Feeding difficulties in the offspring of mothers with an eating disorder - a case report
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v34.i1.34291Keywords:
anorexia nervosa, childhood eating and feeding disorders, eating disorders, parent child interactionAbstract
Background: One of the main risk factors for eating disorders (ED) in early childhood is maternal ED. Mothers with a history of ED have difficulties in their approach to feeding their children, with mealtimes being perceived as stressful, with controlling behavior and intrusiveness.
Case presentation: An 11-month-old female infant was evaluated at a Child Psychiatry Consultation for feeding difficulties. Her mother had a history of Restrictive Anorexia Nervosa. Mother-child psychotherapy was performed due to a pattern of insecure attachment and an ongoing conflict over control and autonomy between the caregiver-child. After the intervention, mealtimes became more natural and less conflictual.
Discussion and conclusion: The authors aim to shed light on the transgenerational transmission of ED. Feeding interactions between mothers with ED and their offspring are less harmonious, with greater conflict, controlling behaviors, negative affect and decreased emotional availability to the child. Clinicians must be aware of a potential parental history of ED when dealing with children with feeding problems.
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References
Zeanah CH Jr. Chapter 23: Eating and Feeding Disorders in Early childhood. In: The Guilford Press. Handbook of Infant Mental Health, Fourth Edition. The Guilford Press; 2018.p392-406.
Zero to Three. DC:0–5TM: Diagnostic classification of mental health and developmental disorders of infancy and early childhood. Washington, DC. 2016.p.99-109.
Martini MG, Barona-Martinez M, Micali N. Eating disorders mothers and their children: a systematic review of the literature. Arch Womens Ment Health. 2020 Aug;23(4):449-467. doi: https://doi.org/10.1007/s00737-020-01019-x.
Chatoor I. Feeding disorders in infants and toddlers: diagnosis and treatment. Child Adolesc Psychiatr Clin N Am. 2002 Apr;11(2):163-83. doi: https://doi.org/10.1016/s1056-4993(01)00002-5.
Micali N, Simonoff E, Stahl D, Treasure J. Maternal eating disorders and infant feeding difficulties: maternal and child mediators in a longitudinal general population study. J Child Psychol Psychiatry. 2011 Jul;52(7):800-7. doi: https://doi.org/10.1111/j.1469-7610.2010.02341.x.
Chatoor I, Egan J, Getson P, Menvielle E, O’Donnell R. Mother-infant interactions in infantile anorexia nervosa. J Am Acad Child Adolesc Psychiatry. 1988 Sep;27(5):535-40. doi: https://doi.org/10.1097/00004583-198809000-00003.
Squires C, Lalanne C, Murday N, Simoglou V, Vaivre-Douret L. The influence of eating disorders on mothers’ sensitivity and adaptation during feeding: a longitudinal observational study. BMC Pregnancy Childbirth. 2014 Aug 14;14:274. doi: https://doi.org/10.1186/1471-2393-14-274.
Patel P, Wheatcroft R, Park RJ, Stein A. The children of mothers with eating disorders. Clin Child Fam Psychol Rev. 2002 Mar;5(1):1-19. doi: https://doi.org/10.1023/a:1014524207660.
Coulthard H, Blissett J, Harris G. The relationship between parental eating problems and children’s feeding behavior: a selective review of the literature. Eat Behav. 2004 May;5(2):103-15. doi: https://doi.org/10.1016/j.eatbeh.2003.07.003.
Martini MG, Taborelli E, Easter A, Bye A, Eisler I, Schmidt U, Micali N. Effect of maternal eating disorders on mother-infant quality of interaction, bonding and child temperament: A longitudinal study. Eur Eat Disord Rev. 2023 Mar;31(2):335-348. doi: https://doi.org/10.1002/erv.2960. Epub 2022 Dec 5.
Park RJ, Senior R, Stein A. The offspring of mothers with eating disorders. Eur Child Adolesc Psychiatry. 2003;12 Suppl 1:I110-19. doi: https://doi.org/10.1007/s00787-003-1114-8.
Micali N, De Stavola B, Ploubidis GB, Simonoff E, Treasure J. The effects of maternal eating disorders on offspring childhood and early adolescent psychiatric disorders. Int J Eat Disord. 2014 May;47(4):385-93. doi: https://doi.org/10.1002/eat.22216.
Sadeh-Sharvit S, Levy-Shiff R, Arnow KD, Lock JD. The interactions of mothers with eating disorders with their toddlers: identifying broader risk factors. Attach Hum Dev. 2016 Aug;18(4):418-28. doi: https://doi.org/10.1080/14616734.2016.1164201.
Bould H, Sovio U, Koupil I, Dalman C, Micali N, Lewis G, Magnusson C. Do eating disorders in parents predict eating disorders in children? Evidence from a Swedish cohort. Acta Psychiatr Scand. 2015 Jul;132(1):51-9. doi: https://doi.org/10.1111/acps.12389.
Micali N, Stahl D, Treasure J, Simonoff E. Childhood psychopathology in children of women with eating disorders: understanding risk mechanisms. J Child Psychol Psychiatry. 2014;55(2):124-34. doi: https://doi.org/10.1111/jcpp.12112. Epub 2013 Jun 27.
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