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This study investigated the extent of psychiatric disorder and abnormalities of weight and growth amongst children of mothers with eating disorders. The design was a cross-sectional study, in which mothers were identi®ed by attendance at specialist eating disorder services. Assessments included interviews with the mothers and children, questionnaires included EAT and child behaviour questionnaires (Rutter A scale), and weight and height of mothers and children was measured. Thirteen mothers who had 26 children participated in the study. The ®ndings were that mothers had chronic eating disorders and high rates of marital dif®culties and separation. Amongst the children 50 per cent had psychiatric disorders, and 32 per cent abnormalities of weight or growth. Female offspring tended to have low body weight. Mothers underestimated their children's dietary needs. The adjustment and growth of this group of children should be considered when mothers request help for themselves.
This study investigated the extent of psychiatric disorder and abnormalities of weight and growth amongst children of mothers with eating disorders. The design was a cross-sectional study, in which mothers were identi®ed by attendance at specialist eating disorder services. Assessments included interviews with the mothers and children, questionnaires included EAT and child behaviour questionnaires (Rutter A scale), and weight and height of mothers and children was measured. Thirteen mothers who had 26 children participated in the study. The ®ndings were that mothers had chronic eating disorders and high rates of marital dif®culties and separation. Amongst the children 50 per cent had psychiatric disorders, and 32 per cent abnormalities of weight or growth. Female offspring tended to have low body weight. Mothers underestimated their children's dietary needs. The adjustment and growth of this group of children should be considered when mothers request help for themselves.
The extent to which eating disorders may be associated with sexual abuse or unwanted sexual experience has been assessed by a number of studies and ®ndings have been con¯icting. The present study describes three clinical samples of eating disorder patients from the U.K., Australia and the U.S.A. who completed a sexual events questionnaire. Within the U.K. sample, comparisons were also made across diagnostic categories to test the hypothesis that unwanted sexual experience might be associated with bulimic symptomatology. U.K. comparisons showed little difference in reporting between diagnostic groups. The comparisons across the three countries showed high levels of consistency of responses on most items, although there were differences between the samples on rates of reporting of sexual contact with a biologically close male relative. While the U.K. group showed some association between body dissatisfaction and unwanted sexual experience, this was
There is good evidence that children of parents with psychiatric disorders are at increased risk of disturbances in their development. There is considerable research on disorders such as depression and alcohol abuse, but research on the children of parents with eating disorders has only recently emerged. This paper reviews evidence in a number of domains, including genetic factors; pregnancy; the perinatal and postpartum period; followed by infancy, and the early years, focusing on feeding and mealtimes, general parenting functions and growth. Psychopathology in the children, parental attitudes to children's weight and shape, and adolescence are then considered. While numerous case reports and series have been published, there are very few systematic controlled studies, and virtually no reports of the influence of fathers with eating disorders or the male partners of mothers with eating disorders. The available evidence suggests that children of mothers with eating disorders are themselves at increased risk of disturbance in a variety of domains. This risk depends on a range of factors, and it should be noted that difficulties in the offspring of mothers with an eating disorder are far from invariable. Finally, based on current evidence, five types of mechanisms by which eating disturbance in parents can influence child development are summarised.
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