Association between maternal depressive symptoms in the early post‐natal period and responsiveness in feeding at child age 2 years

Mallan, Kerry; Daniels, Lynne; Wilson, Jacinda; Jansen, Elena; Nicholson, Jan M.

doi:10.1111/mcn.12116

Cited by 22 publications

(42 citation statements)

References 49 publications

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“…Of the 8 included studies, 3 focused on feeding styles [39,41,46], 6 on nonresponsive feeding practices [40,41,43-46] and 3 on nonresponsive family mealtime practices [41,42,44]. Summary characteristics of included studies are presented in Multimedia Appendix 2, whereas synthesized information on methodology and main findings are presented in Multimedia Appendix 3.…”

Section: Resultsmentioning

confidence: 99%

“…One study reported positive associations between maternal depressive symptoms and restriction of child’s food intake (1/6) [40], and emotional (eg, using food to manage child’s mood) feeding (1/3) [40]. In addition, 2 studies (2/6), one with a cross-sectional design [44] and one using a longitudinal design [43], reported negative associations between maternal depressive symptoms and restriction of child food intake.…”

Section: Resultsmentioning

confidence: 99%

“…All 3 studies found a positive association between maternal depressive symptoms and instrumental feeding [40,44,45], whereas one (1/3) found a positive association between maternal depressive symptoms and emotional feeding [40]. One longitudinal study found that mothers with elevated depressive symptoms were more likely to employ both instrumental and emotional feeding practices adjusting for maternal and child covariates [40] than mothers with low or without depressive symptoms.…”

Section: Resultsmentioning

confidence: 99%

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Associations Between Maternal Depressive Symptoms and Nonresponsive Feeding Styles and Practices in Mothers of Young Children: A Systematic Review

Lindsay

Mesa

Greaney

et al. 2017

JMIR Public Health Surveill

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BackgroundChildhood obesity is a significant global public health problem due to increasing rates worldwide. Growing evidence suggests that nonresponsive parental feeding styles and practices are important influences on children’s eating behaviors and weight status, especially during early childhood. Therefore, understanding parental factors that may influence nonresponsive parental feeding styles and practices is significant for the development of interventions to prevent childhood obesity.ObjectiveThe objectives of this systematic review were to (1) identify and review existing research examining the associations between maternal depressive symptoms and use of nonresponsive feeding styles and practices among mothers of young children (2-8 years of age), (2) highlight the limitations of reviewed studies, and (3) generate suggestions for future research.MethodsUsing the PRISMA (Preferred Reporting Items for Systematic review and Meta-Analysis Protocols) guidelines, six electronic academic databases were searched for peer-reviewed, full-text papers published in English between January 2000 and June 2016. Only studies with mothers 18+ years old of normally developing children between 2 and 8 years of age were included. Of the 297 citations identified, 35 full-text papers were retrieved and 8 were reviewed.ResultsThe reviewed studies provided mixed evidence for associations between maternal depressive symptoms and nonresponsive feeding styles and practices. Two out of three studies reported positive associations with nonresponsive feeding styles, in that mothers with elevated depressive symptoms were more likely than mothers without those symptoms to exhibit uninvolved and permissive or indulgent feeding styles. Furthermore, results of reviewed studies provide good evidence for association between maternal depressive symptoms and instrumental feeding (3 of 3 reviewed studies) and nonresponsive family mealtime practices (3/3), but mixed evidence for pressuring children to eat (3/6) and emotional feeding (1/3). In addition, evidence for the association between maternal depressive symptoms and restricting child food intake was mixed: one study (1/6) found a positive association; two studies (2/6) found a negative association; whereas one study (1/6) found no association.ConclusionsThis review indicates that the results of studies examining the associations between maternal depressive symptoms and parental feeding styles and practices are mixed. Limitations of studies included in this review should be noted: (1) the use of a diverse set of self-report questionnaires to assess parental feeding practices is problematic due to potential misclassification and makes it difficult to compare these outcomes across studies, thus caution must be taken in drawing conclusions; and (2) the majority of included studies (6/8) were cross-sectional. There is a need for additional longitudinal studies to disentangle the influence of depression on parental feeding styles and practices. Nevertheless, given that depressive symptoms and feed...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Associations Between Maternal Depressive Symptoms and Nonresponsive Feeding Styles and Practices in Mothers of Young Children: A Systematic Review

Lindsay

Mesa

Greaney

et al. 2017

JMIR Public Health Surveill

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“…There is evidence that maternal eating behaviours are associated with feeding practices [47] and child eating behaviour [48]. In addition, even in non-clinical samples, there is a relationship between child feeding and parental emotional and psychological well-being [49, 50]. It is no wonder parents find the “what, when, where and how” of food parenting a source of concern and conflict.…”

Section: Parent Feeding Practices and Their Potential Relationship Wimentioning

confidence: 99%

Feeding Practices and Parenting: A Pathway to Child Health and Family Happiness

2019

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Feeding and parenting are inextricably linked. The complex bidirectional interactions between parent feeding practices and child eating behaviour shape the early feeding environment which in turn interacts with genetic predispositions to lay the foundation for life-long eating habits and health outcomes. Parent feeding and child (and parent) eating are central to the fabric of family life and are strongly rooted in culture and tradition. Yet, many parents experience stress and anxiety related to this ubiquitous parenting task and perceive their child as a “fussy eater” or a “difficult feeder.” Parents commonly misinterpret heritable and developmentally “normal” child eating behaviour, such as food refusal, as cause for concern. In an effort to get their child to “eat well” they respond with coercive feeding practices, such as pressure, reward and restriction. Emotional feeding that uses food to comfort, distract, calm or shape behaviour is also common. Although well intentioned, these non-responsive, parent- rather than child-centred feeding practices are ineffective, even counterproductive. They teach children to eat for reasons unrelated to appetite and, hence, more than they need and fail to support development of healthy food preferences and appetite regulation. Early feeding interventions are needed that assist parents to understand normal child eating behaviour and promote responsive feeding practices and effective food parenting. The aim of this chapter is to review (1) “normal” eating behaviour of young children, (2) the range of feeding practices and strategies that parents use to respond to and try to shape these behaviours, (3) evidence for approaches to feeding young children that have potential to reduce conflict related to child feeding and promote life-long healthy eating patterns that are a key determinant of long-term health and well-being and (4) to provide an overview of an early feeding intervention, NOURISH, which demonstrated a positive impact on maternal feeding practices and potentially reduced parent anxiety and stress related to feeding.

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“…Segundo Mallan et al (2015), a depressão da mãe pode reduzir responsabilidade pela criança, se tornando fator de risco para práticas inapropriadas de alimentação. Embora seja tema de diversos estudos, ainda não há consenso na literatura sobre a associação entre DPP e prática do AM (Henderson et al, 2003;Dennis e McQueen, 2009;Silva et al, 2017).…”

Section: Depressão Pós-parto E Alimentação Complementarunclassified

Associação entre introdução precoce de alimentos complementares e depressão pós-parto em mulheres com histórico de depressão na gravidez

Fernandes¹

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INTRODUCTION: Adequate and healthy feeding is essential for infant and child development. Complementary feeding must occur in timing and appropriately, supplying child´s nutritional needs. Postpartum depressed (PPD) mothers show difficulties in general care and practices related to child´s feeding. The aim of this study is to verify the association between PPD and early complementary foods introduction (IPAC), at 4 months old, and to describe the frequency of early food's introduction. METHODOLOGY: Cross-sectional study, performed from August 2013 to August 2014, through data collected between 6 to 9 months after labor, from 326 puerperal women who had participated in a community trial (PROGRAVIDA). IPAC data and other information were collected via structured questionnaire. PPD was evaluated through the "Patient Health Questionnaire-9". Poisson regression models with robust variance, following a hierarchical model, were used to evaluate the association between PPD and IPAC. In the simplified model, the prevalence ratio (PR) and 95% confidence level (95%CI) between PPD and IPAC was estimated, taking into consideration the randomization of participants in the community trial. Multivariate models estimated the PR and 95%CI between PPD e IPAC, adjusted for sociodemographic and socioeconomic variables (ethnicity, education, monthly family income, employment and marital status), maternal data (age, number of children and type of delivery), perinatal data (age and birth weight) and child data (pacifier use and breastfeeding). The statistical analysis was performed with STATA 12 software and the significance level was considered equal or lower than 5%. RESULTS: The IPAC general prevalence was 75.8% (95%IC 0.71-0.80). In the simplified model no association was found between depression and IPAC (PR: 0.97; 95%CI 0.83-1.14). In the multivariate analysis, it was encountered a lower prevalence of IPAC among women who were still breastfeeding at 6 months, in those who worked out and among women with lower family income. The estimate of the simplified association between PPD and IPAC did not change significantly after adjustment for possible confounding variables. Therefore, postpartum women with severe to moderate depression did not present differences in IPAC, compared to women without depression or mild depression (PR: 0.96; 95%CI 0.81-1.12). Foods with a higher proportion of early introduction were water, tea and other milks, and the ones with the lowest proportion were meats, rice and beans and pasta, and there were no differences between the groups¸ according to maternal depression. CONCLUSION: There was a high prevalence of IPAC, independently of depression levels. Interventions to restrict IPAC should not prioritize woman's mood in the puerperium, but rather the practice of breastfeeding and social aspects, such as family income and mother's external work.

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Association between maternal depressive symptoms in the early post‐natal period and responsiveness in feeding at child age 2 years

Cited by 22 publications

References 49 publications

Associations Between Maternal Depressive Symptoms and Nonresponsive Feeding Styles and Practices in Mothers of Young Children: A Systematic Review

Associations Between Maternal Depressive Symptoms and Nonresponsive Feeding Styles and Practices in Mothers of Young Children: A Systematic Review

Feeding Practices and Parenting: A Pathway to Child Health and Family Happiness

Associação entre introdução precoce de alimentos complementares e depressão pós-parto em mulheres com histórico de depressão na gravidez

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