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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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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. |
format | Online Article Text |
id | pubmed-6950038 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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