodevelopmental Profile, Growth, and Psychosocial Environment of Preterm Infants with Difficult Feeding Behavior at Age 2 Years

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