ORIGINAL ARTICLE
The effect of maternal anxiety levels on the transition period to complementary feeding
 
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1
Ambulatory Pediatric Clinic, Ankara, TÜRKİYE
 
2
Department of Social Paediatrics, Faculty of Medicine, Gazi University, Ankara, TÜRKİYE
 
3
Department of Paediatrics, Faculty of Medicine, Gazi University, Ankara, TÜRKİYE
 
4
Department of Public Health, Faculty of Medicine, Gazi University, Ankara, TÜRKİYE
 
 
Online publication date: 2023-07-04
 
 
Publication date: 2023-09-01
 
 
Electron J Gen Med 2023;20(5):em523
 
KEYWORDS
ABSTRACT
Introduction:
The aim of this study is to determine whether the anxiety levels of mothers before and after complementary feeding (CF) initiation negatively affect the transition period of infants to CF.

Materials and methods:
The study was conducted with 150 mothers and their infants of five months of age who had not yet started CF. Beck’s depression inventory, state-trait anxiety inventory, and a questionnaire were administered to mothers. The level of statistical significance was accepted as p<0.05 in this study.

Results:
In this study, no statistically significant relationship was found between the transition period to CF and maternal anxiety levels (p>0.05). The relationship between eating snacks and inadequate weight gain was found significant (p=0.020).

Conclusions:
In our study, the anxiety levels of the mothers did not increase in the CF period. Although there was no statistically significant, the presence of anxiety in mothers requires a unique approach and support for mothers and their infants.

 
REFERENCES (39)
1.
Duyan-Çamurdan A. Complementary feeding. In: Yurdakok M, editor. Yurdakok Pediatric Books. 1st Edition. Ankara. Gunes Medical Bookstores; 2017. p. 135-40.
 
2.
Yılmazbas P, Kural B, Uslu A, Sezer GM, Gökçay G. Reasons of complementary feeding from the point of view of mothers and their opinions about formulas. J Ist Faculty Med. 2015;78(3):76-82. https://doi.org/10.18017/iuitf....
 
3.
World Health Organization. Infant and young child feeding model chapter for textbooks for medical students and allied health professionals. 2009. Available at: http://www.who.int/nutrition/p... (Accessed: 20 March 2022).
 
4.
World Health Organization. Guiding principles for feeding non-breastfed children 6-24 months of age. 2005. Available at: http://www.who.int/maternal_ch... (Accessed: 20 March 2022).
 
5.
Çuhacı Çakır B. Complementary Feeding. In: Yakıncı C, Topal E, editors. Child Health and Diseases 3, 1st Edn. Malatya: Inonu University Printing House; 2021. p. 317-24.
 
6.
Rondó PH, Rezende G, Lemos JO, Pereira JA. Maternal stress and distress and child nutritional status. Eur J Clin Nutr. 2013;67:348-52. https://doi.org/10.1038/ejcn.2... PMid:23403880.
 
7.
Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An Inventory for measuring depression. Arch Gen Psychiatry. 1961;4(6):561-71. https://doi.org/10.1001/archps... PMid:13688369.
 
8.
Spielberger CD, Gorsuch RL, Lushene RE. Manual for State-Trait Anxiety Inventory. California: Consulting Psychologists Press. 1970. https://doi.org/10.1007/978-94....
 
9.
Spielberger, CD. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press. 1983. https://doi.org/10.1037/t06496....
 
10.
Paul IM, Downs DS, Schaefer EW, Beiler JS, Weisman CS. (2013). Postpartum anxiety and maternal-infant health outcomes. Pediatr. 2013;131(4):e1218-1224. https://doi.org/10.1542/peds.2... PMid:23460682.
 
11.
Addolorato G, Capristo E, Stefanini GF, Gasbarrini G. Inflammatory bowel disease: A study of the association between anxiety and depression, physical morbidity, and nutritional status. Scand J Gastroenterol. 1997;32(10): 1013-21. https://doi.org/10.3109/003655... PMid:9361174.
 
12.
Reck C, Noe D, Gerstenlauer J, Stehle E. Effects of postpartum anxiety disorders and depression on maternal self-confidence. Infant Behav Dev. 2012;35(2):264-72. https://doi.org/10.1016/j.infb... PMid:22261433.
 
13.
Sharifi F, Nouraei S, Shahverdi E. The relation of pre and postnatal depression and anxiety with exclusive breastfeeding. Electron Physician. 2016;8(11):3234-9. https://doi.org/10.19082/3234 PMid:28070257 PMCid: PMC5217816.
 
14.
Helle C, Hillesund ER, Øverby NC. Timing of complementary feeding and associations with maternal and infant characteristics: A Norwegian cross-sectional study. PloS One. 2018;13(6): e0199455. https://doi.org/10.1371/journa... PMid:29949644 PMCid:PMC6021099.
 
15.
Correia LL, Linhares MBM. Maternal anxiety in the pre- and postnatal period: A literature review. Rev Latino-Americana Enfermagem. 2007;15(4):677-83. https://doi.org/10.1590/s0104-... PMid:17923988.
 
16.
Stuart S, Couser G, Schilder K, O’Hara M, Gorman L. Postpartum anxiety and depression: onset and comorbidity in a community sample. J Nerv Ment Dis. 1998;186(7):420-4. https://doi.org/10.1097/000050... PMid:9680043.
 
17.
Çoşkun AN. Evaluation of self-regulation (Crying, sleeping and feeding) in premature and term infants. Hacettepe University Faculty of Medicine, Department of Pediatrics’ Thesis. Ankara. 2019; p. 40-76. Available at: https://tez.yok.gov.tr/UlusalT....
 
18.
Wagner R, Stevens JR. Clinical barriers to effective treatment of eating disorders and co-occurring psychiatric disorders in transgendered individuals. J Psychiatr Pract. 2017;23(4):284-9. https://doi.org/10.1097/PRA.00... PMid:28749833.
 
19.
Dikbaş, E. 12-month growth monitoring of low and normal birth weight infants and influencing factors. Pamukkale University Faculty of Medicine, Department of Public Health, Thesis. Denizli. 2012; p. 46-119. https://hdl.handle.net/11499/2....
 
20.
Nancy FB, William WW, Judy MH, E. O’Brian S, Kenneth JE. Infant feeding mod affects early growth and body composition. Pediatr. 2000;106:1355-66. https://doi.org/10.1542/peds.1... PMid:11099589.
 
21.
Sabbağ Ç. Nutrition behaviours of rural and urban mothers on 0-24 month children. Int J Human Sci. 2013;10(1):279-92. Available at: https://www.j-humansciences.co....
 
22.
Taşar MA, Tapçı AE, Baydar A, Dallar YB, Çakır İ. Is postnatal depression and anxiety of mothers effective on weight gain of the infants. Gulhane Med J. 2016;58(3):233-7. https://doi.org/10.5455/Gulhan....
 
23.
O'Brien LM, Heycock EG, Hanna M, Jones PW, Cox JL. Postnatal depression and faltering growth: a community study. Pediatr. 2004;113(5):1242-7. https://doi.org/10.1542/peds.1... PMid:15121936.
 
24.
Wright CM, Parkinson KN, Drewett RF. The influence of maternal socioeconomic and emotional factors on infant weight gain and weight faltering (failure to thrive): data from a prospective birth cohort. Arch Dis Child. 2006;91:312-7. https://doi.org/10.1136/adc.20... PMid:16397011 PMCid:PMC2065961.
 
25.
Grote V, Vik T, Von Kries R, Luque, V, Socha J, Verduci E, et al. European childhood obesity trial study group. Maternal postnatal depression and child growth: A European cohort study. BMC Pediatr. 2010;10:14. https://doi.org/10.1186/1471-2... PMid:20226021 PMCid:PMC2850333.
 
26.
Surkan PJ, Ryan LM, Carvalho Vieira LM, Berkman LF, Peterson KE. Maternal social and pyschological conditions and physical growth in low-income children in Piauí, Northeast Brazil. Soc Sci Med. 2007;64(2):375-88. https://doi.org/10.1016/j.socs... PMid:17084498.
 
27.
Tekin N. Determination of factors affecting state-trait anxiety level of mothers whose babies stay in newborn intensive care unit and their breastfeeding success. Uludag University Institute of Health Sciences, Thesis. Bursa, 2019; p. 34-42. Available at: http://acikerisim.uludag.edu.t....
 
28.
Sun J, Zhu Y, Li Y, Li N, Liu T, Su X, et al. Maternal postpartum feeding anxiety was associated with infant feeding practices: Results from the mother-infant cohort study of China. BMC Pregnancy Childbirth. 2020;20(1):780. https://doi.org/10.1186/s12884... PMid:33317471 PMCid: PMC7737271.
 
29.
Bina R. Harrington D. Differential predictors of postpartum depression and anxiety: The Edinburgh postnatal depression scale hebrew version two factor structure construct validity. Matern Child Health J. 2017;21(129); 2237-44. https://doi.org/10.1007/s10995... PMid:28755039.
 
30.
Giovannini M, Riva E, Banderali G, Scaglioni S, Veehof SH, Sala, M, et al. Feeding practices of infants through the first year of life in Italy. Acta Paediatr. 2004;93(4):492-7. https://doi.org/10.1080/080352... PMid:15188977.
 
31.
Kassa T, Meshesha B, Haji Y, Ebrahim J. Appropriate complementary feeding practices and associated factors among mothers of children age 6-23 months in Southern Ethiopia, 2015. BMC Pediatr. 2016;16:131. https://doi.org/10.1186/s12887... PMid:27542833 PMCid:PMC4992197.
 
32.
Kaya Z, Yiğit Ö, Erol M, Gayre-Bostan Ö. Evaluation of parents’ knowledges and experiences about infant feeding in children between six-twenty four months. Med Bull Haseki. 2016;54:70-5. https://doi.org/10.4274/haseki....
 
33.
Gümüştakım RŞ, Aksoy DH, Cebeci SE., Kanuncu S, Çakır L, Yavuz E. (2017). Evaluation of eating habits in children 0-2 years of age: A multicenter study. Fam Pract Palliat Care. 2017;2(1):1-8. https://doi.org/10.22391/920.3....
 
34.
Güngör A, Karagöl C. Evaluation of complementary feeding knowledge and behavior of mothers with children between four-twenty four months. Ortadogu Tıp Derg. 2020;12(1):1-6. Available at: https://doi.org/10.21601/ortad....
 
35.
Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, et al. and Lancet Nutrition Interventions Review Group, the Maternal and Child Nutrition Study Group. Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Lancet. 2013;382(9890):452-77. https://doi.org/10.1016/s0140-... PMid:23746776.
 
36.
Mulualem D, Henry CJ, Berhanu G, Whiting SJ. The effectiveness of nutrition education: Applying the Health Belief Model in child-feeding practices to use pulses for complementary feeding in Southern Ethiopia. Ecol Food Nutr. 2016;55(3):308-23. https://doi.org/10.1080/036702... PMid:27065308.
 
37.
Steinsbekk S, Bonneville-Roussy A, Fildes A, Llewellyn CH, Wichstrøm L. Child and parent predictors of picky eating from preschool to school age. Int J Behav Nutr Phys Act. 2017;14(1):1-8. https://doi.org/10.1186/s12966... PMid:28679411 PMCid:PMC5498871.
 
38.
Nederkoorn C, Jansen A, Havermans RC. Feel your food. The influence of tactile sensitivity on picky eating in children. Appetite. 2015;84:7-10. https://doi.org/10.1016/j.appe... PMid:25261102.
 
39.
Chatoor I. Feeding and eating disorders of infancy and early childhood. In: Sadock BJ, Sadock VA, editors. Kaplan and Sadock's Comprehensive Textbook of Psychiatry, 8th Edn., Lippincott Williams and Wilkins, Philadelphia. 2005; p. 3217-27.
 
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