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

Martini, Maria Giulia; Barona-Martinez, Manuela; Micali, Nadia

doi:10.1007/s00737-020-01019-x

Cited by 56 publications

(39 citation statements)

References 68 publications

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“…In a small-scale longitudinal study, Martini et al [ 44 ] found that at 6 months postpartum, mothers with current and past eating disorder reported higher concerns about their child being or becoming overweight, and were less aware of hunger and satiety cues in their child, compared with healthy controls. A systematic literature review of studies comparing mothers with and without an eating disorder and their children revealed a range of differences that indicate an impact of maternal eating disorder on the child's psychological, cognitive, and eating development, such as more behavioural difficulties regarding feeding and eating, more socioemotional difficulties, and possibly an increased risk for the development of eating disorder in the child [ 45 ]. Reports of children's difficulties by mothers with an eating disorder may be biased and need to be considered with caution.…”

Section: Global Burden Of Disease Studymentioning

confidence: 99%

Review of the burden of eating disorders: mortality, disability, costs, quality of life, and family burden

Hoeken

Hoek

2020

Current Opinion in Psychiatry

391

241

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Purpose of review To review the recent literature on the burden of eating disorders in terms of mortality, disability, quality of life, economic cost, and family burden, compared with people without an eating disorder. Recent findings Estimates are that yearly over 3.3 million healthy life years worldwide are lost because of eating disorders. In contrast to other mental disorders, in anorexia nervosa and bulimia nervosa years lived with disability (YLDs) have increased. Despite treatment advances, mortality rates of anorexia nervosa and bulimia nervosa remain very high: those who have received inpatient treatment for anorexia nervosa still have a more than five times increased mortality risk. Mortality risks for bulimia nervosa, and for anorexia nervosa treated outside the hospital, are lower but still about twice those of controls. In people with an eating disorder, quality of life is reduced, yearly healthcare costs are 48% higher than in the general population, the presence of mental health comorbidity is associated with 48% lower yearly earnings, the number of offspring is reduced, and risks for adverse pregnancy and neonatal outcomes are increased. Summary People with a current or former eating disorder are at risk of increased mortality, high YLD rates, a reduced quality of life, increased costs, and problems with childbearing.

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Section: Global Burden Of Disease Studymentioning

confidence: 99%

Review of the burden of eating disorders: mortality, disability, costs, quality of life, and family burden

Hoeken

Hoek

2020

Current Opinion in Psychiatry

391

241

View full text Add to dashboard Cite

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“…These were sex, mother lifetime AN, and body mass index (BMI) zscore at baseline (age 10). Symptoms and diagnoses of both anxiety disorders and AN are elevated amongst female adolescents [41,42], and maternal AN has been associated with child psychopathology [43,44]. Childhood BMI has been linked to AN, and found to predict both increased and decreased risk [45,46]; elevated BMI has also been implicated in adolescent anxiety development (e.g.…”

Section: Data Sourcesmentioning

confidence: 99%

Understanding the nature of association between anxiety phenotypes and anorexia nervosa: a triangulation approach

et al. 2020

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Background Evidence from observational studies suggests an association between anxiety disorders and anorexia nervosa (AN), but causal inference is complicated by the potential for confounding in these studies. We triangulate evidence across a longitudinal study and a Mendelian randomization (MR) study, to evaluate whether there is support for anxiety disorder phenotypes exerting a causal effect on AN risk. Methods Study One assessed longitudinal associations of childhood worry and anxiety disorders with lifetime AN in the Avon Longitudinal Study of Parents and Children cohort. Study Two used two-sample MR to evaluate: causal effects of worry, and genetic liability to anxiety disorders, on AN risk; causal effects of genetic liability to AN on anxiety outcomes; and the causal influence of worry on anxiety disorder development. The independence of effects of worry, relative to depressed affect, on AN and anxiety disorder outcomes, was explored using multivariable MR. Analyses were completed using summary statistics from recent genome-wide association studies. Results Study One did not support an association between worry and subsequent AN, but there was strong evidence for anxiety disorders predicting increased risk of AN. Study Two outcomes supported worry causally increasing AN risk, but did not support a causal effect of anxiety disorders on AN development, or of AN on anxiety disorders/worry. Findings also indicated that worry causally influences anxiety disorder development. Multivariable analysis estimates suggested the influence of worry on both AN and anxiety disorders was independent of depressed affect. Conclusions Overall our results provide mixed evidence regarding the causal role of anxiety exposures in AN aetiology. The inconsistency between outcomes of Studies One and Two may be explained by limitations surrounding worry assessment in Study One, confounding of the anxiety disorder and AN association in observational research, and low power in MR analyses probing causal effects of genetic liability to anxiety disorders. The evidence for worry acting as a causal risk factor for anxiety disorders and AN supports targeting worry for prevention of both outcomes. Further research should clarify how a tendency to worry translates into AN risk, and whether anxiety disorder pathology exerts any causal effect on AN.

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“…This review is one of very few systematic reviews on BF in combination with maternal EDs (Behar and Arancibia 2014;Martini et al 2020). Both Behar and Arancibia (2014) and Martini et al (2020) had a different research focus by covering BF in mothers with EDs as one of many topics, and therefore, the number of included studies on this topic was limited in both reviews. In this present review, the specific focus is solely on BF practices in mothers with and without EDs, with a systematic approach and high actuality.…”

Section: Strengths and Limitations Of The Present Reviewmentioning

confidence: 99%

“…As there are various contrasting results regarding BF practices of mothers with lifetime EDs, the present systematic review is intended to provide more detailed evidence regarding overall BF behavior of mothers with current or active EDs, including BF duration as well as physical and emotional barriers to BF. Previously published reviews on this topic had different primary aims (Behar and Arancibia 2014;Martini et al 2020). Therefore, the main research questions of the present systematic review are: a) Is there a difference in duration of exclusive or partial BF after childbirth in women with a history of EDs compared to healthy women?…”

Section: Introductionmentioning

confidence: 99%

The impact of maternal eating disorders on breastfeeding practices: a systematic review

Kaß¹,

Dörsam²,

Weiss

et al. 2021

Arch Womens Ment Health

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Breastfeeding is an effective way to protect and promote the health of the infant and mother. Cultural, social, economic, medical, or psychological factors might interfere with successful breastfeeding. Therefore, maternal eating disorders (EDs) may have detrimental effects on the decision of breastfeeding initiation and on its continuation. There is limited knowledge about the breastfeeding practices of mothers with EDs. We performed a systematic review to generate more evidence in this area. A search was conducted in PubMed and PsycINFO, and several journals were hand searched for relevant publications. Of N = 3904 hits, 13 full texts were included in the qualitative analysis. The findings on total duration of BF between mothers with and without EDs were mixed, but women with EDs showed more negative experiences and emotional problems during BF. There was not enough evidence to conclude on breastfeeding initiation, or on the duration of exclusive breastfeeding. Maternal EDs might have a negative impact on BF practices with possible negative effects on the maternal-child feeding environment. Further studies with comparable data and information on the women’s partners’ attitudes about breastfeeding are needed.

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

Cited by 56 publications

References 68 publications

Review of the burden of eating disorders: mortality, disability, costs, quality of life, and family burden

Review of the burden of eating disorders: mortality, disability, costs, quality of life, and family burden

Understanding the nature of association between anxiety phenotypes and anorexia nervosa: a triangulation approach

The impact of maternal eating disorders on breastfeeding practices: a systematic review

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