OLFACTIVE STIMULATION INTERVENTIONS IN PRETERM AND TERM NEONATES: CLINICAL IMPLICATIONS

Abstract

Odor, which is one of the most developed senses that provides the emotional bond between the mother and the newborn and forms the behavioral reactions of the newborn, is one of the most important factors of the comfort of the baby. The sense of odor is a sense that is functional long before birth. Olfactive stimulation intervention is when the baby is exposed to an odor during any procedure. The odor can be natural, such as the smell of breast milk, or artificial, such as lavender essential oil. Babies can be exposed to odor in different ways, such as a gauze placed near the nose or an odor diffuser. Currently, not much is known about the effectiveness of olfactive stimulation interventions in newborns and the areas where they are used. In this context, this review aims to discuss the importance of olfactive stimulation interventions in neonates and preterm neonates, supported by the literature.

Keywords

• Neonate
• olfactive stimulation intervention
• maternal odor

PRETERM VE TERM YENİDOĞANLARDA OLFAKTİF STİMÜLASYON MÜDAHALELERİ: KLİNİK ÇIKARIMLAR

Abstract

Anne ve yenidoğan arasında duygusal bağı sağlayan ve yenidoğanın davranışsal tepkilerini oluşturan en gelişmiş duyulardan biri olan koku, bebeğin konforlu olmasının en önemli etmenlerindendir. Koku alma duyusu doğumdan çok önce işlevsel olan bir duyudur. Olfaktif stimülasyon müdahalesi, bebeğin herhangi bir prosedür sırasında bir kokuya maruz bırakılması durumudur. Koku, anne sütü kokusu gibi doğal veya lavanta uçucu yağı gibi yapay bir koku olabilir. Bebekler, burnunun yakınına yerleştirilen bir gazlı bez veya bir koku difüzörü gibi farklı yollarla kokuya maruz kalabilir. Günümüzde yenidoğanlarda olfaktif stimülasyon müdahalelerinin etkinliği ve kullanıldığı alanlar hakkında çok şey bilinmemektedir. Bu bağlamda bu derlemede, yenidoğan ve preterm yenidoğanlarda olfaktif stimülasyon müdahalelerinin önemi literatür ile desteklenerek tartışılması amaçlanmaktadır.

Keywords

• Yenidoğan
• olfaktif stimülasyon müdahalesi
• maternal koku
• aromatik koku

References

1. Alberga, A., Sigal, R., Goldfield, G., Prud'Homme, D., & Kenny, G. (2012). Overweight and obese teenagers: why is adolescence a critical period? Pediatric obesity, 7(4), 261-273.
2. Aslan, H., & Zihni, K. (2018). Body image and social anxiety levels of middle school students. Journal of Educational Theory and Practice Research, 4(3), 65-77.
3. Ateşsönmez, S. (2018). Investigation of the effect of perceived parental attitude on emotional eating disorder in adults. Published master's thesis. Uskudar University, Istanbul.
4. Aydın, A., & Sütcü, S. T. (2007). Investigation of the validity and reliability of the social anxiety scale for adolescents (ESDS). Journal of Child and Youth Mental Health, 14(2), 79-89.
5. Bayraktar, F. (2007). The importance of parent/peer relationships in positive adolescent development. Journal of Child and Adolescent Mental Health, 14(3), 157-166.
6. Bektas, M., Bektas, I., Selekoğlu, Y., Kudubes, A. A., Altan, S. S., & Ayar, D. (2016). Psychometric properties of the Turkish version of the Emotional Eating Scale for children and adolescents. Eating Behaviors, 22, 217-221.
7. Bennett, J., Greene, G., & Schwartz-Barcott, D. (2013). Perceptions of emotional eating behavior. A qualitative study of college students. Appetite, 60, 187-192.
8. Campione‐Barr, N., & Killoren, S. E. (2019). Love them and hate them: The developmental appropriateness of ambivalence in the adolescent sibling relationship. Child Development Perspectives, 13(4), 221-226.

9. Ciarma, J. L., & Mathew, J. M. (2017). Social anxiety and disordered eating: The influence of stress reactivity and self-esteem. Eating Behaviors, 26, 177-181.
10. Çakar, M., & Arslan, S. (2023). The relationship between social appearance anxiety and emotional eating in university students. Academic Food Journal, 21(1), 70-79.
11. Dakanalis, A., Timko, C. A., Carrà, G., Clerici, M., Zanetti, M. A., Riva, G., & Caccialanza, R. (2014). Testing the original and the extended dual-pathway model of lack of control over eating in adolescent girls. A two-year longitudinal study. Appetite, 82, 180-193.
12. DSM V. APA diagnostic criteria reference book. (E. Köroğlu, Trans.). (2013). Physicians Publication Association. Ankara.
13. Duran, S., & Adabalı, M. M. (2023). Emotional eating. Journal of Tourism & Gastronomy Studies, 11(3), 1873-1890.
14. Erdem, E., Efe, Y. S., & Özbey, H. (2023). A predictor of emotional eating in adolescents: Social anxiety. Archives of psychiatric nursing.
15. Eryılmaz, A. (2014). The bedside book of happiness for everyone: positive psychology from theory to practice: Pegem Publishing. Ankara.
16. Eryılmaz, A. (2014). The bedside book of happiness for everyone: Positive psychology from theory to practice: Pegem Publishing. Ankara.
17. Godor, B. P., Uysal, R., van der Poel, A., & Jansen, P. (2020). Exploring potential differential relationships between social anxiety and emotional eating amongst normative vs. academically gifted students. Gifted and Talented International, 35(2), 100-109.
18. Grogan, S. (2021). Body image: Understanding body dissatisfaction in men, women and children: Routledge.
19. Hill, D. C., Moss, R. H., Sykes-Muskett, B., Conner, M., & O'Connor, D. B. (2018). Stress and eating behaviors in children and adolescents: Systematic review and meta-analysis. Appetite, 123, 14-22.
20. Hovardaoğlu, S. (1993). Body image scale. Journal of Psychiatry, Psychology, Psychopharmacology (3P), 1(1), 26.
21. İnalkaç, S., & Arslantaş, H. (2018). Emotional eating. Journal of Archival Sources, 27(1), 70-82.
22. Kalyencioğlu, D., & Kutlu, Y. (2010). The adaptation levels of adolescents according to their perceptions of family function. Florence Nightingale Journal of Nursing, 18(2), 56-62.
23. Kanatsız, D., & Gökçe, H. (2020). Investigation of body satisfaction and social appearance anxiety levels of adolescents according to their participation in physical activity. Manas Social Research Journal, 9(3), 1863-1870.
24. Karakaya, R. E., Algan, M., & Avcu, H. (2025). The Relationship Between Eating Disorder Risk and Fear of Dislike on Social Media, Depression, Anxiety, and Stress Among High School Students: A Cross-Sectional Study. Turkiye Klinikleri Journal of Health Sciences, 10(2), 375-382.
25. Kavas, Y. B., Tunçer, E., Çoban, M. N., & Erkan, M. K. (2022). The impact of emotional eating disorders and body mass index on financial risk-taking behaviors. Abant Journal of Social Sciences, 22(2), 432-449.
26. Kerr-Gaffney, J., Harrison, A., & Tchanturia, K. (2018). Social anxiety in the eating disorders: a systematic review and meta-analysis. Psychological Medicine, 48(15), 2477-2491.
27. Kılıçarslan, S., & Parmaksız, İ. (2020). Social anxiety and emotional autonomy as predictors of aggression in adolescents. Mersin University Journal of Education Faculty, 16(1), 1-14.
28. Kuhlthau, K., Kahn, R., Hill, K. S., Gnanasekaran, S., & Ettner, S. L. (2010). The well-being of parental caregivers of children with activity limitations. Maternal and Child Health Journal, 14, 155-163.
29. La Greca, A. M., & Lopez, N. (1998). Social anxiety among adolescents: Linkages with peer relations and friendships. Journal of Abnormal Child Psychology, 26, 83-94.
30. Laitinen, J., Ek, E., & Sovio, U. (2002). Stress-related eating and drinking behavior and body mass index and predictors of this behavior. Preventive Medicine, 34(1), 29-39.
31. Leary, M. R., & Kowalski, R. M. (1997). Social anxiety, Guilford Press. New York.
32. Manios, Y., Costarelli, V., & Ahrens, W. (2011). Epidemiology of obesity in children and adolescents: New York, NY: Springer New York.
33. Mikkilä, V., Räsänen, L., Raitakari, O., Pietinen, P., & Viikari, J. (2005). Consistent dietary patterns identified from childhood to adulthood: the cardiovascular risk in Young Finns Study. British Journal of Nutrition, 93(6), 923-931.
34. Miller, I. W., Ryan, C. E., Keitner, G. I., Bishop, D. S., & Epstein, N. B. (2000). The McMaster approach to families: Theory, assessment, treatment and research. Journal of Family Therapy, 22(2), 168-189.
35. Ministry of National Education 12-Year Compulsory Education Practices http://mevzuat.meb.gov.tr/dosyalar/1567.pdf (in Turkish).
36. Molitor, S. J., Fox, C. K., Bensignor, M. O., & Gross, A. C. (2021). Validity of the Adult Eating Behavior Questionnaire for adolescents treated in a weight management clinic. International Journal of Obesity, 45(5), 1086-1094.
37. Nguyen-Rodriguez, S. T., Unger, J. B., & Spruijt-Metz, D. (2009). Psychological determinants of emotional eating in adolescence. Eating Disorders, 17(3), 211-224.
38. Noller, P. (2005). Sibling relationships in adolescence: Learning and growing together. Personal Relationships, 12(1), 1-22.
39. World Health Organization. (2014). Growth reference 5–19 years. 2007. DisponÃvel em: https://www. who. int/growthref/who2007_bmi_for_age/en.
40. Özgen, L., Kınacı, B., & Arlı, M. (2012). Eating attitudes and behaviors of adolescents. Ankara University Journal of Faculty of Educational Sciences (JFES), 45(1), 229-248.
41. Özkan, N., & Bilici, S. (2018). New Approaches in Eating Behavior: Intuitive Eating and Eating Awareness. Gazi Journal of Health Sciences, 3(2), 16-24.
42. Parlaz, E. A., Tekgül, N., Karademirci, E., & Öngel, K. (2012). Adolescence: the process of physical growth, psychological and social development. Turkish Family Physician, 3(2), 10-16.
43. Qu, Y., Li, X., Ni, B., He, X., Zhang, K., & Wu, G. (2021). Identifying the role of parent–child conflict and intimacy in Chinese adolescents’ psychological distress during school reopening in COVID-19 pandemic. Developmental Psychology, 57(10), 1735.
44. Rapee, R. M., Oar, E. L., Johnco, C. J., Forbes, M. K., Fardouly, J., Magson, N. R., & Richardson, C. E. (2019). Adolescent development and risk for the onset of social-emotional disorders: A review and conceptual model. Behavior Resillence Therapy, 123, 103501.
45. Razali, N. M., & Wah, Y. B. (2011). Power comparisons of shapiro-wilk, kolmogorov-smirnov, lilliefors and anderson-darling tests. Journal of statistical modeling and analytics, 2(1), 21-33.
46. Secord, P. F., & Jourard, S. M. (1953). The appraisal of body-cathexis: body-cathexis and the self. Journal of Consulting Psychology, 17(5), 343.
47. Seval, M., Tatoğlu, N., Top, F. Ü., & Ayyıldız, T. (2025). Evaluation of Eating Behavior in Adolescents. Balıkesir Health Sciences Journal, 14(1), 65-73.
48. Sparti, C., Santomauro, D., Cruwys, T., Burgess, P., & Harris, M. (2019). Disordered eating among Australian adolescents: Prevalence, functioning, and help received. International Journal of Eating Disorders, 52(3), 246-254.
49. Spinosa, J., Christiansen, P., Dickson, J. M., Lorenzetti, V., & Hardman, C. A. (2019). From socioeconomic disadvantage to obesity: the mediating role of psychological distress and emotional eating. Obesity, 27(4), 559-564.
50. Tanofsky‐Kraff, M., Theim, K. R., Yanovski, S. Z., Bassett, A. M., Burns, N. P., Ranzenhofer, L. M., . . . Yanovski, J. A. (2007). Validation of the emotional eating scale adapted for use in children and adolescents (EES‐C). International Journal of Eating Disorders, 40(3), 232-240.
51. Thayer, R. E. (2003). Calm energy: How people regulate mood with food and exercise: Oxford University Press, USA.
52. Webb, H. J., Kerin, J. L., & Zimmer-Gembeck, M. J. (2021). Increases in emotional eating during early adolescence and associations with appearance teasing by parents and peers, rejection, victimization, depression, and social anxiety. The Journal of Early Adolescence, 41(5), 754-777.
53. Van Blyderveen, S., Lafrance, A., Emond, M., Kosmerly, S., O'Connor, M., & Chang, F. (2016). Personality differences in the susceptibility to stress-eating: The influence of emotional control and impulsivity. Eating Behaviors, 23, 76-81.
54. Yalçın, Y., & Kurnaz, H. K. (2021). Examination of emotional eating and social appearance anxiety levels of individuals who are members of sports centers. Journal of Human and Social Sciences Research, 10(4), 3818-3833.
55. Zamorano-García, D., Infantes-Paniagua, Á., Cuevas-Campos, R., & Fernández-Bustos, J. G. (2023). Impact of physical activity-based interventions on children and adolescents’ physical self-concept: A meta-analysis. Research Quarterly for Exercise and Sport, 94(1), 1-14.
56. Zboralski, K., Orzechowska, A., Talarowska, M., Darmosz, A., Janiak, A., Janiak, M., . . . Gałecki, P. (2009). The prevalence of computer and Internet addiction among pupils. Advances in Hygiene and Experimental Medicine, 63, 8-12.