Effect of a responsive parenting intervention on child emotional overeating is mediated by reduced maternal use of food to soothe: The INSIGHT RCT.

Effect of a responsive parenting intervention on child emotional overeating is mediated by reduced maternal use of food to soothe: The INSIGHT RCT.
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DOI:
10.1111/ijpo.12645
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发表时间:
2020-10
期刊:
影响因子:
3.8
通讯作者:
Savage JS
Savage JS
中科院分区:
医学3区
文献类型:
--
作者:
Harris HA;Anzman-Frasca S;Marini ME;Paul IM;Birch LL;Savage JS

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儿童情绪性暴饮暴食是在家庭环境中习得的肥胖症的危险因素。父母用食物来缓解孩子的痛苦可能会导致孩子情绪性暴饮暴食的发展。研究响应式父母干预对母亲报告的儿童情绪性暴饮暴食的影响,并探讨其影响是否由母亲报告的使用食物来缓解儿童痛苦所介导。样本包括随机分配到RP干预组(n = 105)或家庭安全对照组(n = 102)的经产母婴二对儿。护士在四个行为领域提供RP指导:睡眠,烦躁,警觉/平静,困倦。母亲们报告说,他们在18个月大时使用食物来安抚孩子,在30个月大时孩子情绪化暴饮暴食。使用SAS PROCESS宏分析中介。RP干预的母亲报告说,不太频繁地使用食物来抚慰,并认为他们的孩子的情绪暴饮暴食相比,控制组。食物抚慰对儿童情绪性暴饮暴食的RP干预效果起中介作用(中介模型:R2 = 0.13,P < .0001)。儿童的情绪暴饮暴食可能会通过早期生活RP干预来改变。教父母替代技术来缓解孩子的痛苦,而不是喂养可能会抑制情绪暴饮暴食的发展,以减少未来的肥胖风险。
Child emotional overeating is a risk factor for obesity that is learned in the home environment. Parents’ use of food to soothe child distress may contribute to the development of children’s emotional overeating. To examine the effect of a responsive parenting (RP) intervention on mother-reported child emotional overeating, and explore whether effects are mediated by mother-reported use of food to soothe child distress. The sample included primiparous mother-infant dyads randomized to a RP intervention (n = 105) or home safety control group (n = 102). Nurses delivered RP guidance in four behavioral domains: sleeping, fussy, alert/calm, and drowsy. Mothers reported their use of food to soothe at age 18 months and child emotional overeating at age 30 months. Mediation was analyzed using the SAS PROCESS macro. RP intervention mothers reported less frequent use of food to soothe and perceived their child’s emotional overeating as lower compared to the control group. Food to soothe mediated the RP intervention effect on child emotional overeating (mediation model: R2 = 0.13, P < .0001). Children’s emotional overeating may be modified through an early life RP intervention. Teaching parents alternative techniques to soothe child distress rather than feeding may curb emotional overeating development to reduce future obesity risk.
DOI: 10.1111/ijpo.12428
发表时间: 2018-10-01
期刊: PEDIATRIC OBESITY
影响因子: 3.8
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期刊: Infancy : the official journal of the International Society on Infant Studies
影响因子: --
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影响因子: 7.1
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