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Dissertation
Parental psychosocial correlates of mealtime behavior in children with cystic fibrosis
Doctor of Philosophy (Ph.D.), Medical College of Pennsylvania and Hahnemann University
Aug 2000
DOI:
https://doi.org/10.17918/00008075
Abstract
Research indicates that children with cystic fibrosis (CF) demonstrate problematic mealtime behaviors and dietary compliance difficulties. Also, studies have described the prevalence of certain parental psychosocial factors within chronically ill and/or CF populations. However, available research has not yet assessed the relationship between mealtime behaviors of parents and their children with CF and parental psychosocial functioning. Moreover, few investigations have examined the direct impact of parent and child mealtime behaviors on nutritional status of children with CF. Parental psychosocial factors related to mealtime behaviors in families of children with CF were examined. Relationships between mealtime behavior problems and nutritional and growth status were also evaluated. Fifty parents and their children partook in a 10-minute mealtime observation and parents completed a battery of psychosocial questionnaires, as well as provided three day food logs of their child's calorie intake. Children were in very good health and parents generally reported functioning well, however they demonstrated limited knowledge of behavioral management skills. Parents did report significantly worse perceptions of their children's mealtime behavior compared to a normative sample. Observational data showed that parents and children in this sample generally displayed appropriate mealtime behavior, however, parents tended not to engage in any positive reinforcement during meals. Multiple regression analyses revealed that specific parent and child factors may be predictive of specific observed and perceived mealtime interactions. Hypotheses regarding relationships between mealtime behaviors and food intake and growth status were only partially supported. Exploratory analyses are discussed and clinical implications are provided.
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Details
- Title
- Parental psychosocial correlates of mealtime behavior in children with cystic fibrosis
- Creators
- Mara Kaplan
- Contributors
- Julie Landel Graham (Advisor) - Drexel University, Medical College of Pennsylvania and Hahnemann University (1993-1996, 1998-2002)
- Awarding Institution
- Medical College of Pennsylvania and Hahnemann University
- Degree Awarded
- Doctor of Philosophy (Ph.D.)
- Publisher
- Medical College of Pennsylvania and Hahnemann University; Philadelphia, Pennsylvania
- Number of pages
- ix, 182 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Clinical and Health Psychology [Historical]; Medical College of Pennsylvania and Hahnemann University (1993-1996, 1998-2002); College of Nursing and Health Professions (2000-2002)
- Other Identifier
- 991021888832404721