Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 800-809 |
| Journal | Journal of the American Academy of Child & Adolescent Psychiatry |
| Volume | 48 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - 2009 |
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Risk factors for full- and partial-syndrome early adolescent eating disorders : a population-based pregnancy cohort study. / Allen, K.L.; Byrne, Susan; Forbes, David; Oddy, Wendy.
In: Journal of the American Academy of Child & Adolescent Psychiatry, Vol. 48, No. 8, 2009, p. 800-809.Research output: Contribution to journal › Article
TY - JOUR
T1 - Risk factors for full- and partial-syndrome early adolescent eating disorders : a population-based pregnancy cohort study
AU - Allen, K.L.
AU - Byrne, Susan
AU - Forbes, David
AU - Oddy, Wendy
PY - 2009
Y1 - 2009
N2 - ctiveTo identify prospective predictors of eating disorders in a population-based sample of 14-year-old boys and girls, using previously collected antenatal, biomedical, familial, demographic, and psychosocial data.MethodParticipants (N = 1,597) were drawn from the Western Australian Pregnancy Cohort (Raine) Study. Data were collected during pregnancy, at birth, and when children were aged 1, 2, 5, 8, 10, and 14 years. An adapted version of the Eating Disorder Examination Questionnaire was used to assess eating disorder symptoms at age 14 years. Logistic regression was used to identify prospective predictors of eating disorder caseness, relative to general control and psychiatric control groups.ResultsAt age 14 years, 6% of the sample met full or partial criteria for a DSM-IV eating disorder. Being female and being perceived as overweight by one's parent were the strongest predictors of eating disorder caseness in the final multivariate models, relative to both control groups. Maternal body mass index, social problems, low social-related self-efficacy, and neurocognitive difficulties were also predictive of eating disorder caseness relative to the general control group only.ConclusionsThe results suggest that parent's perceptions of their child's weight are more powerful than objective child body weight in predicting the development of eating disorders. Parent-perceived child overweight was also a specific risk factor for eating disorders, whereas elevated maternal weight and childhood psychosocial difficulties seem to be associated with increased risk for psychiatric disturbance more generally. These results have implications for the prevention of eating disorders, particularly in light of recent increases in the prevalence of childhood obesity.
AB - ctiveTo identify prospective predictors of eating disorders in a population-based sample of 14-year-old boys and girls, using previously collected antenatal, biomedical, familial, demographic, and psychosocial data.MethodParticipants (N = 1,597) were drawn from the Western Australian Pregnancy Cohort (Raine) Study. Data were collected during pregnancy, at birth, and when children were aged 1, 2, 5, 8, 10, and 14 years. An adapted version of the Eating Disorder Examination Questionnaire was used to assess eating disorder symptoms at age 14 years. Logistic regression was used to identify prospective predictors of eating disorder caseness, relative to general control and psychiatric control groups.ResultsAt age 14 years, 6% of the sample met full or partial criteria for a DSM-IV eating disorder. Being female and being perceived as overweight by one's parent were the strongest predictors of eating disorder caseness in the final multivariate models, relative to both control groups. Maternal body mass index, social problems, low social-related self-efficacy, and neurocognitive difficulties were also predictive of eating disorder caseness relative to the general control group only.ConclusionsThe results suggest that parent's perceptions of their child's weight are more powerful than objective child body weight in predicting the development of eating disorders. Parent-perceived child overweight was also a specific risk factor for eating disorders, whereas elevated maternal weight and childhood psychosocial difficulties seem to be associated with increased risk for psychiatric disturbance more generally. These results have implications for the prevention of eating disorders, particularly in light of recent increases in the prevalence of childhood obesity.
U2 - 10.1097/CHI.0b013e3181a8136d
DO - 10.1097/CHI.0b013e3181a8136d
M3 - Article
VL - 48
SP - 800
EP - 809
JO - Journal of the American Academy of Child & Adolescent Psychiatry
JF - Journal of the American Academy of Child & Adolescent Psychiatry
SN - 0890-8567
IS - 8
ER -