Children of Parents with Eating Disorders

Watson, Hunna J.; O’Brien, Amy; Sadeh‐Sharvit, Shiri

doi:10.1007/s11920-018-0970-3

Cited by 29 publications

(31 citation statements)

References 67 publications

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“…These are associating episodes of binge eating and compensatory activities (sustained physical exercise) for weight-control purposes. This data agrees with studies of EDs in pregnant women [ 34 – 36 ]. Several studies in our review found subthreshold types of EDs [ 19 , 21 , 23 , 30 ].…”

Section: Discussionsupporting

confidence: 93%

“…Mothers with an ED report greater difficulties in determining their child's needs. There is a risk that women with restrictive anorexia nervosa will project their eating and body concerns into their child [ 36 ]. Newborns of mothers with an active ED during pregnancy show difficulties in maintaining their homeostasis when faced with stress factors.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

et al. 2022

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Background Eating disorders (EDs) are common conditions that mainly affect women of reproductive age and have a major impact on fertility. Our systematic review focuses on the prevalence of EDs in patients in the process of assisted reproductive technique (ART) and describes the phenotypes of EDs identified. Methods Our systematic review is based on the PRISMA criteria. Articles were collected using the Medline/Pubmed, Web Of Science and Cochrane databases. The articles chosen had to mention the prevalence of ED in infertile patients undergoing ART and be cohort or case–control studies assessing the prevalence of ED during fertility treatment. Main findings Fifteen articles were included in this review. The prevalence of active ED varied between 0.13 and 44% depending on the types considered in each study. The main phenotypes described were EDNOS (eating disorder not otherwise specified) and binge eating disorders (BED) occurring in women with a normal body mass index (BMI) and a history of ED. Mainly subthreshold forms with cognitive distortions were described. Conclusion This review highlights a 6 times higher prevalence of EDs in infertile patients undergoing fertility treatment compared to regular pregnant women. However, diagnosing these conditions is complex. As a result, it is essential that professionals in contact with this population are alert to symptoms consistent with these conditions in order to refer them to specialized psychiatric care.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

et al. 2022

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“…Maternal concern regarding weight and shape does seem, in some, to play a role in the development of disordered eating [ 62 , 88 , 89 ]. A mother with an eating disorder increases the risk of having frank eating disorder psychopathology in a female child, when compared with controls: by age ten, the young person is more likely to diet and hold overvalued ideas about body shape and weight [ 90 ].…”

Section: Families Disturbedmentioning

confidence: 99%

“…Maternal concern regarding weight and shape impacts the family environment [ 88 ], which may be causative in the development of AN. The frequency of negative maternal messages has been associated with the young person experiencing weight and shape concerns, exercise fixation, and eating disorder symptoms [ 89 ].…”

Section: Families Disturbedmentioning

confidence: 99%

Disturbed families or families disturbed: a reconsideration

Giles¹,

Cross

Matthews³

et al. 2021

Eat Weight Disord

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Background The relationship between anorexia nervosa (AN) and family disturbance has been a subject of debate since its first description. What began as a clear view of the pathologically disturbed family causing AN has become ever more complex over the decades. Objective The aim of this review is to explore the literature to examine the changes and evolution of clinical opinion around family dysfunction and AN over the last 20 years. Methods A narrative review of heterogeneous studies in peer-reviewed publications sourced from the major databases, including PubMed and ScienceDirect, to illuminate the topic of family distress and AN by highlighting the conflicting and complementary ways it has been studied. Results This review has highlighted the complexity of the relationship between anorectic sufferers and their families. It has explored the literature about parental burden, emotions and cognitive mechanisms together with parental attitudes about weight and shape. It is clear that there is no consistent psycho-social pathology in families which has been shown to be causative. However, over the last twenty years, research has highlighted the distress and family dysfunction caused by having to look after an anoretic child with poor mentalisation skills, insecure attachment and emotion dysregulation. Conclusion The area has become clearer over the last 20 years; research suggests a bi-directional relationship between AN and family dysfunction, with difficult dynamics becoming entrenched within the family. This is best addressed, the consensus suggests, by specialist family therapy and carer skills interventions. Longitudinal research is needed to definitively answer the question with rigorous scientific certainty. EMB rating Level V. Level of evidence Level I: Evidence obtained from: at least one properly designed randomized controlled trials; systematic reviews and meta-analyses; experimental studies. Level II: Evidence obtained from well-designed controlled trials without randomization. Level III: Evidence obtained from well-designed cohort or case-control analytic studies. Level IV: Evidence obtained from with multiple time series analysis such as case studies. Dramatic results in uncontrolled trials might also be regarded as this type of evidence. Level V: Opinions of respected authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.

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“…To date, only one recent systematic review has been published on this topic in the last several years and the authors did focus only on the most recent findings (2015 onwards) (Watson et al 2018 ). Previous reviews focusing on children of mothers with ED include (Patel et al 2002 ) and (Park et al 2003 ).…”

Section: Introductionmentioning

confidence: 99%

Eating disorders mothers and their children: a systematic review of the literature

Martini

Barona-Martinez

Micali

2020

Arch Womens Ment Health

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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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Children of Parents with Eating Disorders

Cited by 29 publications

References 67 publications

Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

Disturbed families or families disturbed: a reconsideration

Eating disorders mothers and their children: a systematic review of the literature

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