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Peskin A, Barth A, Mansoor E, Farias A, Rothenberg WA, Garcia D, Jent J. Impact of parent child interaction therapy on child eating behaviors. Appetite 2024; 200:107544. [PMID: 38850640 DOI: 10.1016/j.appet.2024.107544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Revised: 05/08/2024] [Accepted: 06/04/2024] [Indexed: 06/10/2024]
Abstract
BACKGROUND Picky eating commonly co-occurs with disruptive behaviors in young children. While feeding interventions exist, it remains unknown whether unmodified behavioral parent training (BPT) improves maladaptive child eating. As coercive feeding practices may exacerbate picky eating, BPT could ameliorate associated behaviors by increasing authoritative parenting. METHODS Caregiver-child dyads (N = 194, ages 2-8) received 18 weeks of Parent-Child Interaction Therapy (PCIT). Caregivers completed the Behavioral Pediatrics Feeding Assessment Scale (BPFAS) at pre-, mid-, and post-treatment. The BPFAS overall picky eating frequency and number of problems was examined, as well as the subscale of mealtime misbehaviors, and overall caregiver feeding practices. RESULTS From pre-to post-treatment, reductions occurred in frequency/problems scales across overall BPFAS child behaviors. Mealtime misbehaviors significantly declined at all checkpoints - early skill acquisition may drive this early change, whereas changes in frequency/problem scales occurred after mid-treatment, suggesting later skill acquisition may be driving these changes. On the coercive caregiver feeding subscale, multivariate regression identified a significant race by time interaction (p = .02) - multiracial caregivers improved while others showed no difference. CONCLUSION Standard PCIT, not adapted for feeding concerns, decreased maladaptive child eating behaviors across all caregivers and coercive feeding practices in multiracial caregivers. Authoritative parenting principles may generalize to eating contexts for certain cultural groups. PCIT shows promise as an early upstream intervention potentially changing trajectories without needed feeding content modifications. Assessment of long-term maintenance is warranted. Coupling with nutrition education could optimize impact.
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Affiliation(s)
- Abigail Peskin
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1601 NW 12th Ave, Miami, FL, 33136, USA.
| | - Alex Barth
- University of California San Diego, USA.
| | - Elana Mansoor
- University of Miami Miller School of Medicine, Mailman Center for Child Development, USA.
| | - Alina Farias
- University of Miami Miller School of Medicine, Mailman Center for Child Development, USA.
| | - W Andrew Rothenberg
- University of Miami Miller School of Medicine, Mailman Center for Child Development, USA.
| | - Dainelys Garcia
- University of Miami Miller School of Medicine, Mailman Center for Child Development, USA.
| | - Jason Jent
- University of Miami Miller School of Medicine, Mailman Center for Child Development, USA.
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Papoutselou E, Harrison S, Mai G, Buck B, Patil N, Wiggins I, Hartley D. Investigating mother-child inter-brain synchrony in a naturalistic paradigm: A functional near infrared spectroscopy (fNIRS) hyperscanning study. Eur J Neurosci 2024; 59:1386-1403. [PMID: 38155106 DOI: 10.1111/ejn.16233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 11/27/2023] [Accepted: 12/01/2023] [Indexed: 12/30/2023]
Abstract
Successful social interactions between mothers and children are hypothesised to play a significant role in a child's social, cognitive and language development. Earlier research has confirmed, through structured experimental paradigms, that these interactions could be underpinned by coordinated neural activity. Nevertheless, the extent of neural synchrony during real-life, ecologically valid interactions between mothers and their children remains largely unexplored. In this study, we investigated mother-child inter-brain synchrony using a naturalistic free-play paradigm. We also examined the relationship between neural synchrony, verbal communication patterns and personality traits to further understand the underpinnings of brain synchrony. Twelve children aged between 3 and 5 years old and their mothers participated in this study. Neural synchrony in mother-child dyads were measured bilaterally over frontal and temporal areas using functional Near Infra-red Spectroscopy (fNIRS) whilst the dyads were asked to play with child-friendly toys together (interactive condition) and separately (independent condition). Communication patterns were captured via video recordings and conversational turns were coded. Compared to the independent condition, mother-child dyads showed increased neural synchrony in the interactive condition across the prefrontal cortex and temporo-parietal junction. There was no significant relationship found between neural synchrony and turn-taking and between neural synchrony and the personality traits of each member of the dyad. Overall, we demonstrate the feasibility of measuring inter-brain synchrony between mothers and children in a naturalistic environment. These findings can inform future study designs to assess inter-brain synchrony between parents and pre-lingual children and/or children with communication needs.
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Affiliation(s)
- Efstratia Papoutselou
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
- Nottingham Biomedical Research Centre (BRC), National Institute for Health Research (NIHR), Nottingham, UK
| | - Samantha Harrison
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
- Nottingham Biomedical Research Centre (BRC), National Institute for Health Research (NIHR), Nottingham, UK
| | - Guangting Mai
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
- Nottingham Biomedical Research Centre (BRC), National Institute for Health Research (NIHR), Nottingham, UK
| | - Bryony Buck
- Hearing Sciences - Scottish Section, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
| | - Nikita Patil
- Nottingham Biomedical Research Centre (BRC), National Institute for Health Research (NIHR), Nottingham, UK
- School of Medicine, University of Nottingham, Nottingham, UK
| | - Ian Wiggins
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
- Nottingham Biomedical Research Centre (BRC), National Institute for Health Research (NIHR), Nottingham, UK
| | - Douglas Hartley
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
- Nottingham Biomedical Research Centre (BRC), National Institute for Health Research (NIHR), Nottingham, UK
- Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, UK
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