Document Detail

The relationship of a mother's working model of feeding to her feeding behaviour.
MedLine Citation:
PMID:  11529976     Owner:  NLM     Status:  MEDLINE    
AIMS OF THE STUDY: This study aimed to examine the difference the attunement of a mother's working model of feeding to her infant makes for her positive feeding affect and behaviour, accounting for infant and mother conditions. BACKGROUND/RATIONALE: The concept of a mother's working model of feeding is derived from attachment theory. Caregiving, including feeding, is a component of this theory. The conditions that may influence the attunement of a mother's working model of feeding to her infant include infant birth maturity status (premature, full-term), age at assessment, and robustness, indexed by weight-for-age z score (WAZ). Mother conditions include symptoms of depression and feeding practice (breast feeding or exclusive bottle feeding). DESIGN/METHODS: Participants in this longitudinal study were 99 mothers and their infants (47 full-term, 52 premature, very low birth weight). After written informed consent was given, home assessments were made when infants were approximately 1, 4, 8 and 12 months old (adjusted age for premature infants). Working model attunement was assessed with a video-assisted interview. A mother's positive affect and behaviour, including sensitivity and responsiveness, were rated from videotaped feeding interaction. RESULTS/FINDINGS: Repeated measures analysis with a general linear mixed model showed a significant positive relationship with positive affect and behaviour for both working model attunement and the WAZ score and a significant negative relationship for symptoms of depression. Neither birth maturity status, infant age, nor feeding practice had a significant effect on mother's positive affect and behaviour during feeding. CONCLUSIONS: Nurses' efforts to enhance the attunement of a mother's working model of feeding may help mothers feed with greater positive affect and behaviour. Further study of how the attunement of a mother's feeding expectations and intentions are related to her symptoms of depression and with what she makes of the infant's growth and well-being is needed. The theoretical model needs testing with infants from the entire premature population.
K F Pridham; M Schroeder; R Brown; R Clark
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of advanced nursing     Volume:  35     ISSN:  0309-2402     ISO Abbreviation:  J Adv Nurs     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-08-31     Completed Date:  2001-10-11     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7609811     Medline TA:  J Adv Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  741-50     Citation Subset:  IM; N    
School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin 53792, USA.
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MeSH Terms
Bottle Feeding / psychology*
Breast Feeding / psychology*
Depression, Postpartum / psychology
Gestational Age
Infant Care* / psychology*
Infant, Newborn / psychology*
Infant, Premature / psychology*
Linear Models
Longitudinal Studies
Maternal Behavior*
Models, Psychological*
Mother-Child Relations*
Nursing Methodology Research
Object Attachment
Psychological Theory
Videotape Recording
Grant Support
M01 RR03186/RR/NCRR NIH HHS; N402348-02//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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