Parenting styles and eating disorder pathology

Enten, Roni; Golan, Moria

doi:10.1016/j.appet.2009.02.013

Cited by 62 publications

(52 citation statements)

References 11 publications

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“…24 Therefore, successful treatment should be family-based and should incorporate physical, nutritional, and psychological components. 31,[32][33][34][35] This family-based intervention approach can be implemented through designated clinics or other community centers in developed as well as developing countries suffering from the growing epidemic of childhood obesity.…”

Section: Discussionmentioning

confidence: 99%

An Intensive Family Intervention Clinic for Reducing Childhood Obesity

Endevelt¹,

Elkayam²,

Cohen³

et al. 2014

The Journal of the American Board of Family Medicine

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Background: Childhood and adolescent obesity constitute a significant public health concern. Family health care settings with multidisciplinary teams provide an opportunity for weight loss treatment. The objective of this study was to examine the effect of intensive treatment designed to reduce weight using a parent-child lifestyle modification intervention in a family health care clinic for obese and overweight children who had failed previous treatment attempts.Methods: This was a practice-based 6-month intervention at Maccabi Health Care Services, an Israeli health maintenance organization, consisting of parental education, individual child consultation, and physical activity classes. We included in the intervention 100 obese or overweight children aged 5 to 14 years and their parents and 943 comparison children and their parents. Changes in body mass index z-scores, adjusted for socioeconomic status, were analyzed, with a follow-up at 14 months and a delayed follow-up at an average of 46.7 months.Results: The mean z-score after the intervention was lower in the intervention group compared to the comparison group (1.74 and 1.95, respectively; P ‫؍‬ .019). The intervention group sustained the reduction in z-score after an average of 46.7 months (P < .001). Of the overweight or obese children, 13% became normal weight after the intervention, compared with 4% of the comparison children.

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Section: Discussionmentioning

confidence: 99%

An Intensive Family Intervention Clinic for Reducing Childhood Obesity

Endevelt¹,

Elkayam²,

Cohen³

et al. 2014

The Journal of the American Board of Family Medicine

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“…In addition, research has suggested that parental practices such as warmth/connection in combination with parental structure/rules are associated with fewer disordered eating behaviors in adolescents (Enten & Golan, 2009). These results are consistent with the tenets of family systems theory in which both family level and dyadic level (e.g., parent/child) interactions are viewed as shaping other family members’ positive (e.g., physical activity) and negative (e.g., disordered eating behaviors) health behaviors (Minuchin, Rosman, & Baker, 1978; Whitchurch & Constantine, 1999).…”

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confidence: 99%

The unique and additive associations of family functioning and parenting practices with disordered eating behaviors in diverse adolescents

et al. 2012

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Objective To examine the unique and additive associations of family functioning and parenting practices with adolescent disordered eating behaviors (i.e., dieting, unhealthy weight control behaviors, binge eating). Methods Data from EAT (Eating and Activity in Teens) 2010, a population-based study assessing eating and activity among racially/ethnically and socio-economically diverse adolescents (n = 2,793; mean age = 14.4, SD = 2.0; age range = 11–19) was used. Logistic regression models were used to examine associations between adolescent dieting and disordered eating behaviors and family functioning and parenting variables, including interactions. All analyses controlled for demographics and body mass index. Results Higher family functioning, parent connection, and parental knowledge about child’s whereabouts (e.g. who child is with, what they are doing, where they are at) were significantly associated with lower odds of engaging in dieting and disordered eating behaviors in adolescents, while parent psychological control was associated with greater odds of engaging in dieting and disordered eating behaviors. Although the majority of interactions were non-significant, parental psychological control moderated the protective relationship between family functioning and disordered eating behaviors in adolescent girls. Conclusions Clinicians and health care providers may want to discuss the importance of balancing specific parenting behaviors, such as increasing parent knowledge about child whereabouts while decreasing psychological control in order to enhance the protective relationship between family functioning and disordered eating behaviors in adolescents.

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“…Poor dialogue between father and daughter has also been hypothesised to be involved in ED pathogenesis (Karwautz et al, 2001). In general, ED patients Á when compared to healthy controls Á experience their father as extremely authoritarian but scarcely authoritative (Enten & Golan, 2009;McEwen & Flouri, 2009;Ravi, Forsberg, Fitzpatrick, & Lock, 2009). Studies investigating parents' personality with the TCI found that fathers of ED patients showed more disordered personality traits than mothers (Fassino, Abbate Daga, Pierò, & Rovera, 2002;Fassino et al, 2003;Fassino et al, 2009).…”

Section: Predictors Of Response To Counselling Interventionmentioning

confidence: 96%

Effectiveness of parent counselling in eating disorders

Abbate-Daga

Quaranta

Marzola

et al. 2013

British Journal of Guidance & Counselling

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Eating Disorders (ED) are often severe illnesses entailing a heavy burden for families. Family therapy is recommended for young patients, but only a few studies have investigated therapeutic interventions with families tailored also to adult and longstanding patients. We recruited 87 families with daughters affected by an ED, aiming to assess the effectiveness of eight sessions of parent counselling. The primary outcome was the improvement of parents' coping abilities to achieve more effective support skills. Before treatment, 54% of parents showed poor coping resources whereas 43.7% of the sample improved after parent counselling. Parents with good coping resources responded significantly better to this treatment. Although future research is warranted, these preliminary findings support the effectiveness of parent counselling in ED.

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Parenting styles and eating disorder pathology

Cited by 62 publications

References 11 publications

An Intensive Family Intervention Clinic for Reducing Childhood Obesity

An Intensive Family Intervention Clinic for Reducing Childhood Obesity

The unique and additive associations of family functioning and parenting practices with disordered eating behaviors in diverse adolescents

Effectiveness of parent counselling in eating disorders

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