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Mealtime Anxiety and Coping Behaviour in Parents and Children during Weaning in PKU: A Case-Control Study

Solid food introduction may create anxiety for parents of children with phenylketonuria (PKU) due to the burden associated with protein substitute (PS) administration and natural protein restriction. In a longitudinal, prospective study, 20 mothers of children with PKU and 20 non-PKU control mothers...

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Autores principales: Evans, Sharon, Daly, Anne, Wildgoose, Jo, Cochrane, Barbara, Ashmore, Catherine, Kearney, Shauna, MacDonald, Anita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950038/
https://www.ncbi.nlm.nih.gov/pubmed/31766512
http://dx.doi.org/10.3390/nu11122857
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author Evans, Sharon
Daly, Anne
Wildgoose, Jo
Cochrane, Barbara
Ashmore, Catherine
Kearney, Shauna
MacDonald, Anita
author_facet Evans, Sharon
Daly, Anne
Wildgoose, Jo
Cochrane, Barbara
Ashmore, Catherine
Kearney, Shauna
MacDonald, Anita
author_sort Evans, Sharon
collection PubMed
description Solid food introduction may create anxiety for parents of children with phenylketonuria (PKU) due to the burden associated with protein substitute (PS) administration and natural protein restriction. In a longitudinal, prospective study, 20 mothers of children with PKU and 20 non-PKU control mothers completed 4 questionnaires (mealtime emotions, feed-time, Beck’s anxiety inventory and the coping health inventory for parents), examining parent/child mealtime emotions, anxiety, stress and coping strategies at child ages: weaning start, 8 months (m), 12 m, 15 m, 18 m and 24 m. Overall, mothers of children with PKU cope well with solid food introduction when applying a low-phenylalanine diet, with comparable low levels of stress and anxiety reported in both PKU and non-PKU groups. However, mothers of children with PKU reported peak scores in anxiety for emotive/cognitive symptoms at a child age of 15 m, and higher use of coping strategies at 15 m and 24 m (p < 0.05) of age. Generally, there was a trend that maternal anxiety regarding child rejection of PS increased with time, peaking between 12–24 m. In PKU, a child age of 12–18 m is identified as a key period when mothers feel most anxious/stressed with feeding, coinciding with raised blood phenylalanine levels probably associated with teething, illness and developing independence. Health professionals should be conscious of this vulnerable period and be prepared to offer more directional support as required.
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spelling pubmed-69500382020-01-13 Mealtime Anxiety and Coping Behaviour in Parents and Children during Weaning in PKU: A Case-Control Study Evans, Sharon Daly, Anne Wildgoose, Jo Cochrane, Barbara Ashmore, Catherine Kearney, Shauna MacDonald, Anita Nutrients Article Solid food introduction may create anxiety for parents of children with phenylketonuria (PKU) due to the burden associated with protein substitute (PS) administration and natural protein restriction. In a longitudinal, prospective study, 20 mothers of children with PKU and 20 non-PKU control mothers completed 4 questionnaires (mealtime emotions, feed-time, Beck’s anxiety inventory and the coping health inventory for parents), examining parent/child mealtime emotions, anxiety, stress and coping strategies at child ages: weaning start, 8 months (m), 12 m, 15 m, 18 m and 24 m. Overall, mothers of children with PKU cope well with solid food introduction when applying a low-phenylalanine diet, with comparable low levels of stress and anxiety reported in both PKU and non-PKU groups. However, mothers of children with PKU reported peak scores in anxiety for emotive/cognitive symptoms at a child age of 15 m, and higher use of coping strategies at 15 m and 24 m (p < 0.05) of age. Generally, there was a trend that maternal anxiety regarding child rejection of PS increased with time, peaking between 12–24 m. In PKU, a child age of 12–18 m is identified as a key period when mothers feel most anxious/stressed with feeding, coinciding with raised blood phenylalanine levels probably associated with teething, illness and developing independence. Health professionals should be conscious of this vulnerable period and be prepared to offer more directional support as required. MDPI 2019-11-21 /pmc/articles/PMC6950038/ /pubmed/31766512 http://dx.doi.org/10.3390/nu11122857 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Evans, Sharon
Daly, Anne
Wildgoose, Jo
Cochrane, Barbara
Ashmore, Catherine
Kearney, Shauna
MacDonald, Anita
Mealtime Anxiety and Coping Behaviour in Parents and Children during Weaning in PKU: A Case-Control Study
title Mealtime Anxiety and Coping Behaviour in Parents and Children during Weaning in PKU: A Case-Control Study
title_full Mealtime Anxiety and Coping Behaviour in Parents and Children during Weaning in PKU: A Case-Control Study
title_fullStr Mealtime Anxiety and Coping Behaviour in Parents and Children during Weaning in PKU: A Case-Control Study
title_full_unstemmed Mealtime Anxiety and Coping Behaviour in Parents and Children during Weaning in PKU: A Case-Control Study
title_short Mealtime Anxiety and Coping Behaviour in Parents and Children during Weaning in PKU: A Case-Control Study
title_sort mealtime anxiety and coping behaviour in parents and children during weaning in pku: a case-control study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950038/
https://www.ncbi.nlm.nih.gov/pubmed/31766512
http://dx.doi.org/10.3390/nu11122857
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