Emotional-behavioral functioning, maternal psychopathologic risk and quality of mother-child feeding interactions in children with avoidant/restrictive food intake disorder

Abstract

The literature on food intake disorder (ARFID) in early childhood has evidenced psychopathologic difficulties in both children and their mothers and a poor quality of feeding interactions. Only a few studies have focused on three different ARFID subtypes: irritable/impulsive (I/I), sensory food aversions (SFA) and post traumatic feeding disorder (PTFD). The aim of this study was to explore possible differences between the three groups in children’s emotionalbehavioral functioning, maternal psychopathologic risk and the quality of mother-child feeding interactions, comparing these clinical groups with a control group. The sample consisted of 100 child-mother dyads, of which 23 children with I/I, 25 children with SFA, 27 children with PTFD and 27 children with no diagnosis. The mothers primarily filled out questionnaires assessing their psychopathologic symptoms and children’s emotional-behavioral functioning. Then, all dyads were videotaped during a main meal. Results revealed significant differences between the study groups in relation to children’s emotional-adaptive functioning, mothers’ psychological profile and mother-child interactions during feeding. These findings are relevant for the development of target intervention programs to treat specific ARFID disorders.