Exploring the relationship between child temperament, maternal psychiatric symptoms, family environment and infant feeding.

IF 2.8 2区 医学 Q3 NUTRITION & DIETETICS Maternal and Child Nutrition Pub Date : 2024-09-03 DOI:10.1111/mcn.13728
Ginger McCorkle, Aline Andres, Clark R Sims, Patrick H Casey, Seth T Sorensen, Trevor Durey, Jayne Bellando
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Abstract

Objectives: Infant temperament is assumed to be primarily innate. However, newer research suggests that maternal affection impacts ratings of temperament and environmental factors, including feeding method, can also influence infant temperament. This study investigates child temperament and its relationships with maternal psychiatric symptoms, environmental variables and feeding method longitudinally in a cohort of children followed from 6 to 72 months. Differences in temperament by feeding group are also investigated. We hypothesized that maternal psychiatric symptoms, environmental stressors, and impaired family dynamics would have negative impact on child temperament, whereas breastfeeding would have a positive impact on child temperament.

Method: Mothers' ratings of child's temperament, own psychiatric symptomatology, environmental stresses and family cohesion were obtained in 504 mother-infant dyads via rating scales completed by mothers. Infants were breastfeed (BF), fed soy-based infant formula (SF) or dairy-based infant formula (MF). Linear mixed effect models investigated the relationship of variables on child's temperament while controlling for significant covariates and repeated measurements.

Results: Mothers in this study did not endorse clinical-level psychiatric symptomatology; however, when adjusted for significant covariates, higher psychiatric symptomatology significantly correlated with environmental stressors, impaired family dynamics and elevations in temperament ratings of infants' adaptability and mood. There were no lasting differences for temperament between feeding groups. However, some significant transient increases in rhythmicity and adaptability were found between SF and BF children.

Conclusion: Positive relationships between family environment stressors and maternal psychiatric ratings were found. Transient differences were found in child temperament based upon feeding method.

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探索儿童气质、母亲精神症状、家庭环境和婴儿喂养之间的关系。
目的:婴儿的气质被认为主要是与生俱来的。然而,最新的研究表明,母爱会影响对婴儿气质的评价,包括喂养方式在内的环境因素也会影响婴儿的气质。本研究通过对一组 6 到 72 个月的儿童进行纵向跟踪,调查了儿童的气质及其与母亲精神症状、环境变量和喂养方式之间的关系。同时还调查了不同喂养组的儿童气质差异。我们假设,母亲的精神症状、环境压力和受损的家庭动态会对儿童的气质产生负面影响,而母乳喂养则会对儿童的气质产生正面影响:方法:在 504 个母婴二元组中,通过母亲填写的评分量表获得母亲对儿童气质、自身精神症状、环境压力和家庭凝聚力的评分。婴儿的喂养方式有母乳喂养(BF)、大豆婴儿配方奶粉(SF)或乳制品婴儿配方奶粉(MF)。线性混合效应模型研究了变量与儿童气质的关系,同时控制了重要的协变量和重复测量:结果:本研究中的母亲并没有临床水平的精神症状;但是,在对重要的协变量进行调整后,较高的精神症状与环境压力、受损的家庭动态以及婴儿适应性和情绪的气质评分升高显著相关。喂养组之间的气质差异并不持久。然而,在自立喂养组和自理喂养组之间,婴儿的节律性和适应性出现了一些明显的短暂增长:结论:研究发现,家庭环境的压力因素与母亲的精神评分之间存在正相关。结论:研究发现,家庭环境压力因素与母亲的精神评分之间存在正相关,喂养方式不同,儿童的气质也存在短暂差异。
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来源期刊
Maternal and Child Nutrition
Maternal and Child Nutrition 医学-小儿科
CiteScore
7.70
自引率
8.80%
发文量
144
审稿时长
6-12 weeks
期刊介绍: Maternal & Child Nutrition addresses fundamental aspects of nutrition and its outcomes in women and their children, both in early and later life, and keeps its audience fully informed about new initiatives, the latest research findings and innovative ways of responding to changes in public attitudes and policy. Drawing from global sources, the Journal provides an invaluable source of up to date information for health professionals, academics and service users with interests in maternal and child nutrition. Its scope includes pre-conception, antenatal and postnatal maternal nutrition, women''s nutrition throughout their reproductive years, and fetal, neonatal, infant, child and adolescent nutrition and their effects throughout life.
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