Behavioral and Psychophysiological Responsiveness During Child Feeding in Mothers with Histories of Eating Disorders: A
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Behavioral and Psychophysiological Responsiveness During Child Feeding in Mothers with Histories of Eating Disorders: A Pilot Study Elizabeth R. Hoffman & Eric A. Hodges & Cathi Propper & Pamela L. Postage & Elana C. Zipkin & Margaret E. Bentley & Dianne S. Ward & Robert M. Hamer & Cynthia M. Bulik
# Springer Science+Business Media New York 2013
Abstract The aim of this pilot project was to describe maternal responsiveness during child feeding in mothers with eating disorder histories through the combined use of observational, self-report, and physiologic methods. For this non-randomized cohort pilot study, 25 mothers with histories of eating disorders and 25 mothers with no history of an eating disorder with children ages 6–36 months were selected such that the groups were similar based on child age group (within 6 months) and child sex. Maternal behavioral responsiveness to child cues was assessed by video-recording and behavioral coding of both a free-play and feeding episode. Physiologic engagement was assessed through measurement of respiratory sinus arrhythmia (RSA) reactivity during free-play and feeding episodes. No differences were detected in observed behavioral responsiveness during feeding or free-play in mothers with eating disorder histories compared with controls. Mothers with eating disorder histories did report more parenting stress, increased anxiety, and exhibited a blunted physiologic stress response (less RSA reactivity) during both feeding and freeE. R. Hoffman : M. E. Bentley : D. S. Ward : C. M. Bulik Department of Nutrition, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, 2200 McGavran-Greenberg Hall CB#7461, Chapel Hill, NC 27599, USA E. A. Hodges School of Nursing, University of North Carolina at Chapel Hill, Carrington Hall CB#7460, Chapel Hill, NC 27599, USA C. Propper Center for Developmental Science, University of North Carolina at Chapel Hill, 100 East Franklin Street, Suite 200 CB# 8115, Chapel Hill, NC 27599, USA P. L. Postage : E. C. Zipkin : R. M. Hamer : C. M. Bulik Department of Psychiatry, University of North Carolina at Chapel Hill, 101 Manning Drive CB#7160, Chapel Hill, NC 27599, USA
play interactions with their children. These results support future larger-scale investigations of RSA reactivity in mothers with eating disorders. Keywords Eating disorders . Mothers . Feeding behavior . Maternal responsiveness . RSA reactivity . Infant feeding
Introduction Maternal Eating Disorders and the Feeding Environment Children of mothers with eating disorders [anorexia nervosa (AN), bulimia nervosa (BN) and some forms of eating disorder not otherwise specified (EDNOS)] are at greater risk for infant feeding problems and childhood disordered eating than children of mothers without eating disorders (Easter et al. 2013; Micali et al. 2009; Bulik et al. 2005; Whelan and Cooper 2000; Stice et al. 1999; Stein and Fairburn 1989;
D. S. Ward Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, 1700 Martin Lu
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