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Eating habits and attitudes among 10-year-old children of mothers with eating disorders: Longitudinal study

  • Alan Stein (a1), Helen Woolley (a1), Sandra Cooper (a1), Jonathan Winterbottom (a1), Christopher G. Fairburn (a2) and Mario Cortina-Borja (a3)...

Abstract

Background

Children of mothers with eating disorders are at increased risk of developmental disturbance, but there has been little research in middle childhood, when disturbed eating habits tend to emerge.

Aims

To examine whether maternal eating disorders identified in the postnatal year are associated with the development of disturbed eating habits and attitudes in children at 10 years of age.

Method

Follow-up comparative study of 56 families (33 mothers with eating disorders and 23 controls). Psychopathology of children, mothers and fathers was assessed by interview, and mother-child interaction observed.

Results

The index group of children scored higher than controls on three of four domains of eating disorder psychopathology and on a global score. Children's eating disturbance was associated with length of exposure to mothers' eating disorder and mother-child mealtime conflict at 5 years. There was some evidence of increased emotional problems in index children.

Conclusions

The children of mothers with eating disorders manifested disturbed eating habits and attitudes compared with controls, and may be at heightened risk of developing frank eating disorder psychopathology.

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Copyright

Corresponding author

Professor Alan Stein, Section of Child and Adolescent Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK. Tel: +44 (0) 1865 223911; fax +44 (0) 1865 226384; email: alan.stein@psych.ox.ac.uk

References

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Agras, S., Hammer, L. & McNicholas, F. (1999) A prospective study of the influence of eating-disordered mothers on their children. International Journal of Eating Disorders, 25, 253262.
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.
Bryant-Waugh, R. & Lask, B. (1995) Eating disorders in children. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 36, 191202.
Bryant-Waugh, R., Cooper, P. J., Taylor, C. L., et al (1996) The use of the eating disorder examination with children: a pilot study. International Journal of Eating Disorders, 19, 391397.
Cole, T. J., Freeman, J. V. & Preece, M. A. (1998) British 1990 growth reference centiles for weight, height, body mass index and head circumference fitted by maximum penalized likelihood. Statistics In Medicine, 17, 407429.
Cooper, P. J., Watkins, B., Bryant-Waugh, R., et al (2002) The nosological status of early onset anorexia nervosa. Psychological Medicine, 32, 873880.
Endicott, J. & Spitzer, R. L. (1978) A diagnostic interview: the schedule for affective disorders and schizophrenia. Archives of General Psychiatry, 35, 837844.
Fairburn, C. G. & Cooper, Z. (1993) The Eating Disorder Examination (12th edn). In Binge Eating: Nature, Assessment, and Treatment (eds Fairburn, C. G. & Wilson, G. T.), pp. 317360. New York, NY: Guilford Press.
Goodman, R., Ford, T., Simmons, H., et al (2000) Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. British Journal of Psychiatry, 177, 534539.
Harter, S. (1985) Manual for the Self-Perception Profile for Children. Denver, CO: University of Denver.
Higgs, J. F., Goodyer, I. M. & Birch, J. (1989) Anorexia nervosa and food avoidance emotional disorder. Archives of Disease in Childhood, 64, 346351.
Hill, A. J., Oliver, S. & Rogers, P. J. (1992) Eating in the adult world: the rise of dieting in childhood and adolescence. British Journal of Clinical Psychology, 31, 95105.
Hill, A. J., Draper, E. & Stack, J. (1994) A weight on children's minds: body shape dissatisfactions at 9 years old. International Journal of Obesity and Related Metabolic Disorders, 18, 383389.
Hooley, J. M. & Teasdale, J. D. (1989) Predictors of relapse in unipolar depressives: expressed emotion, marital distress, and perceived criticism. Journal of Abnormal Psychology, 98, 229235.
Jacobi, C., Agras, W. S. & Hammer, L. (2001) Predicting children's reported eating disturbances at 8 years of age. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 364372.
Kaufman, J., Birmaher, B., Brent, D., et al (1997) Schedule for Affective Disorders and Schizophrenia for School-Age Children – Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980988.
Patel, P., Wheatcroft, R., Park, R. J., et al (2002) The children of mothers with eating disorders. Clinical Child and Family Psychology Review, 5, 119.
Rutter, M. (1989) Psychiatric disorder in parents as a risk factor for children. In Prevention of Mental Disorder, Alcohol and Other Drug Use in Children and Adolescents (eds Shaffer, D., Phillips, I. & Enger, N. B.), pp. 157189. Rockville, MD: Office for Substance Abuse US DHHS.
Spanier, G. B. (1976) Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 1528.
Stein, A., Woolley, H., Cooper, S. D., et al (1994) An observational study of mothers with eating disorders and their infants. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 35, 733748.
Watkins, B. (2003) Differentiating Early Onset Eating Disorders. PhD Thesis. Reading: University of Reading.
Whelan, E. & Cooper, P. J. (2000) The association between childhood feeding problems and maternal eating disorder: a community study. Psychological Medicine, 30, 6977.

Eating habits and attitudes among 10-year-old children of mothers with eating disorders: Longitudinal study

  • Alan Stein (a1), Helen Woolley (a1), Sandra Cooper (a1), Jonathan Winterbottom (a1), Christopher G. Fairburn (a2) and Mario Cortina-Borja (a3)...

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Eating habits and attitudes among 10-year-old children of mothers with eating disorders: Longitudinal study

  • Alan Stein (a1), Helen Woolley (a1), Sandra Cooper (a1), Jonathan Winterbottom (a1), Christopher G. Fairburn (a2) and Mario Cortina-Borja (a3)...
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