FACILITATING INTERNAL REGULATION OF EATING

促进饮食的内部调节

• 批准号: 2752420
• 负责人: IRENE CHATOOR
• 金额: $ 40.23万
• 依托单位: CHILDREN'S RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-12-01 至 2002-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2752420
• 关键词: anorexia nervosa; behavioral /social science research tag; body weight; child behavior; clinical research; conflict; counseling; developmental nutrition; eating; family therapy; human subject; human therapy evaluation; interview; longitudinal human study; mental disorder diagnosis; nutrition related tag; oral behavior; outcomes research; parent offspring interaction; parents; personality; preschool child (1-5); psychological models; questionnaires

The number of adolescents and adults with eating disorders has been increasing, and it has been reported that up to one third of elementary school children are preoccupied with dieting and weight. Although longitudinal research suggests that feeding problems and eating disorders often start early and are stable over time, little is known about how the regulation of eating develops in infants and young children. It is proposed that the regulation of eating in infancy develops in the context of parent-infant interactions. Feeding disorders develop when specific infant and parent vulnerabilities interact and difficulties arise during feeding. The specific aims of this project are twofold: 1) To further validate this transactional model for the regulation of eating in infants and young children; 2) To test the effectiveness of a short-term intervention based on this transactional model for a specific feeding disorder-Infantile Anorexia. Infantile Anorexia is characterized by the onset of persistent food refusal during the transition to self-feeding, malnutrition, parental anxiety about the infant's poor food intake, and mother-infant conflict during feeding. It is the most severe form of a spectrum of feeding problems in infants and young children. A partial dismantling design has been chosen to test the transactional model and the efficacy of a brief intervention, based on this model, to treat infantile anorexia. There will be two treatment groups with 55 infants in each group. The infants will be randomly assigned to one of two interventions. Intervention Group I will receive the full treatment model: a Psycho-Educational Treatment which will address the infant's temperament and the parent's vulnerability in regards to limit setting. This intervention will prepare the parents for the second part of the intervention, the Parent Training, which gives the parents specific suggestions on feeding routines and behavior management of the infant in order to facilitate internal regulation of eating. Intervention Group II will receive Parent Training plus four hours of therapist contact which serves as a Control Condition. This Control Condition was chosen to be as non-specific and as different as possible from the Psycho-Educational Treatment. If, as hypothesized, the Psycho-Educational Treatment plus Parent Training brings the greatest improvement in parent-infant interactions and thus facilitates the infant's eating and gaining weight, these data will further validate the transactional model for Infantile Anorexia. In addition, these data will clarify how to facilitate internal regulation of eating in infants and young children in general. The principles of internal regulation of eating can be applied to the prevention and treatment of other eating disorders of children and adolescents as well.

患有饮食失调的青少年和成年人的数量一直是 不断增加，据报道，多达三分之一的小学 学龄儿童全神贯注于节食和体重。虽然 纵向研究表明，喂养问题和饮食问题 疾病通常开始得很早，并随着时间的推移而稳定下来，目前还知之甚少 关于婴幼儿饮食规律是如何发展的 孩子们。 有人提出，婴儿期的饮食调节是在 亲子互动的背景。进食障碍在以下情况下发生 特定的婴儿和父母的脆弱性相互作用和困难 在进食过程中出现。这个项目的具体目标有两个： 1)进一步验证这一交易模型，以监管 在婴幼儿中进食；2)测试 基于这一交易模型的短期干预 特殊的喂养障碍--婴儿厌食症。婴儿厌食症是 以持续拒绝进食为特征的 过渡到自我喂养，营养不良，父母对 婴儿摄食量低，喂养过程中母婴冲突。 这是婴儿一系列喂养问题中最严重的形式。 和年幼的孩子。 选择了部分拆卸设计来测试事务 模型和基于该模型的简短干预的有效性，以 治疗婴幼儿厌食症。将有两个治疗组，55人 每组婴儿。婴儿将被随机分配到以下一组 两次干预。干预I组将接受全面治疗 模式：一种针对婴儿的心理教育治疗 性情和父母在限制设置方面的脆弱性。 这一干预将使父母为第二部分做好准备 干预，家长培训，这给家长提供了具体的 关于婴幼儿喂养程序和行为管理的建议 以利于饮食的内部调节。干预 第二组将接受家长培训，外加四个小时的治疗师 作为控制条件的触点。此控制条件为 被选择为尽可能不特定，并且与 心理教育治疗。 如果像假设的那样，心理教育治疗加上父母 培训给亲子互动带来最大的改善 从而促进婴儿的进食和体重增加，这些数据 将进一步验证婴儿厌食症的交易模型。 此外，这些数据将阐明如何促进内部 一般对婴幼儿饮食的规定。这个 饮食内部调节的原则可以应用于 预防和治疗儿童和儿童的其他饮食障碍 青少年也是如此。