Yeme reddi şikâyeti olan çocukların annelerinin kaygı düzeyleri ve bağlanma stillerinin incelenmesi: Kontrollü bir çalışma

Yıl 2022, , 354 - 365, 26.12.2022

Hümeyra İşbilen Özlem Şireli Bingöl Mehmet Çolak Ecem Demirel Ali Dayi

https://doi.org/10.5455/kpd.26024438m000074

Öz

Bu çalışmanın amacı; yeme reddi şikâyeti olan erken çocukluk dönemindeki çocukların annelerinin kaygı düzeyi ve bağlanma stillerini incelemektir. Çalışmaya yeme reddi şikâyeti olan 1-6 yaş aralığında 50 çocuk ve annesi ile kontrol grubu olarak sağlıklı 50 çocuk ve anneleri katılmıştır. Çalışmaya katılan anneler sosyodemografik veri formunu doldurduktan sonra, araştırmacı gözetiminde; “Beck Anksiyete Ölçeği (BAÖ)”, “İlişki Ölçekleri Anketi (İÖA)” ile değerlendirilmiştir. Yeme reddi grubundaki annelerin BAÖ puanları kontrol grubundaki annelerin BAÖ puanlarına göre anlamlı düzeyde yüksektir. Gruplar İÖA puanları açısından değerlendirildiğinde; yeme reddi grubundaki annelerin %11’inde güvenli bağlanma, kontrol grubundaki annelerin %89’unda güvenli bağlanma biçimi olduğu, her iki grup arasında annelerin bağlanma biçimi açısından anlamlı fark olduğu saptanmıştır. Çalışma sonuçlarında, yeme reddi şikâyeti olan çocukların annelerinin kaygı ve güvensiz bağlanma düzeylerinin kontrol grubundaki annelere göre anlamlı düzeyde yüksek olduğu bulunmuştur. Sonuçlar annelerin kaygı düzeyleri ile bağlanma stillerinin, erken çocukluk dönemindeki yeme reddi sorunları ile ilişkili olduğunu düşündürmektedir.

Anahtar Kelimeler

yeme reddi, erken çocukluk, annenin kaygı düzeyi, annenin bağlanma stilleri, food refusal, early childhood, mother, mother’s attachment style

The investigation of anxiety levels and attachment styles of mothers of children with food refusal complaints: A controlled study

Öz

The aim of this study was to examine the anxiety levels and attachment types of mothers of children with food refusal complaints in the early childhood period. The participants were a group of 50 children around the ages of 1-6 with food refusal complaints and their mothers, and a control group of 50 healthy children and their mothers. After filling out the socio-demographic information form, the participating mothers were evaluated using the “Beck Anxiety Inventory (BAI)” and the “Relationship Scales Questionnaire (RSQ)” under the researcher's supervision. The BAI scores of the mothers in the food refusal group were considerably higher than the mothers in the control group. When the groups were evaluated in terms of RSQ scores, it was determined that 11% of mothers in the food refusal group had secure attachment types while that percentage was 89% for those in the control group; and there was a significant difference between both groups in terms of maternal attachment style. According to the results of the current study, the anxiety and insecure attachment levels of the mothers of children with food refusal complaints were found to be significantly higher than the mothers in the control group. Results indicated a positive correlation between the mothers' anxiety levels and attachment types, and the food refusal problems from early childhood.

Anahtar Kelimeler

yeme reddi, erken çocukluk, annenin kaygı düzeyi, annenin bağlanma stilleri, food refusal, early childhood, mother, mother’s attachment style

Kaynakça

• Ainsworth, M. D. S., Blehar, M. C., Waters, E. ve Wall, S. (1978). Patterns of attachment: A psychological study of the strange stiuation. NJ: Erlbaum.
• American Psychiatric Association [APA]. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th Ed.). American Psychiatric Pub.
• Ammaniti, M., Ambruzzi, A. M., Lucarelli, L., Cimino, S. ve D’Olimpio, F. (2004). Malnutrition and dysfunctional mother-child feeding interactions: Clinical assessment and research implications. Journal of the American College of Nutrition, 23, 259-271.
• Aşık Akman, S., Halıcıoğlu, O., Koturoğlu, G., Ataman, H., Yaprak, I. ve Kurugöl, Z. (2008). Yeme reddi ile başvuran 2-6 yaş arasındaki çocukların özellikleri. Ege Pediatri Bülteni, 15(3), 173-178.
• Bartholomew, K. ve Horowitz, L. M. (1991). Attachment styles among young adults: A test of a Four-Category Model. Journal of Personality and Social Psychology, 61(2), 226-244.
• Beck, A. T., Epstein, N., Brown, G. ve Steer, R. A. (1988) An inventory for measuring clinical anxiety: Psycho metric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
• Benoit, D., Zeanah, C. H. ve Barton, M. L. (1989). Maternal attachment experiences in failure to thrive. Infant Mental Health Journal, 10, 185-202.
• Birch, L. L. (1998). Development of food acceptance patterns in the first years of life. Proceedings of the Nutrition Society, 57, 617-624.
• Bowlby, J. (1973). Attachment and loss: Separation, anxiety and anger. Basic Books.
• Brown, J. E., Broom, D. H., Nicholson, J. M. ve Bittman, M. (2010). Do working mothers raise couch potato kids? Maternal employment and children’s lifestyle behaviours and weight in early childhood. Social Science & Medicine, 70(11), 1816-1824.
• Chatoor, I. (2005). Feeding and eating disorders of infancy and early childhood. B. J. Sadock ve V. A. Sadock (Ed.), Kaplan and Sadock's comprehensive textbook of psychiatry (8. baskı) içinde (s. 3217-3227). Lippincott Williams and Wilkins.
• Chatoor, I., Ganiban, J., Hirsch, R., Bormna-Spurrell, E. ve Mrazek, D. (2000). Maternal characteristics and toddler temperament in infantile anorexia. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 743-751.
• Chatoor, I., Ganiban, J., Surles, J. ve Doussard-Roosevelt, J. (2004). Physiological regulation and infantile anorexia: A pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 1019-1025.
• Cole, N. C., An, R., Lee, S.Y. ve Donovan, S. M. (2017) Correlates of picky eating and food neophobia in young children: A systematic review and meta-analysis. Nutrition Reviews, 75(7), 516-532.
• Coulthard, H. ve Harris, G. (2003). Early food refusal: The role of maternal mood. Journal of Reproductive and Infant Psychology, 21, 335-345.
• Dahl, M. ve Sundelin, C. (1992). Feeding problems in an affluent society. Follow-up at four years of age in children with early refusal to eat. Acta Paediatrica, 8, 575-579.
• Douglas, J. (2000). The management of selective eating in young children. A. Southall ve A. Schwartz (Ed.), Feeding problems in children içinde (s. 141-152). Radcliffe Medical Press.
• Estrem, H. H., Pados, B. F., Park, J., Knafl, K. A. ve Thoyre, S. M. (2016). Feeding problems in infancy and early childhood: Evolutionary concept analysis. Journal of Advanced Nursing, 73(1), 56-70.
• Green, S. B. ve Salkind, N. J. (2013) Using SPSS for the MacIntosh and Windows: Analyzing and understanding data (7. baskı). Pearson.
• Griffin, D. ve Bartholomew, K. (1994). Models of the self and other: Fundamental dimensions underlying measures of adult attachment. Journal of Personality and Social Psychology, 67, 430-445.
• Haycraft, E., Farrow, C. ve Blissett, J. (2013). Maternal symptoms of depression are related to observations of controlling feeding practices in mothers of young children. Journal of Family Psychology, 27(1), 159-164.
• Hendricks, K., Briefel, R., Novak, T. ve Ziegler, P. (2006). Maternal and child characteristics associated with infant and toddler feeding practices. Journal of the Academy of Nutrition and Dietetics, 106, 135-48.
• Hergüner, S., Gökçe, S., Gökçay, G. ve Tüzün, D. Ü. (2007). Bebeklik anoreksisi: Tanıdan tedaviye. Çocuk ve Gençlik Ruh Sağlığı Dergisi, 14(1), 38-47.
• Jansen, E., Williams, K. E., Mallan, K. M., Nicholson, J. M. ve Daniels, L. A. (2018). Bidirectional associations between mothers’ feeding practices and child eating behaviours. International Journal of Behavioral Nutrition and Physical Activity, 15(3), 2-11.
• Jones, C. J. ve Bryant-Waugh, R. (2013). The relationship between child feeding problems and maternal mental health: A selective review. Advances in Eating Disorders, 1(2), 119-133.
• Kerzner, B., Milano, K., MacLean, W. C., Berall, G., Stuart, S. ve Chatoor, I. (2015). A practical approach to classifying and managing feeding difficulties. Pediatrics, 135, 344-353.
• King, N. A., Hester, J. ve Gately, P. J. (2007). The effect of a medium term activity and diet induced energy deficit on subjective appetite sensations in obese children. International Journal of Obesity, 31, 334-339.
• Linscheid, T. R., Budd, K. S. ve Rasnake, L. K. (2003). Pediatric feeding disorders. M. C. Robberts (Ed.), Handbook of pediatric psychology içinde (s. 481-498). The Guilford Press.
• Lucarelli, L., Cimino, S., D’Olimpio, F. ve Ammaniti, M. (2012). Feeding disorders of early childhood: An empirical study of diagnostic subtypes. International Journal of Eating Disorders, 46(2),147-155.
• Lucarelli, L., Sechi, C., Cimino, S. ve Chatoor, I. (2018). Avoidant/restrictive food intake disorder: A longitudinal study of malnutrition and psychopathological risk factors from 2 to 11 years of age. Frontiers in Psychology, 9, 1608.
• Martin, C. I., Dovey, T. M., Coulthard, H. ve Southall, A. M. (2013). Maternal stress and problem-solving skills in a sample of children with nonorganic feeding disorders. Infant Mental Health Journal, 34(3), 202-210.
• McDermott, B. M., Mamun, A. A., Najman, J. M., Williams, G. M., O’Callaghan, M. J. ve Bor, W. (2010). Longitudinal correlates of the persistence of irregular eating from age 5 to 14 years. Acta Paediatrica, 99(1),68-71.
• Oğuz, Ş. ve Önay Derin, D. (2013) 60-72 aylık çocukların bazı beslenme alışkanlıklarının incelenmesi. İlköğretim Online, 12(2), 498-511.
• Orrell-Valente, J. K., Hill, L. G., Brechwald, W. A., Dodge, K. A., Pettit, G. S. ve Bates, J. E. (2007). ‘’Just three more bites‘’: An observational analysis of parents’ socialization of children’s eating at mealtime. Appetite, 48, 37-45.
• Örün, E., Erdil, Z., Çetinkaya, S., Tufan, N. ve Yalçın, S. (2012). Problematic eating behaviour in Turkish children aged 12-72 months: Characteristics of mothers and children. Central European Journal of Public Health, 20(4), 257-261.
• Pickler, R. H. (2009). Understanding, promoting, and measuring the effects of mother-infantattachment during infant feeding. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 38(4), 468-469.
• Powell, E. M., Frankel, L. A., Umemura, T. ve Hazen, N. (2017). The relationship between adult attachment orientation and child self-regulation in eating: The media-ting role of persuasive-controlling feeding practices. Eating Behaviors, 26, 121-128.
• Prado, E. ve Dewey, K. (2014). Nutrition and brain develop-ment in early life. Nutrition Reviews, 72(4), 267-284.
• Prasetyo, Y. B, Nursalam, N, Hargono, R ve Ahsan, A. (2019). Socio-demographic determinants and the family ability to care for children with Avoidant Restrictive Food Intake Disorder (ARFID). Jurnal Ners, 14(1), 1-9.
• Sacco, B. ve Kelley, U. (2018). Diagnosis and evaluation of eating disorders in the pediatric patient. Pediatric Annals, 47(6), 244-249.
• Satter, E. (1990). The feeding relationship: Problems and interventions. The Journal of Pediatrics, 117, 181-189.
• Sümer, N. ve Güngör, D. (1999). Yetişkin bağlanma stillerinin Türk örneklemi üzerinde psikometrik değerlendirmesi ve kültürler arası bir karşılaştırma. Türk Psikoloji Dergisi, 14(43), 71-106.
• Şahin, S., Şahin, S., Öz, S., Atav, P. ve Kıvanç, R. (2019). Pediatrik yeme veya yutma bozukluğu ve beslenme alışkanlığında aile rolünün etkisinin meta-analiz yöntemiyle incelenmesi. H.Ü. Sağlık Bilimleri Fakültesi Dergisi, 6(2), 200-214.
• Tan, S., Yilmaz, A. E., Karabel, M., Kara, S., Aldemir, S. ve Karabel, D. (2012). Children with food refusal: An assessment of parental eating attitudes and their styles of coping with stress. Chinese Medical Journal, 75(5), 209-215.
• Ulusoy, M., Şahin, N. ve Erkman, H. (1998). Turkish version of the beck anxiety inventory: Psychometric properties. Journal of Cognitive Psychotherapy, 12, 28-35.
• Ünlü, G., Aras, Ş., Güvenir, T., Büyükgebiz, B. ve Bekem, Ö. (2006). Yeme reddi olan çocukların annelerinde kişilik bozuklukları, depresyon ve anksiyete belirtileri ve aile işlevleri. Türk Psikiyatri Dergisi, 17(1), 1-10.
• Warren, S. L., Bost, K. K., Roisman, G. I., Silton R. L., Spielberg, J. M., Engels, A. S., Choi, E., Sutton, B. P., Miller, G. A. ve Wendy, H. (2010). Effects of adult attachment and emotional distractors on brain mechanisms of cognitive control. Psychological Science, 21, 1818-1826.
• Williams, K. E., Field, D. G. ve Seiverling, L. (2010). Food refusal in children: A review of the literature. Research in Developmental Disabilities, 31, 625-633.
• Wolstenholme, H., Kelly, C., Hennessy, M. ve Heary, C. (2020) Childhood fussy/picky eating behaviours: A systematic review and synthesis of qualitative studies. International Journal of Behavioral Nutrition and Physical Activity, 17(2), 1-22.
• Wright, C. M., Parkinson, K. N. ve Drewett, R. F. (2006). How does maternal and child feeding behavior relate to weight gain and failure to thrive? Data from a prospective birth cohort. Pediatrics, 117,1262-1269.
• Yılmaz, G. (2020). Çocuklarda yeme davranışı ve annelerin besleme tutumları. Eurasian Journal of Family Medicine, 9(2), 109-116.
• Yılmazbaş, P. ve Gökçay, G. (2013). İlk iki yaşta sağlıklı beslenme ve sağlıklı beslenme alışkanlığının geliştirilmesi. Çocuk Dergisi, 13(4), 147-153.