Maternal symptoms of stress, depression, and anxiety are related to nonresponsive feeding styles in a statewide sample of WIC participants
Maternal symptoms of stress, depression, and anxiety are related to nonresponsive feeding styles in a statewide sample of WIC participants
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DOI：
10.1093/jn/138.4.799
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发表时间：
2008-04-01
影响因子：
4.2
通讯作者：
Canfield, Laura E.
中科院分区：
文献类型：
--
作者：
Hurley, Kristen M.;Black, Maureen M.;Canfield, Laura E.
养育方式，包括无反应的喂养方式，与幼儿体重不足或超重有关。产妇心理健康和喂养方式之间的关系尚未得到研究。我们假设，报告更多压力，抑郁或焦虑症状的母亲报告的反应较低（例如，更多的控制，放纵和不参与）喂养方式比报告较少压力，抑郁或焦虑症状的母亲。我们的分析包括702对母婴对从全州范围内的特殊补充营养计划的妇女，婴儿和儿童的母亲。我们通过电话调查评估了产妇的心理健康和喂养方式。在调整了潜在的混杂变量后，母亲压力行为学与强迫行为显著相关。（β = 0.03; 95%CI = 0.02，0.05）且不涉及（OR = 1.4; 95%CI = 1.1，1.7）喂养方式评分、母亲抑郁程度与强迫性行为显著相关（P <0.05）。（，6 = 0.03; 95% CI = 0.004，0.05），放纵（，6 = 0.03; 95% CI 0.004，0.06），未受累（OR = 1.5; 95%CI = 1.001，2.2）喂养方式评分与母亲焦虑程度显著相关，限制性喂养方式评分与母亲焦虑程度显著相关，限制性喂养方式评分与母亲焦虑程度显著相关，限制性喂养方式评分与母亲焦虑程度显著相关。（β = 0.11; 95% CI = 0.01，0.21）、强制性（P = 0.04; 95% CI = 0.02，0.06）和非参与性（OR = 1.4; 95% CI = 1.01，1.9）进食方式评分。在母亲认为自己的婴儿脾气暴躁，限制性喂养方式得分与母亲心理健康的3个指标呈显著正相关（压力，β = 0.18; 95% CI = 0.07，0.28;抑郁，β = 0.21; 95% CI = 0.04，0.38;累积心理健康量表，β = 0.29; 95%CI = 0.10，0.48）。报告压力，抑郁或焦虑症状的母亲有无反应喂养方式的风险。这些发现为扩大现有儿童营养计划的重点提供了支持，包括认识到孕产妇心理健康问题如何影响喂养方式的战略。
Parenting, including nonresponsive feeding styles, has been related to under-or overweight among young children. The relationship between maternal mental health and feeding styles has not been examined. We hypothesized that mothers who report more symptoms of stress, depression, or anxiety report less responsive (e.g. more controlling, indulgent, and uninvolved) feeding styles than mothers who report fewer symptoms of stress, depression, or anxiety. Our analyses included 702 mother-infant pairs from a statewide sample of Special Supplemental Nutrition Program for Women, Infants, and Children mothers. We assessed maternal mental health and feeding styles by a telephone survey. After adjusting for potential confounding variables, maternal stress symptomatology was significantly associated with forceful (beta = 0.03; 95% CI = 0.02, 0.05) and uninvolved (OR = 1.4; 95% CI = 1.1, 1.7) feeding style scores, maternal depression symptomatology was significantly associated with forceful (,6 = 0.03; 95% CI = 0.004, 0.05), indulgent (,6 = 0.03; 95% CI 0.004, 0.06), and uninvolved (OR = 1.5; 95% CI = 1.001, 2.2) feeding styles scores, and maternal anxiety symptomatology was significantly related to restrictive (beta = 0.11; 95% CI = 0.01, 0.21), forceful (P = 0.04; 95% CI = 0.02,0.06), and uninvolved (OR = 1.4; 95% CI = 1.01, 1.9) feeding style scores. Among mothers who perceived their infant as temperamentally fussy, there was a significant positive relationship between restrictive feeding styles scores and 3 indices of maternal mental health (stress, beta = 0.18; 95% CI = 0.07, 0.28; depression, beta = 0.21; 95% CI = 0.04, 0.38; and cumulative mental health symptomatology, beta = 0.29; 95% CI = 0.10, 0.48). Mothers who report stress, depression, or anxiety symptoms are at risk for nonresponsive feeding styles. These findings provide support for broadening the focus of existing child nutrition programs to include strategies that recognize how issues of maternal mental health can affect feeding styles.