期刊
PEDIATRIC OBESITY
卷 12, 期 2, 页码 155-162出版社
WILEY
DOI: 10.1111/ijpo.12122
关键词
low-income; children; psychosocial factors; feeding behaviour; temperament
类别
资金
- Pennsylvania (PA) Department of Public Welfare through PA Nutrition Education Tracks, a part of USDA's Supplemental Nutrition Assistance Program (SNAP)
- Children, Youth, & Families Consortium at the Pennsylvania State University
BackgroundMaternal symptoms of depression are related to suboptimal parenting practices and child well-being; women with elevated symptoms tend to be less responsive to their children. ObjectiveThe objective is to explore how maternal depressive symptomatology is related to childhood obesity-promoting parenting behaviours, and whether depressive symptomatology moderates the association between perceived child negativity and the use of food to soothe among low-income mothers. MethodsThere is a cross-sectional sample of 60 mothers and their formula fed infants/toddlers participating in the Special Supplemental Woman, Infants and Children Program. Measures included the Infant Behaviors Questionnaire, Baby's Basic Needs Questionnaire, the feeding problem assessment form and Center for Epidemiological Studies Depression Scale. ResultsDepressive symptoms exceeded the clinical screening cut-off for 38% of women. Mothers with depressive symptoms perceived their child to be more negative and were more likely to use food to soothe, add cereal to the bottle and put baby to bed with bottle than mothers without depressive symptoms. Generalized linear models revealed that child negativity was associated with greater use of food to soothe but that this effect was moderated by maternal depression: negativity was positively associated with food to soothe among non-depressed but not depressed mothers. ConclusionsA high proportion of low-income mothers reported elevated depressive symptoms; depressive symptomatology was positively associated with perceived child negativity and greater reported use of controlling feeding practices. Screening for maternal depressive symptoms may help in providing more individually tailored counselling on responsive feeding.
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