Feeding disorders of early childhood: an empirical study of diagnostic subtypes

Int J Eat Disord. 2013 Mar;46(2):147-55. doi: 10.1002/eat.22057. Epub 2012 Sep 27.

Abstract

Objective: The aim of this study was to examine the differences among three subtypes of feeding disorders (FD), defined through the criteria of the DC:0-3R: "Infantile Anorexia" (IA), "Feeding Disorder Associated with Insults to the Gastrointestinal Tract" (FDIGT), and "Sensory Food Aversions" (SFA), by exploring mother-child interactions during feeding, children's temperament and emotional-adaptive functioning, and mothers' psychological profile and eating attitudes.

Method: The sample consisted of 146 Italian mother-child pairs, of which 51 children with IA, 47 children with FDIGT, and 48 mothers and their children with SFA. All dyads were videotaped during feeding; mothers completed questionnaires assessing their psychological profiles and eating attitudes, as well as their children's temperament and emotional/behavioral functioning.

Results: Analyses revealed significant differences between the diagnostic groups of FD in relation to mother-child interactions during feeding, children's temperament and emotional-adaptive functioning, and mothers' psychological profile and eating attitudes.

Discussion: Both interactional and individual variables may contribute differently to specific FD and outcomes during childhood. Definitions by FD subtypes, using operational diagnostic criteria, and the assessment of mother-child interactions are relevant to target interventions strategies to treat specific disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude
  • Child Behavior / psychology*
  • Child, Preschool
  • Feeding Behavior / psychology*
  • Feeding and Eating Disorders of Childhood / classification*
  • Feeding and Eating Disorders of Childhood / diagnosis*
  • Feeding and Eating Disorders of Childhood / psychology
  • Female
  • Humans
  • Infant
  • Infant Behavior / psychology*
  • Male
  • Mother-Child Relations*
  • Mothers / psychology
  • Risk Factors
  • Temperament