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The Relationship Between Parent Anxiety Symptomatology and Feeding Behaviors: A Systematic Review

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Abstract

Background

Feeding behaviors adopted by parents influence children’s eating, and parent mental health may affect feeding interactions. Anxiety disorders are the most prevalent mental disorders among adults; thus, there is a need to comprehensively understand the relationship between parent anxiety symptomatology and feeding behaviors.

Objective

This systematic review provides the first comprehensive overview that focuses solely on parent anxiety and nonresponsive feeding. Based on PRISMA guidelines, the goal of this review is to elucidate current literature gaps and to inform future interventions that aim to reduce the risk of childhood obesity.

Methods

PubMed and APA PsycInfo were searched with an extensive keyword combination to identify empirical studies from peer-reviewed journals that focus on parent anxiety and feeding behaviors that are utilized with typically developing children of ages 6 months or older. After independent and masked screening rounds of 925 articles, 10 studies were included for data extraction. In accordance with the PRISMA guidelines, the independently extracted data included the following: authors, year of publication, sample characteristics, study design, anxiety and feeding measures, study goal, main findings, and methodological limitations.

Results

Of the 10 studies included in this systematic review, 70% indicated an association between parent anxiety symptomatology and nonresponsive feeding behaviors of restriction, control, and emotional feeding. Ninety percent of the included studies had a mother-only sample.

Conclusions

Parents with anxiety symptomatology tend to use nonresponsive and obesogenic feeding practices. Given this relationship, parent anxiety is a potential area for inclusion in interventions that aim to reduce children’s risk for obesity.

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Data Availability

The authors will provide all data that was used for this review upon request.

Code Availability

Not applicable.

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Acknowledgements

The authors wish to thank Rachel Helbing, MLIS, MS, AHIP for support with library resources and databases.

Funding

Funding for this study was provided to Ritu Sampige by the Summer Undergraduate Research Fellowship program at University of Houston (SURF). This funding had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.

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Authors and Affiliations

  1. University of Houston, The Honors College, Honors Biomedical Sciences, 212 M.D. Anderson Library, Houston, TX, 77204, USA

    Ritu Sampige

  2. Department of Psychological, Health, and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX, 77204, USA

    Leslie Frankel & Katherine Zopatti

  3. Department of Psychology, Barnard College, Columbia University, 3009, Broadway, New York, NY, 10027, USA

    Lida Ehteshami

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  1. Ritu Sampige
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Ritu Sampige and Leslie Frankel shared first authorship responsibilities. All authors must have materially participated in the research and the manuscript preparation. Sampige led the systematic review under Frankel’s guidance and all authors, including Katherine Zopatti and Lida Ehteshami, participated throughout the screening process, review and manuscript preparation. All authors have reviewed and approved the final manuscript, submit it for consideration of publication, and agree to be accountable for all aspects of the work. We will not submit this manuscript elsewhere for publications while it is being considered by this journal. We can provide all data that we used for this review upon request.

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Correspondence to Leslie Frankel.

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Sampige, R., Frankel, L., Ehteshami, L. et al. The Relationship Between Parent Anxiety Symptomatology and Feeding Behaviors: A Systematic Review. Child Youth Care Forum 53, 241–268 (2024). https://doi.org/10.1007/s10566-023-09752-x

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