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Behavioral and Psychophysiological Responsiveness During Child Feeding in Mothers with Histories of Eating Disorders: A Pilot Study

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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 free-play interactions with their children. These results support future larger-scale investigations of RSA reactivity in mothers with eating disorders.

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Acknowledgments

We would like to thank the families who participated in the study. We also thank the Biobehavioral Laboratory at the University of North Carolina School of Nursing and the Center for Developmental Science for material and technical support. This research was supported by the National Institutes of Health Grants F30MH087998 (PI: Hoffman) and UL1RR025747 from the National Center for Research Resources and by the American Society for Nutrition Gerber Foundation Predoctoral Fellowship to Dr. Hoffman. Dr. Hodges is supported by the Robert Wood Johnson Foundation Nurse Faculty Scholar Program.

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  1. 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

    Elizabeth R. Hoffman, Margaret E. Bentley, Dianne S. Ward & Cynthia M. Bulik

  2. School of Nursing, University of North Carolina at Chapel Hill, Carrington Hall CB#7460, Chapel Hill, NC, 27599, USA

    Eric A. Hodges

  3. Center for Developmental Science, University of North Carolina at Chapel Hill, 100 East Franklin Street, Suite 200 CB# 8115, Chapel Hill, NC, 27599, USA

    Cathi Propper

  4. Department of Psychiatry, University of North Carolina at Chapel Hill, 101 Manning Drive CB#7160, Chapel Hill, NC, 27599, USA

    Pamela L. Postage, Elana C. Zipkin, Robert M. Hamer & Cynthia M. Bulik

  5. Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, 1700 Martin Luther King Jr. Blvd. CB#7426, Chapel Hill, NC, 27599, USA

    Dianne S. Ward

  6. Department of Biostatistics, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, 3101 McGavran-Greenberg Hall CB#7420, Chapel Hill, NC, 27599, USA

    Robert M. Hamer

  7. Department of Psychiatry, University of North Carolina at Chapel Hill, CB #7160, 101 Manning Drive, Chapel Hill, NC, 27599-7160, USA

    Elizabeth R. Hoffman

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  1. Elizabeth R. Hoffman
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Correspondence to Elizabeth R. Hoffman.

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Hoffman, E.R., Hodges, E.A., Propper, C. et al. Behavioral and Psychophysiological Responsiveness During Child Feeding in Mothers with Histories of Eating Disorders: A Pilot Study. J Psychopathol Behav Assess 35, 578–591 (2013). https://doi.org/10.1007/s10862-013-9357-2

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