scholarly journals Feeding, Eating, and Emotional Disturbances in Children with Avoidant/Restrictive Food Intake Disorder (ARFID)

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3385
Author(s):  
Sharon Iron-Segev ◽  
Danielle Best ◽  
Shani Arad-Rubinstein ◽  
Martin Efron ◽  
Yaffa Serur ◽  
...  

Avoidant/restrictive food intake disorder (ARFID) is a relatively new diagnostic category. We sought to determine whether the Stanford Feeding Questionnaire (SFQ), an instrument for assessing picky eating, can differentiate children with ARFID from control children, and whether children with ARFID would show more nonfeeding/eating emotional problems than controls. Fifty children with ARFID were compared to 98 controls. Parents completed the SFQ, Screen for Child Anxiety Related Emotional Disorders (SCARED), Strength and Difficulties Questionnaire (SDQ), and Sensory Responsiveness Questionnaire (SRQ). On the SFQ, 12 items represented child ARFID behaviors (SFQ-ARFID Scale), and another 15 items represented parental feeding problems (SFQ-PFP Scale). We found that the SFQ-ARFID and SFQ-PFP Scale scores were significantly higher in children with ARFID vs. controls. Children with ARFID demonstrated higher SDQ-Total-Difficulties, higher SDQ-Internalizing-Difficulties and lower SRQ-Hedonic scores compared with controls. Of all parameters, the SFQ-ARFID Scale best differentiated children with ARFID from control children (area under receiver operating characteristics curve = 0.939, 95% CI, 0.895–0.983, p < 0.001). These findings suggest that parental reports show more eating problems and emotional disturbances in children with ARFID vs. controls, and more parental feeding problems. Further research is required to determine whether the SFQ-ARFID Scale may serve as an effective screening tool for the identification of ARFID.

2012 ◽  
Vol 28 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Anna Ogliari ◽  
Simona Scaini ◽  
Michael J. Kofler ◽  
Valentina Lampis ◽  
Annalisa Zanoni ◽  
...  

Reliable and valid self-report questionnaires could be useful as initial screening instruments for social phobia in both clinical settings and general populations. The present study investigates the factor structure and psychometric properties of the Social Phobia and Anxiety Inventory for Children (SPAI-C) in a sample of 228 children from the Italian general population aged 8 to 11. The children were asked to complete the Italian version of the SPAI-C and the Screen for Child Anxiety Related Emotional Disorders (SCARED) questionnaire. Confirmatory factor analyses revealed that social phobia can be conceptualized as a unitary construct consisting of five distinct but interrelated symptom clusters named Assertiveness, General Conversation, Physical/Cognitive Symptoms, Avoidance, and Public Performance. Internal consistency of the SPAI-C total scores and two subscales was good; correlations between SPAI-C total scores and SCARED total scores/subscales ranged from moderate to high (Generalized Anxiety Disorder, for social phobia), with the SCARED Social Phobia subscale as the best predictor of SPAI-C total scores. The results indicate that the SPAI-C is a reliable and sensitive instrument suitable for identifying Social Phobia in the young Italian general population.


2021 ◽  
pp. 025371762097337
Author(s):  
BR Sahithya ◽  
Vijaya Raman

Background: Anxiety disorders are common in children and contribute to adverse developmental outcomes. Although etiological models of child anxiety have identified various environmental factors, very few studies in India have examined these factors in children presenting with anxiety disorders. Therefore, the present study was designed to examine parenting styles, parental personality, and child temperament in children with anxiety disorders in an Indian outpatient setting. Methods: In total, 42 children with anxiety disorders and 42 typically developing children, matched on age and gender, were screened using Child Behavior Checklist, Color Progressive Matrices, and Screen for Child Anxiety Related Emotional Disorders Parent version. Their parents were screened using Mini International Neuropsychiatric Interview 5.0, following which they filled the questionnaires for parenting styles, parent personality, and child temperament. Results: There were significant differences between the two groups on parenting style, parent personality, and child temperament. Anxiety disorder was positively associated with the father’s permissiveness and negatively with the mother’s authoritativeness and child’s sociability. A combination of parenting styles and child temperament explained 69% of the variances in child anxiety disorders. There were significant associations between parental personality, child temperament, and parenting style. Parent and child characteristics explained 14%–46% of the variances in parenting styles. Conclusion: Results of this study are generally consistent with Western studies outlining the influence of child temperament and parenting styles on child outcome and have important implications for clinical management of anxiety disorders.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xuliang Shi ◽  
Shuo Wang ◽  
Zhen Wang ◽  
Fang Fan

Abstract Background In this study, we examined psychometric properties of the Chinese version of the Resilience Scale (RS) and parenting-related factors associated with resilience among disaster-exposed adolescents. Methods Eighteen months after the earthquake, a total of 1266 adolescents (43.4% male, mean age = 15.98; SD = 1.28) were assessed using the RS, the Post-traumatic Stress Disorder Self-Rating Scale, the Depression Self-rating Scale for Children, the Screen for Child Anxiety Related Emotional Disorders, and Parental Bonding Instrument. Results Through exploratory factor analyses (EFAs) and parallel analysis, responses were characterized into a 3-factor structure: personal competence, meaningfulness, and acceptance of self and life. Cronbach’s alpha coefficient for the RS was 0.89 and the test-retest reliability coefficient was 0.72. In terms of predictive validity, resilience was found to be a significant predictor for PTSD, depression, and anxiety. Multiple regression analysis showed that maternal parenting styles were significant predictors of resilience after adjusting for gender, age, sibling number, and earthquake experiences. Conclusions The Chinese version of RS is a reliable and valid tool for assessing resilience among adolescent survivors after disasters. The implications for research and resilience-oriented interventions were also discussed.


Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1787 ◽  
Author(s):  
Annick Alleleyn ◽  
Mark van Avesaat ◽  
Dina Ripken ◽  
Sinéad Bleiel ◽  
Daniel Keszthelyi ◽  
...  

Activation of the intestinal brake by infusing nutrients into the distal small intestine with catheters inhibits food intake and enhances satiety. Encapsulation of macronutrients, which protects against digestion in the proximal gastrointestinal tract, can be a non-invasive alternative to activate this brake. In this study, we investigate the effect of oral ingestion of an encapsulated casein and sucrose mixture (active) targeting the distal small intestine versus a control product designed to be released in the stomach on food intake, satiety, and plasma glucose concentrations. Fifty-nine volunteers received the active and control product on two separate test days. Food intake was determined during an ad libitum meal 90 min after ingestion of the test product. Visual analogue scale scores for satiety and blood samples for glucose analysis were collected at regular intervals. Ingestion of the active product decreased food intake compared to the control product (655 kcal compared with 699 kcal, respectively, p < 0.05). The area under the curve (AUC) for hunger was decreased (p < 0.05) and AUC for satiety was increased (p < 0.01) after ingestion of the active product compared to the control product. Ingestion of an encapsulated protein-carbohydrate mixture resulted in inhibition of food intake compared to a non-encapsulated control product.


2021 ◽  
Vol 10 (3) ◽  
pp. e5010312986
Author(s):  
Mariane Inaraí Alves ◽  
Adriana Olimpia Barbosa Felipe ◽  
Vânia Regina Bressan ◽  
Zélia Marilda Rodrigues Resck ◽  
Denis da Silva Moreira

Objetivo: Avaliar o efeito da Terapia Comunitária Integrativa sobre os sintomas de ansiedade em adolescentes no contexto escolar. Metodologia: Trata-se de uma pesquisa com abordagem metodológica quantitativa, quase experimental do tipo pré e pós-teste, desenvolvida com 56 adolescentes escolares. Os instrumentos para a coleta de dados foram: Caracterização dos participantes, Classificação Econômica e o Screen for Child Anxiety Related Emotional Disorders. O Tela para transtornos emocionais relacionados à ansiedade infantil foi aplicada e pós-intervenção. Realizou-se um total de cinco especializadas de Terapia Comunitária Integrativa semanalmente na escola. Para analisar dos dados, utiliza-se estatística descritiva, testes de associação, análise de variação e comparação de médias. Resultados: Cerca de 76,8% dos adolescentes adolescentes ansiosos.Odds ratio : 9,8) para desenvolverem sintomas ansiosos do que os meninos. Os escores de ansiedade têm uma redução diminuída após as cinco escolas de Terapia Comunitária Integrativa na amostra total (média pré-intervenção: 48,2; média pós-intervenção: 42,6) e na amostra dos adolescentes com escores acima do ponto de corte (média pré-intervenção = 56,6; média pós-intervenção = 49,0). Conclusão: A Terapia Comunitária Integrativa foi uma intervenção efetiva na diminuição dos escores de ansiedade, sendo uma importante estratégia de apoio psicossocial que pode ser utilizado pelo enfermeiro na prevenção do sofrimento psicoemocional dos adolescentes


1992 ◽  
Vol 20 (2) ◽  
pp. 71-83 ◽  
Author(s):  
Margaret D. Carver ◽  
Warren H. Jones

The development of the Family Satisfaction Scale is described. Respondents (total N = 843) completed the Family Satisfaction Scale either (1) for the purposes of assessing item-operating characteristics, factor structure and reliability of Family Satisfaction Scale scores; or (2) their predictability of both alternative measures of family attitudes and feelings, and current interpersonal functioning. Results indicated a single factor underlying responses to Family Satisfaction Scale items and a revised 20-item version of the scale yielded acceptable estimates of internal and temporal stability. Subsequent analyses indicated that Family Satisfaction Scale scores were related to various measures of family attitudes (e.g., cohesion, task acceptance, etc.) as well as current interpersonal functioning and attitudes (e.g., loneliness, social support, and marital satisfaction). These results are interpreted as supporting the validity of Family Satisfaction Scale.


2008 ◽  
Author(s):  
Su Linyan ◽  
Wang Kai ◽  
Fan Fang ◽  
Su Yi ◽  
Gao Xueping

2021 ◽  
pp. 135910452110565
Author(s):  
Ioanna Giannopoulou ◽  
Evdokia Pasalari ◽  
Paraskevi Bali ◽  
Dimitra Grammatikaki ◽  
Panagiotis Ferentinos

The psychometric properties of the Revised Child Anxiety and Depression Scale (RCADS-47) are established cross-culturally but lacking for the Greek population. The present study examined RCADS internal consistency and validity (structural and concurrent) in Greek adolescents, and tested measurement invariance across sex and age groups. We recruited 619 secondary school students ( n = 321 females), aged 12–18 years ( n = 318, 12–14-year-olds). Besides RCADS, all students completed Strengths and Difficulties Questionnaire (SDQ), a subsample ( n = 300) completed Screen for Child Anxiety-Related Emotional Disorders (SCARED), whereas a non-overlapping subsample ( n = 219) completed Depression Self-Rating Scale (DSRS). Structural validity was examined with Confirmatory Factor Analysis and measurement invariance was assessed with Multiple Indicators Multiple Causes (MIMIC) modeling. Convergent and divergent validity were examined using Spearman correlations between RCADS subscales and DSRS, SCARED, and SDQ validators. The six-factor model fitted the data best, validating the originally proposed RCADS structure. Three items displayed differential item functioning for sex, another three for age group, and one item for both, albeit with trivial effect sizes ( d < 0.2). Cronbach’s alpha was .94. Convergent and divergent validity were also established. In conclusion, the RCADS is a valid and reliable instrument for assessing anxiety and depression symptoms in Greek adolescents.


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