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Article
Author(s)
Pnina Hertz
Full-Text PDF XML 1055 Views
DOI:10.17265/2328-2177/2019.08.002
Affiliation(s)
Hadassah Medical Center, Jerusalem, Israel
ABSTRACT
Selective eating among
toddlers is a well-known phenomenon which is characterized by varied factors
including nutritional deficits and a unique and challenging sensory profile.
Our clinical experience in a multidisciplinary feeding and eating clinic, in
Hadassah Medical Center of Jerusalem binds specific feeding and eating patterns
with high levels of parental stress ll. Parental stress is combined by three
domains: parental general approach of satisfaction, the quality of interaction
with child and child’s temperament, as perceived by parent. Our cross-sectional
research includes 42 pairs of parents and their children, referring the clinic
due to selective eating and suspected sensory integration disorder. Our study
includes a broad nutritional assessment, questionnaires testing parental stress
(PSI-4) and questionnaires testing sensory integration (Toddler Sensory Profile-2)
and anthropometric indices. Our study’s results are relevant family physicians
and pediatricians working in the community, who address diagnosis like autistic
spectrum disorder, attention deficit hyperactive disorder, developmental delay,
and learning disabilities that interface with domains of parental stress and
experience of parenting interaction and child temperament, as well as sensory
integration and limited eating and nutrition. Research results are significant
in the field of locating babies and families needing early intervention and as
a base of promoting intervention programs of prevention and treatment of
toddlers and their parents. It is important to apply suitable intervention
programs based on a reflective manner about dyadic and triadic eating and
feeding relations, in the family unit, considering the cultural context.
KEYWORDS
sensory integration, parental stress, child temperament, feeding relations, under eating disorder, multidisciplinary feeding clinic, nutrition deficiency
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