1,721,078 research outputs found
Scala di valutazione dell’interazione alimentare madre-bambino: SVIA – Scala di valutazione dell’interazione di gioco madre-bambino: Play Scale
No full textL'alimentazione nella prima infanzia: pattern interattivi madre-bambino e variabili di rischio psicosociale
No full textTHE CHILD WHO RARELY SHOWS SIGNS OF HUNGER: A PROSPECTIVE CLINICAL CASE FROM EARLY CHILDHOOD TO SCHOOL AGE
No full textApproximately 25 percent of otherwise normally developing young children experience eating problems. These may not only be disruptive to the child’s physical and emotional development, they also may affect the whole family. Assessment of an infant’s eating difficulties should begin with an extensive clinical interview with the caregivers to evaluate the infant’s eating difficulties, the developmental, medical, and family history. This interview should be followed by direct observations of the child with the caregivers during feeding and play. Observations of play interactions enable the clinician to determine whether problematic feeding interactions reflect more fundamental problems in the infant-parent relationship. A prospective clinical case of a child who showed early lack of appetite/interest in food and malnutrition and who was followed-up during school age, will be discussed. The child’s assessment at age 2 and later at age 10 will be based on the PDM-2 framework, and the treatment model of “facilitating internal regulation of eating” will be described. This treatment model of “facilitating internal regulation of eating” helped the parents establish regular mealtimes, refrain from distractions and from coaxing the child to eat, and set limits on inappropriate mealtime behaviours, which helped the child to become more aware of internal signals of hunger and fullness, to increase her food intake and gain weight. At follow-up, at 10 years of age, the child demonstrated no eating problems, good physical and emotional health.
The follow-up assessment of feeding and eating disorders is based on a multiaxial approach that includes, for children ages 0-3, the child’s emotional development and regulatory-sensory processing capacities and the quality of parent-infant relationship, and for children ages 4-11, a child’s mental functioning profile, the emerging personality and the subjective experience of child symptom patterns. Attending to these interrelated components is pivotal in conceptualizing effective treatments
Disturbi alimentari infantili: percorsi di valutazione clinica in un reparto di pediatria
No full textModelli operativi interni e psicopatologia delle madri nel quadro clinico dell'anoressia infantile: Uno studio sui fattori di rischio nella relazione madre-bambino
No full textGli autori presentano una rassegna dei lavori clinici e di ricerca sul quadro clinico dell’Anoressia
Infantile (AI), definito dalla recente revisione della Classificazione Diagnostica 0-3 anni. Sono inoltre
riferiti i risultati di una ricerca in cui è stato esaminato un campione di 96 diadi, di cui 37 madri e i loro
bambini (età media=23.8 mesi) con diagnosi di AI, 27 madri “a rischio depressivo” e i loro bambini senza
diagnosi di AI (età media=18.3) e 32 madri di controllo e i loro bambini (M=17.2) senza diagnosi di AI
con i seguenti obiettivi: a) rilevare la frequenza degli attaccamenti insicuri, irrisolti per Lutti/Traumi e
non classificabili nelle madri di bambini con diagnosi di AI rispetto alle madri “a rischio depressivo” e
del gruppo di controllo; b) valutare le differenze nel profilo psicopatologico delle madri rispetto ai tre
gruppi di diadi; c) evidenziare gli effetti delle variabili dell’attaccamento insicuro, irrisolto per Lutti/
Traumi, non classificabile e dei sintomi psicopatologici materni sulla gravità del quadro clinico dell’AI,
misurato dal livello di malnutrizione del bambino. I risultati emersi hanno messo in luce dati interessanti
e in linea con diversi studi che hanno evidenziato come modelli di attaccamento insicuro/disorganizzato
ed esperienze irrisolte per Lutto o Trauma delle madri siano significativamente associati al quadro clinico
dell’Anoressia Infantile, e in particolare al livello di gravità della malnutrizione dei loro bambini. Vengono
discusse le implicazioni e i limiti del lavoro, sottolineando l’importanza della valutazione sui modelli di
funzionamento del sistema di caregiving per la formulazione della diagnosi e di strategie di intervento nella
clinica dell’Anoressia Infantile.The authors present a review of clinical and research works on Infantile Anorexia (IA), defined by the
revision of the Diagnostic Classification: 0-3. Research results are also reported in relation to a sample of
96 dyads, of which 37 mothers and their children (mean age=23.8 mesi) with a diagnosis of IA, 27 mothers
at depressive risk and their children without diagnosis of IA (mean age=18.3) and 32 mothers of control and
their children (M=17.2) without diagnosis of IA with the following objectives: a) to evidence the frequency
of insecure, unresolved for Loss/Trauma, and cannot classify attachments in the mothers of children with a
diagnosis of IA with respect to the mothers at depressive risk and to the group of control; c) to evaluate the
differences in the psychopathological profile of the mothers in relation to the three groups investigated; c) to
evidence the effects of the variables of insecure, unresolved for Loss/Trauma, cannot classify attachments,
and the maternal psychopathological symptoms on the severity of the child malnutrition. Results have
shown interesting data and, confirming previous literature studies, have pointed out insecure/disorganized
attachment models and unresolved experiences for Loss or Trauma of the mothers are significantly
associated to Infantile Anorexia and, in particular, to the degree of the severity of the malnutrition in their
children. Implications and limitations of the study are discussed, emphasizing the importance of evaluating
the caregiving system functioning models for the formulation of a diagnosis and of strategies for targeted
and effective intervention
Prenatal parental representations: Influences on perceived romantic couple adjustment and infant's temperament during pregnancy and after the infant's birth
Full text linkObjective: The present work aimed to evaluate the differences between fathers' and mothers' prenatal parental representations, the differences between pre- and postnatal perceptions of couple adjustment, and whether the quality of prenatal parental representations is associated with the perception of couple adjustment and with the perception of infant temperament at 3 months. Background: Within a multifactorial, transactional model, several studies indicated that prenatal parental representations are relevant to the quality of infant–parent relationship and the child's development. Method: Couples experiencing their first pregnancy (n = 40) (mothers: Mage = 33.7 years, SD = 5,1 years; fathers: (Mage = 37.4 years, SD = 5.6 years) responded to the Parental Representations Interview During Pregnancy and the Dyadic Adjustment Scale during the seventh month of pregnancy. When couples' infant was 3 months of age, the parents completed the Infant Behavior Questionnaire-R to assess infant temperament. Results: Analyses revealed that mothers and fathers who had an unbalanced and unintegrated parental representation perceived their couple adjustment as less cohesive, and this was related to a more negative perception of the child's temperament. Conclusions: Prenatal parental representations were found to be a significant variable in terms of their influence on the quality of pre- and postnatal parents' romantic couple adjustment and on the infant's temperament. Implications: It is important to include both mothers and fathers to further our understanding of parental influence on a child's development and to enhance the efficacy of preventive programs since pregnancy
Intergenerational transmission: childhood feeding disorders and maternal psychopathology
No full textAnoressia infantile e psicopatologia materna: studio longitudinale sulla continuità omotipica ed eterotipica del rischio evolutivo
No full textDisturbi dell'alimentazione dalla prima infanzia alla pubertà: stato della ricerca e controversie
No full text- …
