FACILITATING INTERNAL REGULATION OF EATING

促进饮食的内部调节

• 批准号: 6625400
• 负责人: IRENE CHATOOR
• 金额: $ 15.25万
• 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 2005-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6625400
• 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.

青少年和成年人饮食失调的人数一直在增加， 据报道，三分之一的小学生 学生们一心想着节食和减肥。 虽然 纵向研究表明，喂养问题和饮食 疾病往往开始早，并随着时间的推移是稳定的，很少有人知道 关于婴儿和年轻人的饮食调节是如何发展的 孩子 有人提出，婴儿期的饮食调节是在婴儿期发展起来的。 亲子互动的背景。 进食障碍发生在 婴儿和父母特殊脆弱性相互影响， 在进食过程中出现。 该项目的具体目标有两个： 1)为了进一步验证这种交易模式， 婴儿和幼儿的饮食; 2）测试的有效性 基于这种交易模式的短期干预， 特殊喂养障碍-婴儿厌食症。 婴儿厌食症是 其特征是在治疗期间出现持续性拒食， 过渡到自我喂养，营养不良，父母的焦虑 婴儿的食物摄入不足，以及喂养过程中的母婴冲突。 这是婴儿喂养问题中最严重的一种 和年幼的孩子。 已选择部分拆卸设计来测试事务性 模型和基于该模型的简短干预的有效性， 治疗小儿厌食症。 将有两个治疗组， 每个组的婴儿。 这些婴儿将被随机分配到 两次发言。干预组I将接受全面治疗 模式：心理教育治疗，将解决婴儿的 性格和父母在限制设置方面的脆弱性。 这种干预将使父母为第二部分做好准备。 干预，家长培训，这给父母具体的 对婴儿喂养程序和行为管理的建议 以促进进食的内部调节。 干预 第二组将接受家长培训加四小时的治疗师 作为控制条件的接触。 该控制条件为 选择为非特异性的，并尽可能不同于 心理教育治疗。 如果像假设的那样，心理教育治疗加上父母 培训带来了最大的改善亲子互动 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 一般来说，婴儿和幼儿的饮食调节。的 饮食的内部调节原则可以应用于 预防和治疗儿童其他饮食失调症， 青少年也是。