아동기 섭취문제가 양육 스트레스에 미치는 영향: 발달단계에 따른 행동문제의 매개효과
The Effect of Childhood Feeding Problems on Parenting Stress: The Mediating Role of Behavior Problem According to the Developmental Stage
1
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
본 연구는 아동기 섭취문제가 부모 양육 스트레스에 영향을 미치는 과정에서 행동문제가 어떤 역할을 하며, 또 이 양상이 발달단계에 따라 어떻게 나타나는지를 알아보려는 목적으로 수행되었다. 서울, 경기 지역의 걸음마기, 유아기, 학령기 아동의 부모 총 578명을 대상(걸음마기 134명, 유아기 255명, 학령기 189명)으로, 섭취행동검사, 행동평가척도, 부모 양육스트레스 검사를 실시하였다. 섭취문제, 행동문제, 그리고 양육 스트레스는 모두 유의미한 상관관계를 나타내었으며, 연령에 의한 주효과가 유의미하게 나타났다. 구조방정식 모형을 통하여 섭취문제가 행동문제를 완전매개하여 양육 스트레스를 유발한다는 모형과 이에 대한 대안 모형인 부분매개 모형을 발달단계별로 검증한 결과, 걸음마기의 경우 완전매개 모형이 적합도가 가장 좋은 것으로 나타났으며, 유아기와 학령기의 경우 부분매개 모형이 가장 적합한 것으로 나타났다. 즉 걸음마기의 경우 섭취문제로 유발된 행동문제로 부모가 양육 스트레스를 경험하는 반면, 유아기와 학령기 아동의 부모는 섭취문제 자체로 인한 스트레스 역시 경험한다는 결과가 나타났다. 마지막으로 본 연구의 의의와 한계점에 대하여 논의하였다.
Abstract
This study examined the effect of childhood feeding problems on parenting stress and whether behavior problems are fully or partially mediated by the developmental stage. The CEBI, K-CBCL, and K-PSI were administered to the 578 parents of toddlers (N=134), preschoolers (N=255), and school-aged children (N-189). The correlation analysis showed that all variables were significantly related, and the result of one-way ANOVA showed that there were significant differences between the age groups. Structural equation modeling (SEM) showed that behavior problems fully mediated the relationship between feeding problems and parenting stress in toddlers. However, in preschool and school-aged children, behavior problems partially mediated the relationship between feeding problems and parenting stress. Research implications and limitations are discussed.
참고문헌 (60)
- 김혜경, "학령기 전 후 아동의 영양과 행동과의 관련성에 대한 연구", 생활과학논문집, 4, pp.71~84 (2003)
- 김혜진, "한국형 아동 섭취행동 검사의 표준화 연구", 정서·행동장애연구, 24(1), pp.163~183 (2008), 한국정서·행동장애아교육학회
- 김혜진, "섭취 문제가 있는 영유아 아동에 대한 부모설문조사", Pediatric Gastroenterology, Hepatology & Nutrition, 11(2), pp.179~186 (2008), 대한소아소화기영양학회
- 박영숙, "자폐증 아동의 영양소 섭취 및 영양장애 관련 요인분석에 관한 조사연구", 정서·행동장애연구, 14, pp.39~60 (1998)
- 양소정, "부모교육을 통한 섭식장애 아동의 행동치료", 정서·행동장애연구, 23(4), pp.99~117 (2007), 한국정서·행동장애아교육학회
- 오경자, "CBCL 1.5-5 유아 행동평가 척도·부모용" (2008), ㈜휴노컨설팅
- 오경자, "아동·청소년 행동평가 척도 (K-CBCL)" (1997), 중앙적성연구소
- 이영준, "아동의 정서 및 행동문제와 어머니의 우울증, 양육 스트레스간의 관계", 소아·청소년 정신의학, 14, pp.218~228 (2003)
- 이정화, "걸음마기 아동의 발달선별척도의개발에 관한 연구", 한국심리학회지: 발달, 19(1), pp.105~125 (2006), 한국심리학회 산하 한국발달심리학회
- 임명희, "발달에 적합한 영유아보육과정 개발 연구", 한국보육학회지, 4(2), pp.39~62 (2004)
- 정경미, "한국판 부모 양육스트레스 검사(Korean-Parenting Stress Index: K-PSI)의 표준화 연구", 한국심리학회지 임상, 27(3), pp.689~707 (2008), 한국임상심리학회
- 정옥남, "행동훈련전략이 전반적 발달장애아동의 섭식행동에 미치는 효과", 석사, pp.1996
- 정옥남, "영양결핍과 행동문제간의 문헌 고찰 연구", 정서·행동장애연구, 14, pp.175~190 (1998)
- 황금희, "광주지역 일부 초등학교 저학년 아동의 식습관과 영양소 섭취량 및 혈액성상에 관한 연구", 한국식품영양학회지, 14, pp.293~299 (2001)
- Abidin,R.R., "Parenting Stress Index: Professional Manual" (1995), Psychological Assessment Resources
- 4-18 and 1991 Profile, "Manuals for the Child Behavior Checklist", pp.1991, Achenbach,T.M.
- Achenbach,T.M., "Manual for the ASEBA preschool forms & Profile" (2000), University of Vermont, Research Center for Children
- Ammaniti,M., "Malnutrition and dysfunctional mother-child feeding interactions: Clinical assessment and research implications", Journal of the American College of Nutrition, 23, pp.259~271 (2004)
- Anthony, L. G., "The relationship between parenting stress, parenting behavior, and preschoolers' social competence and behavior problems in the classroom. Infant and Chi", ~ (2005)
- Archer,L.A., "Coping with dietary therapy in phenylketonuria", Journal of Behavior Science, 20, pp.461~466 (1988)
- Archer,L.A., "The children's eating behavior inventory: Reliability and validity results", Journal of Pediatric Psychology, 16, pp.629~642 (1991)
- Barnett,D.W., "Family factors in preschool assessment and intervention: A validity study of parenting stress and coping measures", Journal of School Psychology, 28, pp.13~20 (1990)
- Barry,T.D., "The influence of maternal stress and distress on disruptive behavior problems in boys", Journal of the American Academy of Child and Adolescent Psychiatry, 44, pp.265~273 (2005)
- Batshaw,M.L., "Children with Disabilities" (2005), Paul H. Brooks Publishing Co
- Birch,L.L., "Development of Eating Behaviors Among Children and Adolescents", Pediatrics, 101, pp.539~549 (1998)
- Budd,K.S., "Psychosocial concomitants of children's feeding disorders", Journal of Pediatric Psychology, 17, pp.81~94 (1992)
- Butler,N.R., "From Birth to Five. A Study of the Health and Behaviour of Britains Five Year Olds" (1986), Pergamon Press
- Chatoor,I., "Food refusal after an incident of choking: A posttraumatic eating disorder", Journal of Behavior Therapy and Experimental Psychiatry, 4, pp.285~287 (1988)
- Chatoor,I., "Observation of feeding in posttraumatic feeding disorder of infancy", Journal of American Academy of Child and Adolescent Psychiatry, 40, pp.595~602 (2001)
- Chatoor,I., "Maternal characteristics and toddler temperament in infantile anorexia", Journal of the America Child & Adolescent Psychiatry, 39, pp.743~751 (2000)
- Craig,G.M., "Why parents of children with neurodevelopmental disabilities requiring gastrostomy feeding need more support", Developmental Medicine and Child Neurology, 45, pp.183~188 (2003)
- Crnic,K.A., "Cumulative parenting stress across the preschool period: Relations to maternal parenting and child behaviour at age 5", Infant and Child Development, 14, pp.117~132 (2005)
- Crnic,K.A., "Minor parenting stress with young children", Child Development, 61, pp.1628~1637 (1990)
- Donenberg,G., "The impact of young children with externalizing behaviors on their families", Journal of Abnormal Child Psychology, 21, pp.179~198 (1993)
- Douglas,J., "Psychological treatment of food refusal in young children", Child & Adolescent Mental Health, 7(4), pp.173~180 (2002)
- Edwards,C.P., "Parenting toddlers in : Handbook of Parenting" (2002), New Jersey Lawrence Erlbaum
- Greer,A.J., "Caregiver stress and outcomes of children with pediatric feeding disorders treated in an intensive interdisciplinary program", Journal of Pediatric Psychology, 00, pp.00~00 (2007)
- Hagekull,B., "Maternal sensitivity, infant temperament, and the development of early feeding problems", Infant Mental Health Journal, 18, pp.92~106 (1997)
- Hagekull,B., "Infants with and without feeding difficulties: Maternal experiences", International Journal of Behavioral Development, 13, pp.199~214 (1987)
- Harris,G., "Food refusal associated with illness", Child Psychology & Psychiatry Review, 5(4), pp.148~156 (2000)
- Heptinstall,E., "Nutrition and mealtime behavior in families of growth-retarded children Human Nutrition", Applied Nutrition, 41, pp.390~402 (1987)
- Huth-Bocks,A.C., "Parenting stress, parenting behavior, and children's adjustment in families experiencing intimate partner violence", Journal of Family Violence, 23, pp.243~251 (2008)
- Innis,S.M., "Nutrition and its impact on psychosocial child development: Preterm infants" (2003), Encyclopedia on Early Childhood Development
- Kedesdy,J.H., "Childhood Feeding Disorders: Behavioral assessment and intervention" (1998), Paul. H. Brookes Publishing
- Kerwin,M.E., "The relationship between food refusal and self-injurious behavior: A case study", Journal of Behavior Therapy & Experimental Psychiatry, 29(1), pp.67~77 (1998)
- Lindberg,L., "Early feeding problems in a normal population", International Journal of Eating Disorders, 10(4), pp.395~405 (1991)
- Linscheid,T.R., "Eating problems in children in : Handbook of Clinical Child Psychology", pp.616~639 (1983), Wiley
- Linscheid,T.R., "Behavioral treatments for pediatric feeding disorders", Behavior modification, 30(1), pp.6~23 (2006)
- Manikam,R., "Pediatric Feeding Disorders", Journal of Clinical Gastroenterology, 30(1), pp.34~46 (2000)
- Pliner,P., "Temperament and food neophobia in children and their mothers", Appetite, 28, pp.239~254 (1997)
- Podolski,C.L., "Parent stress and coping in relation to child ADHD severity and associated child disruptive behavior problems", Journal of Clinical Child and Adolescent Psychology, 30, pp.503~513 (2001)
- Ramsay,M., "Feeding disorder and failure to thrive", Child & Adolescent Psychiatric Clinics of North America, 4(3), pp.605~616 (1995)
- Ramsay,M., "Feeding skill, appetite, and feeding behaviors of infants and young children and their impact on growth and psychosocial development" (2004), Encyclopedia on Early Childhood Development
- Ramsay,M., "Infant sucking ability, non-organic failure to thrive, maternal characteristics, and feeding practices: A prospective cohort study", Developmental Medicine and Child Neurology, 44 (2002)
- Rolls,B.J., "Serving portion size influences 5-year-old but not 3-year-old children's food intakes", Journal of American Dietetic Association, 100, pp.232~234 (2000)
- Sanders,M.R., "Children with persistent feeding difficulties: An observational analysis of the feeding interactions of problem and non-problem eaters", Health Psychology, 12(1), pp.64~73 (1993)
- Sanders,M.R., "Mealtime behavior and parent-child interaction: A comparison of children with cystic fibrosis children with feeding problems and non-clinic controls", Journal of Pediatric Psy (1997)
- Satter,E., "The feeding relationship: Problems and interventions", Journal of Pediatrics, 117, pp.181~189 (1990)
- Schaffer,H.T., "Social development" (1996), Blackwell
- Singer,L.T., "Stress and depression in mothers of failure-to-thrive children", Journal of Pediatric Psychology, 15, pp.711~720 (1990)
