{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:44:34Z","timestamp":1790383474347,"version":"4.1.0"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:00:00Z","timestamp":1699315200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100018789","name":"Child Health Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018789","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Nutrition and weight gain significantly contribute to overall health outcomes in children with cystic fibrosis (CF). Strong emphasis is placed on these entities by the CF team, which can cause stress for parents and impact parent and child mealtime behaviors. The current study sought to investigate the relationship between parental feeding style, parenting stress, and parent and child mealtime behaviors in families of children with CF.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Forty-five parents of a child with CF between the ages of 2 and 10\u2009years were recruited during a CF clinic appointment. They completed surveys assessing child mealtime behaviors, parental feeding style, and parental stress. Medical data including body mass index (BMI) were collected from the medical record.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There was a significant difference in behavioral feeding scores based on feeding style (F3,41\u2009=\u200913.48, p\u00a0&amp;lt;.001), with authoritarian parents reporting significantly greater mealtime behavior problems than all other parents. There was also a significant difference in parenting stress based on parental feeding style (F3,41=4.11, p\u00a0&amp;lt;.05), with authoritarian parents showing more stress than authoritative parents (Mdiff=23.70, p\u00a0&amp;lt;.05). Correlation analyses showed a positive relationship between behavioral feeding problems and parent stress, r(45)=0.403; p\u00a0&amp;lt;.01.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Data suggest parents using an authoritarian feeding style experience more stress and behavioral feeding problems than other parents. More feeding problems were also associated with more stress. Findings help determine how pediatric psychologists can intervene to support positive parenting behaviors that reduce children\u2019s mealtime behavior problems and parental stress, thus improving health outcomes in this vulnerable population.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsad076","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T21:01:50Z","timestamp":1699563710000},"page":"56-65","source":"Crossref","is-referenced-by-count":6,"title":["Parental Feeding Style, Parenting Stress, and Child Mealtime Behaviors in Cystic Fibrosis"],"prefix":"10.1093","volume":"49","author":[{"given":"Genevieve","family":"Maliszewski","sequence":"first","affiliation":[{"name":"Children\u2019s Nebraska , Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"High","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center , Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junghyae","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center , Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Deschamp","sequence":"additional","affiliation":[{"name":"Children\u2019s Nebraska , Omaha, Nebraska, USA"},{"name":"University of Nebraska Medical Center , Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"issue":"6","key":"2024012023292441000_jsad076-B1","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.3390\/nu14061216","article-title":"The changing landscape of nutrition in cystic fibrosis: the emergence of overweight and obesity","volume":"14","author":"Bailey","year":"2022","journal-title":"Nutrients"},{"issue":"3","key":"2024012023292441000_jsad076-B2","first-page":"246","article-title":"Consensus report on nutrition for pediatric patients with cystic fibrosis","volume":"35","author":"Borowitz","year":"2002","journal-title":"Journal of Pediatric Gastroenterology and Nutrition"},{"issue":"06","key":"2024012023292441000_jsad076-B3","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1055\/s-0039-1696726","article-title":"Growth and nutrition in cystic fibrosis","volume":"40","author":"Brownell","year":"2019","journal-title":"Seminars in Respiratory and Critical Care Medicine"},{"issue":"1","key":"2024012023292441000_jsad076-B4","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1093\/jpepsy\/jsu074","article-title":"Direct observation of respiratory treatments in cystic fibrosis: parent\u2013child interactions relate to medical regimen adherence","volume":"40","author":"Butcher","year":"2015","journal-title":"Journal of Pediatric Psychology"},{"issue":"8","key":"2024012023292441000_jsad076-B5","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1093\/jpepsy\/jst049","article-title":"Parenting stress among caregivers of children with chronic illness: a systematic review","volume":"38","author":"Cousino","year":"2013","journal-title":"Journal of Pediatric Psychology"},{"issue":"3","key":"2024012023292441000_jsad076-B6","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1097\/00004703-199406000-00001","article-title":"Behavior at mealtimes and the young child with cystic fibrosis","volume":"15","author":"Crist","year":"1994","journal-title":"Developmental and Behavioral Pediatrics"},{"key":"2024012023292441000_jsad076-B8","author":"Cystic Fibrosis Foundation Patient Registry","year":"2017"},{"issue":"6","key":"2024012023292441000_jsad076-B9","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1002\/ppul.23149","article-title":"Quality of life in children with CF: Psychometrics and relations with stress and mealtime behaviors","volume":"50","author":"Driscoll","year":"2015","journal-title":"Pediatric Pulmonology"},{"issue":"4","key":"2024012023292441000_jsad076-B10","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/S0891-5245(98)90046-3","article-title":"Parent relationships and compliance in cystic fibrosis","volume":"12","author":"Eddy","year":"1998","journal-title":"Journal of Pediatric Health Care: Official Publication of National Association of Pediatric Nurse Associates & Practitioners"},{"issue":"5","key":"2024012023292441000_jsad076-B11","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1177\/0148607114543832","article-title":"Mealtime disruption and caregiver stress in referrals to an outpatient feeding clinic","volume":"40","author":"Fishbein","year":"2016","journal-title":"JPEN. 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