DEVELOPMENT OF THE PARENT-CHILD PLAY SCALE FOR USE IN CHILDREN WITH FEEDING DISORDERS

Abstract

The Parent-Child Play Scale was developed as a scale that complements the Parent-Child Feeding Scale, created by I. Chatoor et al. (1997), to evaluate mother-infant/toddler interactions in two different caregiving contexts of a young child's everyday life, specifically play and feeding. This Play Scale can be used with infants and toddlers ranging in age from 1 month to 3 years and provides reliable global ratings of mother-child interactions during 10 min of videotaped free-play in a laboratory setting. The scale consists of 32 mother and infant/toddler interactive behaviors which are rated by trained observers from videotaped observations. Four subscales are derived: Dyadic Reciprocity, Maternal Unresponsiveness to Infant's/Toddler's Cues, Dyadic Conflict, and Maternal Intrusiveness. Construct validity and interrater and test-retest reliability of the Play Scale have been demonstrated. This Play Scale discriminates between children with and without feeding disorders as well as between children with different subtypes of feeding disorders as defined by the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, Revised (DC:0-3R) (Feeding Disorder of State Regulation, Feeding Disorder of Caregiver-Infant Reciprocity, and Infantile Anorexia). It can be used for research or clinical practice in the diagnosis and treatment of early feeding problems, to assess the pervasiveness of mother-infant/toddler difficulties and to monitor changes following therapy.

Keywords: Beobachtungsskala für freies Spiel; Forschungsinstrument; Futterstörungen; Interaktionen zwischen Mutter und Säugling/Kleinkind; clinical assessment; escala de observación del juego libre; evaluación clínica; feeding disorders; free-play observational scale; interacciones madre-infante/niño pequeñito; interactions mère-bébé/jeune enfant; klinische Bewertung; mother-infant/toddler interactions; outil de recherche; recurso de investigación; research tool; trastornos de alimentación; troubles de l'alimentation; échelle d'observation de jeu libre; évaluation clinique; اضطرابات التغذية ، تفاعلات الأم والرضيع ، مقياس ملاحظة اللعب الحر ، والتقييم الإكلينيكي ، أداة البحث; 摂食障害; 母−乳幼児相互交流; 母嬰相互作用; 研究ツール; 研究工具; 臨床評估; 臨床評価; 自由プレイ観察尺度; 自由遊戲觀察量表; 餵養障礙.