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Doersam AF, Throm JK, Sörensen F, Martus P, Kraegeloh-Mann I, Preissl H, Micali N, Giel KE. Mother-infant feeding interactions in mothers with and without eating disorder history: Results of a structured observational study. Appetite 2024; 200:107551. [PMID: 38857768 DOI: 10.1016/j.appet.2024.107551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 06/05/2024] [Accepted: 06/07/2024] [Indexed: 06/12/2024]
Abstract
BACKGROUND A growing body of evidence suggests that children of mothers with eating disorders (EDs) have a greater risk of early feeding problems. Recognizing and reacting adequately to the infant's signals during feeding is crucial for the child's development of internal and external regulatory mechanisms of food intake. Parental EDs might affect this ability. Therefore, we investigated the quality of mother-infant interactions during feeding using video recording and a structured coding system. METHODS The data of this pilot study was collected in a prospective cohort study investigating the influence of maternal EDs on child outcomes. Twenty women with ED history and 31 control women were videotaped while feeding their infant during a main meal at ten months postpartum. The mother-infant interactions were evaluated by two raters using the Chatoor Feeding Scale. We assessed birth outcomes, the mother's ED and depression status, breastfeeding practices, infant feeding problems and infant temperament by maternal self-report. RESULTS Mothers with and without ED history scored very similar on the Feeding Scale, however mothers from the control group experienced more struggle for control with their infants during feeding (p = 0.046) and made more negative comments about the infant's food intake (p = 0.010). Mothers with ED history were more concerned about infant feeding at three months postpartum and reported significantly more problems with solid foods in their children. Birth outcomes were comparable between groups, except for lower weight-for-length birth percentiles in children of women with ED history. CONCLUSION Whilst examined mothers with ED history are more concerned about feeding their children, ED psychopathology does not affect the quality of mother-infant interaction during feeding at the transition to autonomous eating at ten months of age.
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Affiliation(s)
- Annica Franziska Doersam
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany; Centre of Excellence for Eating Disorders (KOMET), University Hospital Tuebingen, Tuebingen, Germany; German Center for Mental Health (DZPG), Tuebingen, Baden-Wuerttemberg, Germany; Graduate Training Centre of Neuroscience, International Max Planck Research School, Eberhard Karls University Tuebingen, Tuebingen, Germany.
| | - Jana Katharina Throm
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany; Centre of Excellence for Eating Disorders (KOMET), University Hospital Tuebingen, Tuebingen, Germany; German Center for Mental Health (DZPG), Tuebingen, Baden-Wuerttemberg, Germany
| | - Ferdinand Sörensen
- Graduate Training Centre of Neuroscience, International Max Planck Research School, Eberhard Karls University Tuebingen, Tuebingen, Germany; Pediatric Neurology & Developmental Medicine, University Children's Hospital Tuebingen, Tuebingen, Germany; Department of Psychiatry and Psychotherapy, Tübingen Center for Mental Health (TüCMH), University of Tuebingen, Tuebingen, Germany
| | - Peter Martus
- Institute for Medical Biometrics and Clinical Epidemiology, University Hospital Tuebingen, Tuebingen, Germany
| | - Ingeborg Kraegeloh-Mann
- Pediatric Neurology & Developmental Medicine, University Children's Hospital Tuebingen, Tuebingen, Germany
| | - Hubert Preissl
- Institute for Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Center Munich at the Eberhard Karls University of Tuebingen, FMEG Center, German Centre for Diabetes Research (DZD), Tuebingen, Germany; Department of Internal Medicine IV, Division of Endocrinology, Diabetology, and Nephrology, University Hospital Tuebingen, Tuebingen, Germany; Institute of Pharmaceutical Sciences, Department of Pharmacy and Biochemistry, Interfaculty Centre for Pharmacogenomics and Pharma Research at the Eberhard Karls University Tuebingen, Tuebingen, Germany
| | - Nadia Micali
- Mental Health Services of the Capital Region of Denmark, Center for Eating and Feeding Disorders Research, Psychiatric Centre Ballerup, Ballerup, Denmark; University College London, Great Ormond Street Institute of Child Health, London, UK
| | - Katrin Elisabeth Giel
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany; Centre of Excellence for Eating Disorders (KOMET), University Hospital Tuebingen, Tuebingen, Germany; German Center for Mental Health (DZPG), Tuebingen, Baden-Wuerttemberg, Germany
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2
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Martini MG, Taborelli E, Easter A, Bye A, Eisler I, Schmidt U, Micali N. Effect of maternal eating disorders on mother-infant quality of interaction, bonding and child temperament: A longitudinal study. EUROPEAN EATING DISORDERS REVIEW 2023; 31:335-348. [PMID: 36471387 PMCID: PMC10107506 DOI: 10.1002/erv.2960] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Revised: 11/13/2022] [Accepted: 11/23/2022] [Indexed: 12/12/2022]
Abstract
AIMS This study aims to investigate the effect of maternal eating disorders (ED) on mother-infant quality of interaction at 8 weeks and bonding and child temperament at 1 and 2 years postnatally. We also aimed to explore the relationship between maternal ED psychopathology, comorbid psychiatric difficulties, and both mother-infant quality of interaction and bonding in women with ED. Women were recruited to a prospective longitudinal study. By the time of giving birth, the sample consisted of 101 women of the initial 137 (73.7%). Overall, 62 women (ED = 36; HC = 26) participated in the 8-week assessment, 42 (ED = 20; HC = 22) at 1 year, and 78 (ED = 34; HC = 44) at 2 years. Mann-Whitney U Test was used to explore association between maternal ED and mother-infant quality of interaction and between maternal ED and bonding. Spearman correlations were used to explore associations between maternal ED psychopathology, comorbid psychiatric difficulties, and both mother-infant quality of interaction and bonding. RESULTS We found no differences between early mother-infant interaction and bonding in mothers with ED in comparison to HC. High levels of maternal ED psychopathology were correlated with high anxiety levels, higher negative affectivity, and lower extraversion in children of ED mothers both at 1 and 2 years. Furthermore, high levels of ED psychopathology were also associated with lower effortful control at 1 year. CONCLUSIONS Findings imply that maternal ED have an impact on child temperament. Future research should focus on resilience and on which protective factors might lead to positive outcomes. These factors can be then used as therapeutic and preventative targets.
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Affiliation(s)
- Maria Giulia Martini
- Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, UK.,Children and Young People Eating Disorder Service, Central and North West London NHS Foundation Trust, London, UK.,Great Ormond Street Institute of Child Health, University College, London, UK
| | - Emma Taborelli
- Great Ormond Street Institute of Child Health, University College, London, UK
| | - Abigail Easter
- Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, UK
| | - Amanda Bye
- Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, UK
| | - Ivan Eisler
- Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, UK.,Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED), Maudsley Hospital, London, UK
| | - Ulrike Schmidt
- Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, UK.,South London and Maudsley NHS Foundation Trust, London, UK
| | - Nadia Micali
- Great Ormond Street Institute of Child Health, University College, London, UK.,Department of Psychiatry, University of Geneva, Geneva, Switzerland.,Mental Health Services in the Capital Region of Denmark, Eating Disorders Research Unit, Psychiatric Centre Ballerup, Ballerup, Denmark
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3
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Mah B, Cibralic S, Hanna J, Hart M, Loughland C, Cosh S. Outcomes for infants whose mothers had an eating disorder in the perinatal period: A systematic review of the evidence. Int J Eat Disord 2021; 54:2077-2094. [PMID: 34608655 DOI: 10.1002/eat.23612] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 09/11/2021] [Accepted: 09/12/2021] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To establish any health outcomes for infants to age one, associated with their mother having a diagnosis of an active eating disorder during pregnancy or the 12-month postnatal period. METHOD A qualitative systematic literature review of numerous databases (Medline, PsycINFO, CINAHL, Scopus, Cochrane Library, MedNar, PsycExtra, National Institute for Health and Care Excellence and Open Grey) was performed examining any infant health outcomes. RESULTS This resulted in 22 included studies (17 cohort, 3 cross-sectional, 1 case controlled and 1 mixed methods study). A range of adverse infant outcomes including poor birth, growth and interactional feeding outcomes were identified. DISCUSSION Antenatal identification and treatment for women with an eating disorder during the perinatal period and their infants are vital. Optimizing pregnancy nutrition, maternal eating disorder symptoms and feeding interactions appear particularly important.
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Affiliation(s)
- Beth Mah
- Raphael Services, Blacktown, New South Wales, Australia.,School of Psychiatry, AGSM Building, UNSW, Sydney, New South Wales, Australia.,Centre for Brain and Mental Health, University of Newcastle, Waratah, New South Wales, Australia
| | - Sara Cibralic
- School of Psychiatry, AGSM Building, UNSW, Sydney, New South Wales, Australia.,The Toddler Clinic, Karitane, The Horsley Drive, Carramar, New South Wales, Australia
| | - Joanne Hanna
- School of Psychology, University of New England, Armidale, New South Wales, Australia
| | - Melissa Hart
- Centre for Brain and Mental Health, University of Newcastle, Waratah, New South Wales, Australia.,Hunter New England Mental Health, Hunter New England Local Health District, Waratah, New South Wales, Australia
| | - Carmel Loughland
- Centre for Brain and Mental Health, University of Newcastle, Waratah, New South Wales, Australia.,Hunter New England Mental Health, Hunter New England Local Health District, Waratah, New South Wales, Australia
| | - Suzanne Cosh
- School of Psychology, University of New England, Armidale, New South Wales, Australia
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4
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Audier-Bourgain M, Baubet T, Pham-Scottez A, Corcos M, Nicolas I. Eating disorders and sexuality: A quantitative study in a French medically assisted procreation course. Brain Behav 2021; 11:e02196. [PMID: 34142465 PMCID: PMC8413734 DOI: 10.1002/brb3.2196] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Revised: 04/25/2021] [Accepted: 05/05/2021] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE Among medically assisted procreation (MAP) patients, the prevalence of eating disorders (ED), clinical or subclinical, current or past, is considerable. In addition to metabolic repercussions, the literature suggests that these patients present with more sexual dysfunction, leading to anxiety. This quantitative research on a population of women consulting a MAP department for unexplained or ovulatory infertility proposed to study the sexuality of this population by comparing the sexuality of patients suffering from or having suffered from an ED to the sexuality of the non-ED group. METHOD Patients (n = 61) filled out the Eating Disorder Examination Questionnaire (EDE-Q), the Brief Index of Sexual Functioning for Women (BISF-W), the ED Whole Life Research Questionnaire, the Hospital Anxiety and Depression Scale (HADS) and the Kansas Marital Satisfaction Scale (KMSS). RESULTS We found a prevalence of 54% of ED, current or past. Even though these patients reported the same prevalence of sexual intercourse, they had significantly more physical problems (e.g., anorgasmia, vaginismus, headache) affecting their sexuality (p = .01) than the non-ED group, after adjusting for depression. Approximately 10% of the study population reported no intravaginal intercourse during the last month. DISCUSSION This study provides evidence for the existence of more sexual dysfunction in patients who have a fertility disorder and have ED or a history of ED. Future research should evaluate the results of psychological or sexological care that may be more suitable for the infertility of these patients.
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Affiliation(s)
- Marie Audier-Bourgain
- Department of Children and Adolescents, Psychopathology, Avicenna Hospital, General Psychiatry and Addictology Specialized, Bobigny, France
| | - Thierry Baubet
- Department of Children and Adolescents, Psychopathology, Avicenna Hospital, General Psychiatry and Addictology Specialized, Bobigny, France
| | - Alexandra Pham-Scottez
- Psychiatric Orientation And Reception Center, GHU Paris Psychiatry and Neurosciences, Paris Cedex 14, France
| | - Maurice Corcos
- Department of adolescent and young adult psychiatry, Institut Mutualiste Montsouris, Paris cedex 14, France
| | - Isabelle Nicolas
- Department of adolescent and young adult psychiatry, Institut Mutualiste Montsouris, Paris cedex 14, France
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5
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Takegata M, Matsunaga A, Ohashi Y, Toizumi M, Yoshida LM, Kitamura T. Prenatal and Intrapartum Factors Associated With Infant Temperament: A Systematic Review. Front Psychiatry 2021; 12:609020. [PMID: 33897486 PMCID: PMC8060501 DOI: 10.3389/fpsyt.2021.609020] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Accepted: 03/08/2021] [Indexed: 11/23/2022] Open
Abstract
Background: Temperament involves individual variations in behavioural tendencies of emotional responses and reactions to stimuli after birth. Because 'foetal programming' is a strong hypothesis in developing temperament, prenatal and intrapartum factors may be significant determinants of infant temperament. This systematic literature review aims to elucidate the evidence of prenatal and intrapartum predictors, including genetic, biological, environmental, socio-demographic, psychological, and obstetric factors of parents and their child. Methods: Relevant articles were searched using MEDLINE, PubMed, and SCOPUS. The inclusion criteria were (a) original research article, (b) written in English, (c) assessed the temperament of infants 12 months old or younger as an outcome variable, and (d) investigated prenatal and intrapartum factorial variables of infant temperament. Following the PRISMA guideline, the articles found in the three databases were screened and selected according to the inclusion and exclusion criteria before the final review. Results: Finally, 35 articles were reviewed. This systematic review identified a variety of prenatal and intrapartum factors that were significantly associated with infant temperament: (1) genetic and biological factors: certain genotypes, maternal cortisol and ACTH, and CRHs, (2) environmental factors: substance use such as tobacco, alcohol, and illegal drugs, (3) socio-demographic factor: lower-income, (4) psychological factors: depression or anxiety, eating disorders, personality types of mothers, and domestic violence, and (5) obstetric factors: foetal growth (birth weight), hypertension in mothers, nausea (emesis), and preterm birth. Conclusion: The findings support gene-environment interaction and biological mechanisms for developing infant temperament, suggesting the importance of ensuring a safe and comfortable environment for pregnant mothers, unborn infants, and families during pregnancy and delivery.
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Affiliation(s)
- Mizuki Takegata
- Department of Pediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.,Kitamura Institute of Mental Health Tokyo, Tokyo, Japan
| | - Asami Matsunaga
- Kitamura Institute of Mental Health Tokyo, Tokyo, Japan.,Kitamura KOKORO Clinic Mental Health, Tokyo, Japan.,Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Japan
| | - Yukiko Ohashi
- Faculty of Nursing, Josai International University, Togane, Japan
| | - Michiko Toizumi
- Department of Pediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
| | - Lay Myint Yoshida
- Department of Pediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
| | - Toshinori Kitamura
- Kitamura Institute of Mental Health Tokyo, Tokyo, Japan.,Kitamura KOKORO Clinic Mental Health, Tokyo, Japan.,T. and F. Kitamura Foundation for Studies and Skill Advancement in Mental Health, Tokyo, Japan.,Department of Psychiatry, Graduate School of Medicine, Nagoya University, Nagoya, Japan
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6
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Martínez-Olcina M, Rubio-Arias JA, Reche-García C, Leyva-Vela B, Hernández-García M, Hernández-Morante JJ, Martínez-Rodríguez A. Eating Disorders in Pregnant and Breastfeeding Women: A Systematic Review. ACTA ACUST UNITED AC 2020; 56:medicina56070352. [PMID: 32679923 PMCID: PMC7404459 DOI: 10.3390/medicina56070352] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 07/09/2020] [Accepted: 07/09/2020] [Indexed: 11/16/2022]
Abstract
Background: Pregnancy is a stage associated with various biopsychosocial changes. These changes, along with concerns about keeping an adequate weight, can modulate an individual's risk for psychological disorders, especially eating disorders (EDs). The aim of this review was to investigate the prevalence, associated risks, and consequences of eating disorders in pregnancy and in breastfeeding mothers. Materials and Methods: A systematic review was carried out following the PRISMA guidelines in the scientific databases: PubMed, Web of Science, Scopus, and PsycINFO. Search terms related to EDs, pregnancy, and breastfeeding were used. The evaluation of the methodological quality of the studies was carried out using different scales; CASP (Checklist for Cohort Study), NICE (Methodology Checklist for Cohort Study), ARHQ (Methodology Checklist for Cross-Sectional), and NOS (Newcastle-Ottawa Scale for Cohort). Results: From 2920 studies, 16 were selected to study EDs in pregnant women and 2 studies in nursing mothers. Most of the studies used questionnaires and scales as tools for the diagnosis of EDs. Binge eating, anxiety, and depression were the most common comorbidities of EDs, accompanied in most cases by excessive concern about weight gain. The consequences of EDs are diverse. The prevalence of EDs in this population is estimated to be 1 out of 20. Conclusions: Eating disorders are related to anxiety and depression and have negative consequences for both mothers and fetuses (cesarean, miscarriages, premature births). More research on the field to determine the risk factors for EDs in the population of pregnant and lactating women is needed.
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Affiliation(s)
- María Martínez-Olcina
- Faculty of Health Sciences, University of Alicante, 03690 Alicante, Spain; (M.M.-O.); (M.H.-G.)
| | - Jacobo A. Rubio-Arias
- LFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Polytechnic University of Madrid, 28040 Madrid, Spain;
| | - Cristina Reche-García
- Faculty of Nursing, San Antonio Catholic University of Murcia, 30107 Murcia, Spain;
- Correspondence:
| | - Belén Leyva-Vela
- Department of Health, Vinalopó University Hospital, 03293 Elche, Spain;
| | - María Hernández-García
- Faculty of Health Sciences, University of Alicante, 03690 Alicante, Spain; (M.M.-O.); (M.H.-G.)
| | | | - Alejandro Martínez-Rodríguez
- Department of Analytical Chemistry, Nutrition and Food Science, Faculty of Sciences, University of Alicante, 03690 Alicante, Spain;
- Alicante Institute for Health and Biomedical Research (ISABIAL Foundation), 03010 Alicante, Spain
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7
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Martini MG, Barona-Martinez M, Micali N. Eating disorders mothers and their children: a systematic review of the literature. Arch Womens Ment Health 2020; 23:449-467. [PMID: 31938867 PMCID: PMC7368867 DOI: 10.1007/s00737-020-01019-x] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Accepted: 01/07/2020] [Indexed: 12/19/2022]
Abstract
To provide an overview of the impact of maternal eating disorders (ED) on child development in a number of domains including feeding and eating behaviour, neuropsychological profile and cognitive development, psychopathology and temperament. PubMed, Embase and PsychInfo were searched for studies exploring the impact of maternal ED on children between January 1980 and September 2018. Initial search yielded 569 studies. After exclusion, 32 studies were reviewed. Overall, available evidence shows that children of mothers with ED are at increased risk of disturbances in several domains. They exhibit more difficulties in feeding and eating behaviours, display more psychopathological and socio-emotional difficulties, and they are more likely to be described as having a difficult temperament. Maternal ED have an impact on child psychological, cognitive and eating behaviours, and might affect the development of ED in the offspring. Future research should focus on resilience and on which protective factors might lead to positive outcomes. These factors can be then used as therapeutic and preventative targets.
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Affiliation(s)
- Maria Giulia Martini
- Behavioural and Brain Sciences Unit, Institute of Child Health, University College London, 4th Floor, 30 Guilford Street, London, WC1N 1EH, UK. .,South London and Maudsley, NHS Foundation Trust, London, UK.
| | - Manuela Barona-Martinez
- Behavioural and Brain Sciences Unit, Institute of Child Health, University College London, 4th Floor, 30 Guilford Street, London, WC1N 1EH UK
| | - Nadia Micali
- Behavioural and Brain Sciences Unit, Institute of Child Health, University College London, 4th Floor, 30 Guilford Street, London, WC1N 1EH UK ,Department of Psychiatry, University of Geneva, Geneva, Switzerland ,Child and Adolescent Psychiatry Division, Department of Child and Adolescent Health, University Hospital Geneva, Geneva, Switzerland
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8
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Silva DID, Mello DFD, Mazza VDA, Toriyama ATM, Veríssimo MDLÓR. DYSFUNCTIONS IN THE SOCIO EMOTIONAL DEVELOPMENT OF INFANTS AND ITS RELATED FACTORS: AN INTEGRATIVE REVIEW. TEXTO & CONTEXTO ENFERMAGEM 2019. [DOI: 10.1590/1980-265x-tce-2017-0370] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to synthesize factors related to dysfunctions in the socioemotional development of infants. Method: integrative review carried out between April and August 2016 with defined criteria for inclusion and exclusion of studies, search strategies, extraction and synthesis of data. The exposure factors underwent categorical thematic analysis and systematization according to the levels of the context (Microsystem, Mesosystem, Exosystem and Macrosystem) of the Bioecological Model of Human Development. Results: in the context of the Microsystem and Mesosystem, the factors found were: limitations in care; adversities in family relationships and in the social support and illness situation of the caregivers that influence the proximal processes. In the Exosystem and the Macrosystem, they were: social vulnerabilities of caregivers and fragilities of public policies that determine the material and social conditions of the family. Conclusion: the synthesis of evidence on exposure factors favors the construction of measurement scales of the contextual elements related to the social emotional development of young children. Beyond the milestones, present or not, in the evaluation of a child, these technologies can be predictive, with great potential of anticipation of the factors of exposure and prevention of developmental dysfunctions.
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Abstract
PURPOSE OF REVIEW Our primary goal in this article is to review recent findings (from 2015 and on) concerning children of parents with eating disorders. This review addresses the question of whether the offspring of parents with past or present eating disorders have adverse outcomes. This update is timely and informative because recent research includes controlled studies and large cohort designs and earlier reviews relied on case report evidence. RECENT FINDINGS Despite substantial diversity in study design, sample size, and parental eating disorder definition, overall, existing research suggests that the children of parents with eating disorders exhibit compromised development: a greater risk of perinatal complications; a tendency toward extremes of growth at birth; greater problems in feeding and eating behaviors and greater incidence of eating disorder symptoms; more psychological and socioemotional difficulties; and more negative qualities to parent-child interactions. Data on children's cognitive outcomes is thus far inconsistent. Given the relatively high incidence of eating disorder history in individuals of childbearing age, research into its potential effects on children is necessary. However, the methodological shortcomings and a limited evidence base caution in drawing conclusions. Nevertheless, mental health services should address the possible problems that these children face and offer tailored programs.
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Affiliation(s)
- Hunna J Watson
- Department of Psychiatry, University of North Carolina at Chapel Hill, CB #7160, 101 Manning Drive, Chapel Hill, NC, 27599-7160, USA. .,School of Psychology, Curtin University, Perth, WA, Australia. .,School of Paediatrics and Child Health, The University of Western Australia, Perth, WA, Australia.
| | - Amy O'Brien
- School of Psychology, Curtin University, Perth, WA, Australia
| | - Shiri Sadeh-Sharvit
- Baruch Ivcher School of Psychology, Interdisciplinary Center, Herzliya, Herzliya, Israel
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10
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Barriers to identifying eating disorders in pregnancy and in the postnatal period: a qualitative approach. BMC Pregnancy Childbirth 2018; 18:114. [PMID: 29759082 PMCID: PMC5952825 DOI: 10.1186/s12884-018-1745-x] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2017] [Accepted: 04/15/2018] [Indexed: 12/28/2022] Open
Abstract
Background Eating Disorders (ED) are mental health disorders that typically effect women of childbearing age and are associated with adverse maternal and infant outcomes. UK healthcare guidance recommends routine enquiry for current and past mental illness in antenatal and postnatal care for all women, and that pregnant women with a known ED are offered enhanced monitoring and support. Midwives and health visitors are ideally placed to identify and support women with ED as they are often the primary point of contact during the antenatal and postnatal periods. However, research on the barriers to identifying ED in the perinatal period is limited. This study aimed to understand the barriers to disclosure and identification of ED in pregnancy and postnatally as perceived by women with past or current ED, and midwives and health visitors working in the UK National Health Service. Methods Two studies were undertaken: mixed-measures survey of pregnant and postnatal women with current or past ED; focus groups with student and qualified midwives and health visitors. Results Five themes emerged on the barriers to disclosure in pregnancy as perceived by women: stigma, lack of opportunity, preference for self-management, current ED symptomatology and illness awareness. Four themes were identified on the barriers to identification of ED in pregnancy and in the postnatal period as perceived by health professionals: system constraints, recognition of role, personal attitudes, and stigma and taboo. Conclusions Several barriers to the identification of ED during and after pregnancy were described, the main factors were stigma and poor professional training. Perinatal mental health is becoming increasingly prioritised within national policy initiatives; however, ED continue to be neglected and increased awareness is needed. Similarly, clinical guidance aimed at responding to the rising prevalence of obesity focus on changing nutrition but not on assessing for the presence of ED behaviours that might be affecting nutrition. Improving education and training for health professionals may contribute to reducing stigma and increase confidence in identifying ED. The barriers identified in this research need to be addressed if recognition and response to women with ED during the perinatal period is to improve. Electronic supplementary material The online version of this article (10.1186/s12884-018-1745-x) contains supplementary material, which is available to authorized users.
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11
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Parental reflective functioning among mothers with eating disorder symptomatology. Eat Behav 2016; 23:141-144. [PMID: 27718453 PMCID: PMC7506507 DOI: 10.1016/j.eatbeh.2016.09.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2016] [Revised: 09/02/2016] [Accepted: 09/13/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Reflective Functioning is a vital aspect of parental aptitude and its absence, especially in the presence of psychopathology, can impair attachment. This study sought to clarify the relationship of parental RF among mothers with eating disorder symptomatology. METHOD We assessed 59 mothers for ED symptomatology using the Eating Disorder Examination Questionnaire (EDE-Q) and RF through the Parental Reflective Functioning Questionnaire (PRFQ). Bivariate and multivariate analyses compared PRFQ subscales between symptomatic and asymptomatic mothers, using a clinical cutoff score of 4 on the EDE-Q subscales. RESULTS Greater weight and shape concerns were found to significantly predict higher RF (p=0.023; p=0.026). DISCUSSION This finding could indicate a similar pattern seen among individuals with bulimia nervosa; individuals have higher RF scores, although affect regulation may still be limited. More research is needed with a larger sample to define the relationship between ED symptomatology and RF and identify potential mediators and moderators.
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12
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Sadeh-Sharvit S, Zubery E, Mankovski E, Steiner E, Lock JD. Parent-based prevention program for the children of mothers with eating disorders: Feasibility and preliminary outcomes. Eat Disord 2016; 24:312-25. [PMID: 26940552 DOI: 10.1080/10640266.2016.1153400] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The children of mothers with eating disorders are at high risk of feeding and eating problems and broader developmental difficulties. The Parent-Based Prevention (PBP) of eating disorders targets risk factors and facilitates behavioral change in parents to mitigate potentially negative outcomes of their children. This pre/post uncontrolled study evaluated the feasibility and preliminary outcomes of PBP. PBP was found to be a feasible intervention for mothers with eating disorders and their spouses, with satisfactory retention rates. A total of 16 intact families were assessed at three measurement points for parents' feeding practices, child outcomes, and maternal functioning. Both parents reported improved feeding practices as well as more positive perceptions of their children in comparison to baseline. These pilot findings suggest that PBP is linked with decreased risk of eating and mental problems among the offspring of mothers with eating disorders.
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Affiliation(s)
- Shiri Sadeh-Sharvit
- a Department of Psychiatry and Behavioral Sciences , School of Medicine, Stanford University , Stanford , California , USA.,b Eating Disorders Treatment and Research Center, Hanotrim (Davidson) Clinic, Raanana , Shalvata Mental Health Center , Hod Hasharon , Israel
| | - Eynat Zubery
- b Eating Disorders Treatment and Research Center, Hanotrim (Davidson) Clinic, Raanana , Shalvata Mental Health Center , Hod Hasharon , Israel
| | - Esty Mankovski
- b Eating Disorders Treatment and Research Center, Hanotrim (Davidson) Clinic, Raanana , Shalvata Mental Health Center , Hod Hasharon , Israel
| | - Evelyne Steiner
- b Eating Disorders Treatment and Research Center, Hanotrim (Davidson) Clinic, Raanana , Shalvata Mental Health Center , Hod Hasharon , Israel
| | - James D Lock
- a Department of Psychiatry and Behavioral Sciences , School of Medicine, Stanford University , Stanford , California , USA
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Capuano AW, Dawson JD, Ramirez MR, Wilson RS, Barnes LL, Fields RW. Modeling Likert scale outcomes with trend-proportional odds with and without cluster data. METHODOLOGY-EUROPEAN JOURNAL OF RESEARCH METHODS FOR THE BEHAVIORAL AND SOCIAL SCIENCES 2016; 12:33-43. [PMID: 37583928 PMCID: PMC10426790 DOI: 10.1027/1614-2241/a000106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/17/2023] Open
Abstract
Likert scales are commonly used in epidemiological studies employing surveys. In this tutorial we demonstrate how the proportional odds model and the trend odds model can be applied simultaneously to data measured in Likert scales, allowing for random cluster effects. We use two datasets as examples: an epidemiological study on aging and cognition among community-dwelling Black persons, and a clustered large survey data from 28,882 students in 81 middle schools. The first example models the Likert outcome from the question: "People act as if they think you are dishonest". The trend-proportional odds model indicates that Black men have higher odds than Black women of reporting being perceived dishonest. The second example models the Likert outcome from the question: "How often have you been beaten up at school?". The trend-proportional odds model indicates that children with disability have a higher odds of severe violence than other children. For both examples, the cumulative odds ratio increases by more than 60% at the higher Likert levels.
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Affiliation(s)
- Ana W. Capuano
- Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA
| | | | | | - Robert S. Wilson
- Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA
| | - Lisa L. Barnes
- Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA
| | - R. William Fields
- Department of Occupational and Environmental Health, Iowa City, IA, USA
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Sadeh-Sharvit S, Levy-Shiff R, Arnow KD, Lock JD. The interactions of mothers with eating disorders with their toddlers: identifying broader risk factors. Attach Hum Dev 2016; 18:418-28. [DOI: 10.1080/14616734.2016.1164201] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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15
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Sadeh-Sharvit S, Levy-Shiff R, Lock JD. Maternal eating disorder history and toddlers' neurodevelopmental outcomes: A brief report. Eat Disord 2016. [PMID: 26212212 DOI: 10.1080/10640266.2015.1064280] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study explored the neurodevelopmental outcomes of toddlers whose mothers have eating disorder histories and the contribution of maternal eating and comorbid psychopathology to the children's cognitive functioning. Twenty-nine mothers with prenatal eating disorders and their toddlers (18-42 months old) were compared to a case-control matched group of mothers with no eating psychopathology and their toddlers. Measures included current maternal eating and co-occurring psychopathology, and a developmental assessment of each child. The children of mothers with eating disorders showed delayed mental and psychomotor development. Severity of maternal eating disorder symptoms emerged as a significant predictor of child development, but other maternal psychopathology did not. Findings suggest that maternal eating disorder history may play a unique role in the development of neurodevelopmental functions in their children.
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Affiliation(s)
- Shiri Sadeh-Sharvit
- a Department of Psychiatry and Behavioral Sciences , Stanford University School of Medicine , Stanford , California , USA.,b Psychology Department , Bar Ilan University , Ramat Gan , Israel
| | | | - James D Lock
- a Department of Psychiatry and Behavioral Sciences , Stanford University School of Medicine , Stanford , California , USA
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16
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Sadeh-Sharvit S, Levy-Shiff R, Feldman T, Ram A, Gur E, Zubery E, Steiner E, Latzer Y, Lock JD. Child feeding perceptions among mothers with eating disorders. Appetite 2015; 95:67-73. [DOI: 10.1016/j.appet.2015.06.017] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2015] [Revised: 06/22/2015] [Accepted: 06/25/2015] [Indexed: 11/26/2022]
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17
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Perrin EM, Von Holle A, Zerwas S, Skinner AC, Reba-Harrelson L, Hamer RM, Stoltenberg C, Torgersen L, Reichborn-Kjennerud T, Bulik CM. Weight-for-length trajectories in the first year of life in children of mothers with eating disorders in a large Norwegian Cohort. Int J Eat Disord 2015; 48:406-14. [PMID: 24782279 PMCID: PMC4482472 DOI: 10.1002/eat.22290] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2013] [Revised: 04/08/2014] [Accepted: 04/09/2014] [Indexed: 01/24/2023]
Abstract
OBJECTIVE To describe weight-for-length (WFL) trajectories in the children (birth-12 months) of mothers with and without eating disorders. METHOD This study is based on the Norwegian Mother and Child Cohort Study (MoBa) conducted by the Norwegian Institute of Public Health. We categorized women (N = 57,185) based on diagnosis prior to and during pregnancy: anorexia nervosa, bulimia nervosa, eating disorder not otherwise specified-purging subtype, binge eating disorder, or no eating disorder. The primary analysis included a shape invariant model fitted with nonlinear mixed effects to compare growth rates across eating disorder subtypes. RESULTS The children of mothers reporting any eating disorder had a lower WFL growth rate from birth to 12 months than the children of mothers without eating disorders, even after adjusting for relative birth weight and some confounders known to affect growth. DISCUSSION In this cohort, child WFL was related to maternal eating disorder status before and/or during pregnancy. These differences in growth trajectories warrant further study of long-term health outcomes and, if replicated, tailoring counseling to mothers with eating disorders during pregnancy.
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Affiliation(s)
- Eliana M. Perrin
- Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill
| | - Ann Von Holle
- Department of Psychiatry, University of North Carolina at Chapel Hill
| | - Stephanie Zerwas
- Department of Psychiatry, University of North Carolina at Chapel Hill
| | - Asheley Cockrell Skinner
- Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill,Department of Health Policy and Administration, University of North Carolina at Chapel Hill
| | - Lauren Reba-Harrelson
- Department of Psychiatry, University of North Carolina at Chapel Hill,Department of Psychology, University of North Carolina at Chapel Hill,University of Southern California Institute of Psychiatry, Law, and Biobehavioral Science USC Keck School of Medicine
| | - Robert M. Hamer
- Department of Psychiatry, University of North Carolina at Chapel Hill,Department of Biostatistics, University of North Carolina at Chapel Hill
| | - Camilla Stoltenberg
- Department of Psychiatry, University of Oslo, Norway,Division of Mental Health, Norwegian Institute of Public Health, Norway
| | - Leila Torgersen
- Division of Mental Health, Norwegian Institute of Public Health, Norway
| | | | - Cynthia M. Bulik
- Department of Psychiatry, University of North Carolina at Chapel Hill,Department of Nutrition, University of North Carolina at Chapel Hill
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Gonçalves S, Freitas F, Freitas-Rosa MA, Machado BC. Dysfunctional eating behaviour, psychological well-being and adaptation to pregnancy: A study with women in the third trimester of pregnancy. J Health Psychol 2015; 20:535-42. [DOI: 10.1177/1359105315573432] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
This study evaluated the prevalence and predictors of dysfunctional eating. Women in the third trimester of pregnancy participated in this study ( N = 105). Dysfunctional eating was associated with a higher body mass index, enhanced negative body image, more somatic symptoms, poorer marital relationships, more negative attitudes regarding pregnancy and the baby and more emotional problems. A higher body mass index prior to the pregnancy, higher weight gain during pregnancy and a more negative perception of body image predicted dysfunctional eating. Clinicians must be aware of the presence of dysfunctional eating during pregnancy to prevent relevant physiological and psychosocial consequences during this stage.
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19
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Body image concerns during pregnancy are associated with a shorter breast feeding duration. Midwifery 2015; 31:80-9. [DOI: 10.1016/j.midw.2014.06.003] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2014] [Revised: 06/10/2014] [Accepted: 06/16/2014] [Indexed: 12/14/2022]
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20
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Watson HJ, Torgersen L, Zerwas S, Reichborn-Kjennerud T, Knoph C, Stoltenberg C, Siega-Riz AM, Von Holle A, Hamer RM, Meltzer H, Ferguson EH, Haugen M, Magnus P, Kuhns R, Bulik CM. Eating Disorders, Pregnancy, and the Postpartum Period: Findings from the Norwegian Mother and Child Cohort Study (MoBa). NORSK EPIDEMIOLOGI 2014; 24:51-62. [PMID: 27110061 DOI: 10.5324/nje.v24i1-2.1758] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
This review summarizes studies on eating disorders in pregnancy and the postpartum period that have been conducted as part of the broader Norwegian Mother and Child Cohort Study (MoBa). Prior to the 2000s, empirical literature on eating disorders in pregnancy was sparse and consisted mostly of studies in small clinical samples. MoBa has contributed to a new era of research by making population-based and large-sample research possible. To date, MoBa has led to 19 studies on diverse questions including the prevalence, course, and risk correlates of eating disorders during pregnancy and the postpartum. The associations between eating disorder exposure and pregnancy, birth and obstetric outcomes, and maternal and offspring health and well-being, have also been areas of focus. The findings indicate that eating disorders in pregnancy are relatively common and appear to confer health risks to mother and her child related to sleep, birth outcomes, maternal nutrition, and child feeding and eating.
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Affiliation(s)
- Hunna J Watson
- Department of Psychiatry, University of North Carolina at Chapel Hill, United States ; Eating Disorders Program, Child and Adolescent Health Service, Department of Health in Western Australia, Perth, Australia ; School of Paediatrics and Child Health, The University of Western Australia, Perth, Australia ; School of Psychology and Speech Pathology, Curtin University, Perth, Australia
| | - Leila Torgersen
- Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Stephanie Zerwas
- Department of Psychiatry, University of North Carolina at Chapel Hill, United States
| | - Ted Reichborn-Kjennerud
- Division of Mental Health Services, Akershus University Hospital, Oslo, Norway ; Institute of Clinical Medicine, University of Oslo, Norway
| | - Cecilie Knoph
- Division of Mental Health Services, Akershus University Hospital, Oslo, Norway
| | - Camilla Stoltenberg
- Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway ; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Anna Maria Siega-Riz
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, United States ; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, United States
| | - Ann Von Holle
- Department of Psychiatry, University of North Carolina at Chapel Hill, United States
| | - Robert M Hamer
- Department of Psychiatry, University of North Carolina at Chapel Hill, United States ; Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, United States
| | - Helle Meltzer
- Division of Environmental Science, Norwegian Institute of Public Health, Oslo, Norway
| | - Elizabeth H Ferguson
- Department of Psychiatry, University of North Carolina at Chapel Hill, United States ; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, United States
| | - Margaretha Haugen
- Division of Environmental Medicine, Norwegian Institute of Public Health, Oslo Norway
| | - Per Magnus
- Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway
| | - Rebecca Kuhns
- Department of Psychiatry, University of North Carolina at Chapel Hill, United States
| | - Cynthia M Bulik
- Department of Psychiatry, University of North Carolina at Chapel Hill, United States ; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, United States ; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
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Torgersen L, Ystrom E, Siega-Riz AM, Berg CK, Zerwas SC, Reichborn-Kjennerud T, Bulik CM. Maternal eating disorder and infant diet. A latent class analysis based on the Norwegian Mother and Child Cohort Study (MoBa). Appetite 2014; 84:291-8. [PMID: 25453594 DOI: 10.1016/j.appet.2014.10.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2013] [Revised: 10/03/2014] [Accepted: 10/14/2014] [Indexed: 10/24/2022]
Abstract
Knowledge of infant diet and feeding practices among children of mothers with eating disorders is essential to promote healthy eating in these children. This study compared the dietary patterns of 6-month-old children of mothers with anorexia nervosa, bulimia nervosa, binge eating disorder, and eating disorder not otherwise specified-purging subtype, to the diet of children of mothers with no eating disorders (reference group). The study was based on 53,879 mothers in the Norwegian Mother and Child Cohort Study (MoBa). Latent class analysis (LCA) was used to identify discrete latent classes of infant diet based on the mothers' responses to questions about 16 food items. LCA identified five classes, characterized by primarily homemade vegetarian food (4% of infants), homemade traditional food (8%), commercial cereals (35%), commercial jarred baby food (39%), and a mix of all food groups (11%). The association between latent dietary classes and maternal eating disorders were estimated by multinomial logistic regression. Infants of mothers with bulimia nervosa had a lower probability of being in the homemade traditional food class compared to the commercial jarred baby food class, than the referent (O.R. 0.59; 95% CI 0.36-0.99). Infants of mothers with binge eating disorder had a lower probability of being in the homemade vegetarian class compared to the commercial jarred baby food class (O.R. 0.77; 95% CI 0.60-0.99), but only before adjusting for relevant confounders. Anorexia nervosa and eating disorder not otherwise specified-purging subtype were not statistically significantly associated with any of the dietary classes. These results suggest that maternal eating disorders may to some extent influence the child's diet at 6 months; however, the extent to which these differences influence child health and development remains an area for further inquiry.
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Affiliation(s)
- Leila Torgersen
- Division of Mental Health, Norwegian Institute of Public Health, P.O. Box 4404 Nydalen, 0403 Oslo, Norway.
| | - Eivind Ystrom
- Division of Mental Health, Norwegian Institute of Public Health, P.O. Box 4404 Nydalen, 0403 Oslo, Norway
| | - Anna Maria Siega-Riz
- Departments of Epidemiology and Nutrition, Gillings School of Global Public Health, University of North Carolina Chapel Hill, CB#7435, Chapel Hill, NC, USA
| | - Cecilie Knoph Berg
- Division of Mental Health, Norwegian Institute of Public Health, P.O. Box 4404 Nydalen, 0403 Oslo, Norway
| | - Stephanie C Zerwas
- Departments of Psychiatry and Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Ted Reichborn-Kjennerud
- Division of Mental Health, Norwegian Institute of Public Health, P.O. Box 4404 Nydalen, 0403 Oslo, Norway; Institute of Psychiatry, University of Oslo, Postboks 1039 Blinderen, 0315 Oslo, Norway
| | - Cynthia M Bulik
- Departments of Psychiatry and Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Micali N, De Stavola B, Ploubidis GB, Simonoff E, Treasure J. The effects of maternal eating disorders on offspring childhood and early adolescent psychiatric disorders. Int J Eat Disord 2014; 47:385-93. [PMID: 24222556 DOI: 10.1002/eat.22216] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/02/2013] [Indexed: 11/11/2022]
Abstract
OBJECTIVE There is evidence that parental psychiatric disorders are associated with offspring psychiatric disorder. Very few small studies have investigated the effect of maternal eating disorders on offspring psychopathology throughout childhood and early adolescence. We aimed to investigate psychiatric disorders at age 7, 10, and 13 years in offspring of women with eating disorders prior to pregnancy and investigate the relative contribution of other psychiatric disorders. METHOD Women (N = 12,035) from a large population-based longitudinal cohort: the Avon Longitudinal Study of Parents and Children (ALSPAC). A brief prepregnancy psychiatric history was obtained at enrollment to determine exposure. Offspring psychiatric disorder was measured using the developmental and well-being assessment at ages 7, 10, and 13. RESULTS Maternal eating disorders were associated with a psychiatric diagnosis in the offspring at age 7 and 10, particularly emotional disorders (Odds ratio = 1.9, 95%CI: 1.1-2.8). Maternal psychiatric disorders other than eating disorders predicted psychiatric diagnoses across ages, and acted in an additive fashion with maternal eating disorders. DISCUSSION Maternal eating disorders together with comorbid psychopathology increase risk for psychiatric disorders in childhood and early adolescence, in particular for emotional disorders. This has important implications for prevention and future research.
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Affiliation(s)
- Nadia Micali
- University College London (UCL) Institute of Child Health, Behavioral and Brain Sciences Unit, London, United Kingdom
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Cimino S, Cerniglia L, Paciello M, Sinesi S. A six-year prospective study on children of mothers with eating disorders: the role of paternal psychological profiles. EUROPEAN EATING DISORDERS REVIEW 2012; 21:238-46. [PMID: 23239014 DOI: 10.1002/erv.2218] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Several studies have suggested that maternal eating disorders (EDs) represent a significant risk factor for children's affective and behavioral development. Yet, little emphasis has been placed on the paternal role. OBJECTIVES The present longitudinal study aimed to clarify the role of maternal EDs and the influence of paternal psychological profiles on children's emotional development. METHOD Our sample was composed of N = 64 families with firstborn children selected through preschools, primary schools, and outpatient clinics in central Italy. Parents and children participated in a 6-year longitudinal protocol that included a diagnostic interview conducted by clinicians (Structured Clinical Interview for DSM-IV Axis I Disorders [SCID-I]), a self-report (Symptom Checklist-90-Revised [SCL-90-R]), and a parental report-form questionnaire (Child Behavior Checklist [CBCL]). RESULTS The influence of mothers' EDs on their children's emotional development was confirmed. Moreover, fathers' anxiety and obsessive-compulsive problems in association with mothers' EDs and depressive symptoms influenced the onset of both internalizing and externalizing difficulties in their children over time. CONCLUSION Our results suggest that fathers' psychopathological risk affects the development of emotional problems in children with mothers who have EDs.
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Affiliation(s)
- Silvia Cimino
- Department of Dynamic and Clinical Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome.
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