Development and Evaluation of SENSE-ational Mealtimes: a Book for Families with Mealtime Difficulties

Many families with young children experience mealtime difficulties whereby the child eats a limited range of foods and/or refuses new food. Clinical interventions typically include behaviour training, enhancement of parenting skills and nutrition education. Clinical experience and a review of the literature across several domains suggested that interventions that optimise reflective functioning and understandings about sensory preferences at mealtimes are needed for both mild and complex mealtime difficulties. This study describes the development of the SENSE-ational Mealtimes book for families with mealtime difficulties and reports the findings of the initial evaluation. A questionnaire was used to assess the change in the frequency of difficult mealtimes, level of concern, understandings, feelings and goals of mothers 2 months after the book was distributed in a community setting. Mothers also provided feedback regarding helpfulness of the book, needs of families and recommendations. There was a statistically significant improvement in all aspects, namely frequency of mealtime difficulties, level of concern, understandings, feelings and goals. The subjective data indicated that the concepts instrumental in enhancing most mothers' understandings were how sensory preferences and past experiences of all members of the family had an impact on mealtime interactions. Initial evaluation suggests that wide-spread access to the SENSE-ational Mealtimes book could be an inexpensive approach to reduce the costs of adverse effects of mealtime difficulties on the emotional well-being of families and dietary intake of children. Mothers unanimously recommended the SENSE-ational Mealtimes book for both targeted prevention of and early intervention with mealtime difficulties in families

How early triadic family processes predict children’s strengths and difficulties at age three

This study aimed to determine longitudinal associations of early triadic family processes and 3-year-old children’s strengths and difficulties and to control those associations for family risk factors. In 80 families expecting their first child, we assessed parents’ anticipations of future family relationships (Triadic Capacity) and parents’ psychological distress, marital quality, and education level. When the children were 4 months of age, we observed triadic family interaction in a standardized laboratory play scenario. The children’s strengths and difficulties at age three were assessed using multiple methods. As expected, parents’ Triadic Capacity assessed before the child was born predicted triadic family interaction 4 months after birth. Early triadic family processes explained variance in children’s emotional functioning at age three over and above the effects of family stress factors assessed before the child was born. However, early triadic family processes did not explain children’s co-operative behaviour or children’s symptoms at age three. Results also highlighted the roles of fathers’ education level in children’s externalizing behaviour, mothers’ psychological distress at children’s low co-operative behaviour, and low marital quality in children’s internalizing behaviour

Varieties of preschool hyperactivity: multiple pathways from risk to disorder

In this paper we examine the characteristics of preschool attention deficit hyperactivity disorder (ADHD) from both mental disorder and developmental psychopathology points of view. The equivalence of preschool and school-aged hyperactivity as a behavioral dimension is highlighted together with the potential value of extending the use of the ADHD diagnostic category to the preschool period where these behaviours take an extreme and impairing form (assuming age appropriate diagnostic items and thresholds can be developed). At the same time, the importance of identifying pathways between risk and later ADHD is emphasized. Developmental discontinuity and heterogeneity are identified as major characteristics of these pathways. We argue that models that distinguish among different developmental types of early-emerging problems are needed. An illustrative taxonomy of four developmental pathways implicating preschool hyperactivity is presented to provide a framework for future research