Abstract
Aim: To evaluate different types and degrees of malnutrition over time in a sample of children diagnosed with Infantile Anorexia (IA), based on the DC:0-3R criteria, and recently defined by DSM-5 as the first subtype of Avoidant/Restrictive Food Intake Disorder (ARFID), and to investigate the relationship between children’s severity of malnutrition and emotional/behavioral development, and mothers’ long-term psychopathological symptoms.Methods: A total of 113 children (58 boys, 55 girls), originally diagnosed with IA, and their mothers, were evaluated at four assessment points at the children’s mean age of 2, 5, 7, and 11 years. Several measures were used to assess the children’s growth and level of malnutrition, mothers’ psychopathological symptoms and eating attitudes, as well as their children’s emotional/behavioral functioning.Results: A steady improvement in the severity of malnutrition over time emerged, but 73% of children still had ongoing mild to moderate to severe malnutrition at 11 years of age. Moreover, the children showed increasing internalizing and externalizing emotional/behavioral problems, and their mothers’ psychopathological symptoms and eating problems worsened as well over time. At 11 years of age, the girls’ emotional/behavioral problems and their mothers’ psychopathology and disturbed eating attitudes were more severe than that of the boys and their mothers. Finally, during the last assessment, significant associations between the mothers’ psychopathology and disturbed eating attitudes, the severity of the children’s malnutrition, and their emotional/behavioral problems emerged.Discussion: Our longitudinal study points out that the developmental course of children, originally diagnosed with IA and who received limited psychosocial treatment, is characterized by an enduring risk of malnutrition and increasing psychopathological symptoms in both, the children and their mothers, up to the sensitive period of pre-puberty.
Highlights
The study we are going to present in this paper assessed different types and degrees of malnutrition over time in a cohort of children, initially diagnosed with Infantile Anorexia (IA), and investigated the relationship between the children’s severity of malnutrition, emotional/behavioral development and their mothers’ long-term psychopathological symptoms
The diagnosis of IA was based on the DC:0-3R criteria, and recently defined by DSM-5 as the first subtype of Avoidant/Restrictive Food Intake Disorder (ARFID)
Our study describes the longitudinal course of IA, defined by the DC: 0-3R criteria, which correspond to the ARFID subtype “lack of interest in food or eating” diagnosis in DSM-5
Summary
The study we are going to present in this paper assessed different types and degrees of malnutrition over time in a cohort of children, initially diagnosed with Infantile Anorexia (IA), and investigated the relationship between the children’s severity of malnutrition, emotional/behavioral development and their mothers’ long-term psychopathological symptoms. Most studies of IA have been cross-sectional and have explored different types and degrees of malnutrition, infant temperament, maternal psychopathology, and mother–child interactions during feeding. DSM-5 provides criteria for ARFID, which replaced and extended the feeding disorder of infancy or early childhood diagnosis described in DSM-IV (American Psychiatric Association [APA], 1994)
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
