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Journal of Pediatric Psychology, Vol. 26, No. 1, 2001, pp. 21-32
© 2001 Society of Pediatric Psychology

Problem-Solving Abilities Among Mothers of Infants With Failure to Thrive

Jane R. Robinson, PhD, Dennis Drotar, PhD and Mireille Boutry, MD

Case Western Reserve University

All correspondence should be sent to Jane R. Robinson, Division of Behavioral Pediatrics and Psychology, 11100 Euclid Avenue, Mather House, Cleveland, Ohio 44106-6038. E-mail: jrr7{at}po.cwru.edu .

Objective: Maternal problem-solving abilities, as they related to specific child-rearing situations, were examined and compared among mothers of infants with failure to thrive (FTT) and a matched group of comparison mothers.

Methods: Participants were 37 mothers of children diagnosed with FTT and 37 mothers with normally growing children matched on three child variables and five maternal variables. Participants were administered a means-ends problem-solving measure specific to parents of young children and measures of language ability, depression, negative affect, and stressful life events.

Results: Multivariate analysis of covariance results supported our main study hypotheses that mothers of infants with FTT would generate fewer problem-solving strategies that would be judged of poorer quality (i.e., less likely to result in positive outcomes) than mothers of healthy, normally growing infants. There were no significant associations obtained among problem-solving variables and individual difference variables (e.g., depression, negative affect, and stressful life events).

Conclusions: Limited maternal problem-solving abilities may contribute to FTT by interfering directly with the quality of nurturance, feeling, and caloric intake the child receives. Recommendations are made for future research and interventions with mothers of children with FTT.

Key words: maternal problem-solving abilities; failure to thrive.


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