Browse > Article
http://dx.doi.org/10.5765/jkacap.2014.25.1.20

The Effects of Multidisciplinary Approach for Children with Feeding Disorder and Failure to Thrive on Their Mothers  

An, Kyung Jin (Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Joung, Yoo Sook (Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Jang, Byong Su (Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Kwon, Jeongyi (Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Publication Information
Journal of the Korean Academy of Child and Adolescent Psychiatry / v.25, no.1, 2014 , pp. 20-27 More about this Journal
Abstract
Objectives : The aim of this study was to determine whether intervention using a multidisciplinary approach affects maternal mental health, parenting stress, and sense of parenting competence in children with feeding disorder and failure to thrive (FTT). Methods : Children with feeding disorder and FTT were randomized to the intervention group (N=11) or control group (N=8). We administered the Korean standardization of Parent Temperament Questionnaire for Children (K-PTQ) in both groups before intervention, and the Korean version of the Parenting Stress Index-Short Form (K-PSI-SF), Korean version of the Parenting Sense of Competence (K-PSOC), Korean version of the Beck's Depression Inventory (K-BDI), Korean version of the Beck Anxiety Inventory (K-BAI), and Korean version of the Mood Disorder Questionnaire (K-MDQ) in both groups before and after the intervention. Results : In the intervention group, the K-BDI (p=.068), K-BAI (p=.068), and K-MDQ (p=.066) scores tended to show a decline, the K-PSI-SF scores for stress related to child learning showed a significant decline, and the K-PSOC scores for sense of parenting competence showed significant improvement. However, no significant changes were observed in the control group. Conclusion : Use of a multidisciplinary approach improved maternal mental health, parenting stress, and sense of competence. Comparison of these results with those of normal control will be necessary in a future study.
Keywords
Feeding and Eating Disorders of Childhood; Failure to Thrive; Parenting; Psychological Stress; Mental Competency; Anxiety; Depression;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Craig GM, Scambler G, Spitz L. Why parents of children with neurodevelopmental disabilities requiring gastrostomy feeding need more support. Dev Med Child Neurol 2003;45:183-188.
2 Jon DI, Hong N, Yoon BH, Jung HY, Ha K, Shin YC, et al. Validity and reliability of the Korean version of the Mood Disorder Questionnaire. Compr Psychiatry 2009;50:286-291.   DOI   ScienceOn
3 Thomas A, Chess S. Temperament and development. New York:Brunner/Mazel;1977.
4 Abidin RR. Parenting stress index: short form. Charlottesville, VA:Pediatric Psychology Press;1990.
5 Gibaud-Wallston J, Wandersman LP. Development and utility of the Parenting Sense of Competence Scale. Proceeding of the Annual Meeting of the American Psychological Association;1978 Aug; Tronto, Ontario.
6 Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988;56:893-897.   DOI   ScienceOn
7 Hirschfeld RM, Williams JB, Spitzer RL, Calabrese JR, Flynn L, Keck PE Jr, et al. Development and validation of a screening instrument for bipolar spectrum disorder: the Mood Disorder Questionnaire. Am J Psychiatry 2000;157:1873-1875.   DOI   ScienceOn
8 Unlü G, Aras S, Güvenir T, Büyükgebiz B, Bekem O. [Family functioning, personality disorders, and depressive and anxiety symptoms in the mothers of children with food refusal]. Turk Psikiyatri Derg 2006;17:12-21.
9 Greer AJ, Gulotta CS, Masler EA, Laud RB. Caregiver stress and outcomes of children with pediatric feeding disorders treated in an intensive interdisciplinary program. J Pediatr Psychol 2008;33:612-620.
10 Meyer EC, Coll CT, Lester BM, Boukydis CF, McDonough SM, Oh W. Family-based intervention improves maternal psychological well-being and feeding interaction of preterm infants. Pediatrics 1994;93:241-246.
11 Murray L, Fiori-Cowley A, Hooper R, Cooper P. The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome. Child Dev 1996;67: 2512-2526.   DOI   ScienceOn
12 Hagekull B, Bohlin G, Rydell AM. Maternal sensitivity, infant temperament, and the development of early feeding problems. Infant Ment Health J 1997;18:92-106.   DOI
13 Coultharda H, Harrisa G. Early food refusal: The role of maternal mood. J Reprod Infant Psychol 2003;21:335-345.   DOI   ScienceOn
14 Harris G, Booth IW. The nature and management of eating problems in preschool children. In: Cooper PJ, Stein A, editors. Feeding problems and eating disorders in children and adolescents. Vol 5. Chur: Harwood Academic Publishers;1992. p.61-84.
15 Garro A, Thurman SK, Kerwin ME, Ducette JP. Parent/caregiver stress during pediatric hospitalization for chronic feeding problems. J Pediatr Nurs 2005;20:268-275.   DOI   ScienceOn
16 Singer LT, Song LY, Hill BP, Jaffe AC. Stress and depression in mothers of failure-to-thrive children. J Pediatr Psychol 1990;15: 711-720.   DOI
17 Hwang JB. Clinical approaches to failure to thrive of infants and toddlers: a new paradigm. J Korean Med Assoc 2012;55:770-776.   DOI   ScienceOn
18 Choi SG, Kim SP, Lee S, Joung Y, Hong SD, Kim EY. Korean standardization of Parent Temperament Questionnaire for children. J Korean Neuropsychiatr Assoc 1999;38:201-210.
19 Lee YH, Song JY. A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean J Clin Psychol 1991;10:98-113.
20 Shin SJ, Chung MJ. Effects of stress, social support and efficacy on mothers’ parenting behaviors. Korean J Child Stud 1998;19:27-42.
21 Yook SP, Kim ZS. A clinical study on the Korean version of Beck Anxiety Inventory: comparative study of patient and non-patient. Korean J Clin Psychol 1997;16:185-197.
22 Schwartz ID. Failure to thrive: an old nemesis in the new millennium. Pediatr Rev 2000;21:257-264; quiz 264.   DOI   ScienceOn
23 Manikam R, Perman JA. Pediatric feeding disorders. J Clin Gastroenterol 2000;30:34-46.   DOI   ScienceOn
24 Park SJ. Feeding and eating disorders. In: Hong KE, editor. Korean textbook of child psychiatry. Seoul: Jungang Munwha Co.;2005. p.347-365.
25 Daniel M, Kleis L, Cemeroglu AP. Etiology of failure to thrive in infants and toddlers referred to a pediatric endocrinology outpatient clinic. Clin Pediatr (Phila) 2008;47:762-765.   DOI   ScienceOn
26 Ammaniti M, Lucarelli L, Cimino S, D’Olimpio F, Chatoor I. Feeding disorders of infancy: a longitudinal study to middle childhood. Int J Eat Disord 2012;45:272-280.   DOI   ScienceOn
27 Budd KS, McGraw TE, Farbisz R, Murphy TB, Hawkins D, Heilman N, et al. Psychosocial concomitants of children's feeding disorders. J Pediatr Psychol 1992;17:81-94.   DOI
28 Hagekull B, Dahl M. Infants with and without feeding difficulties: Maternal experiences. Int J Eat Disord 1987;6:83-98.   DOI
29 Pliner P, Loewen ER. Temperament and food neophobia in children and their mothers. Appetite 1997;28:239-254.   DOI   ScienceOn
30 Lindberg L, Bohlin G, Hagekull B, Thunström M. Early food refusal: Infant and family characteristics. Infant Ment Health J 1994; 15:262-277.   DOI
31 Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-571.   DOI   ScienceOn