Treating Disturbances in the Relationship Between Mothers With Bulimic Eating Disorders and Their Infants: A Randomized, Controlled Trial of Video Feedback

Stein, Alan; Woolley, Helen Thompson; Senior, Robert; Hertzmann, Leezah; Lovel, Mary; Lee, Joanna; Cooper, Sandra; Wheatcroft, Rebecca; Challacombe, Fiona; Patel, Priti R.; Nicol-Harper, Rosemary; Menzes, Pia; Schmidt, Anne E.; Juszczak, Edmund; Fairburn, Christopher G.

doi:10.1176/appi.ajp.163.5.899

Cited by 51 publications

(29 citation statements)

References 15 publications

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“…Early parenting‐programs which have been shown to improve the contingency and emotional sensitivity of parental responses (Jung, Short, Letourneau, & Andrews, ; Paris, Bolton, & Weinberg, ; Stein et al., ) could therefore promote the abilities of depressed mothers to facilitate their infant's development of attentional control.…”

Section: Discussionmentioning

confidence: 99%

Maternal perinatal mental health and offspring academic achievement at age 16: the mediating role of childhood executive function

Pearson

Bornstein

Cordero

et al. 2015

Child Psychology Psychiatry

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113

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Background: Elucidating risk pathways for under-achieving at school can inform strategies to reduce the number of adolescents leaving school without passing grades in core subjects. Maternal depression can compromise the quality of parental care and is associated with multiple negative child outcomes. However, only a few small studies have investigated the association between perinatal maternal depression and poor academic achievement in adolescence. The pathways to explain the risks are also unclear. Method: Prospective observational data from 5,801 parents and adolescents taking part in a large UK population cohort (Avon-Longitudinal-Study-of-Parents-and-Children) were used to test associations between maternal and paternal depression and anxiety in the perinatal period, executive function (EF) at age 8, and academic achievement at the end of compulsory school at age 16. Results: Adolescents of postnatally depressed mothers were 1.5 times (1.19, 1.94, p = .001) as likely as adolescents of nondepressed mothers to fail to achieve a 'pass' grade in math; antenatal anxiety was also an independent predictor of poor math. Disruption in different components of EF explained small but significant proportions of these associations: attentional control explained 16% (4%, 27%, p < .001) of the association with postnatal depression, and working memory explained 17% (13%, 30%, p = .003) of the association with antenatal anxiety. A similar pattern was seen for language grades, but associations were confounded by maternal education. There was no evidence that paternal factors were independently associated with impaired child EF or adolescent exams. Conclusion: Maternal postnatal depression and antenatal anxiety are risk factors for adolescents underachieving in math. Preventing, identifying, and treating maternal mental health in the perinatal period could, therefore, potentially increase adolescents' academic achievement. Different aspects of EF partially mediated these associations. Further work is needed, but if these pathways are causal, improving EF could reduce underachievement in math.

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Section: Discussionmentioning

confidence: 99%

Maternal perinatal mental health and offspring academic achievement at age 16: the mediating role of childhood executive function

Pearson

Bornstein

Cordero

et al. 2015

Child Psychology Psychiatry

Self Cite

113

View full text Add to dashboard Cite

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“…These studies have found that the impact of parental EDs on their infants’ psychological profiles exceeded the transmission of ED psychopathology and led to an increased and complex risk for the onset of emotional and behavioral problems (Cimino, Cerniglia, Paciello, & Sinesi, ; Micali et al. ; Stein, Woolley, Senior, Hertzmann, Lovel, Lee, & Patel, ). According to the developmental psychopathology principle of multifinality proposed by Cicchetti and Rogosch (), a single risk factor, such as parental ED, may predict a broad spectrum of negative outcomes among offspring, including both internalizing and externalizing behavioral problems (Micali et al., ).…”

Section: Parental Eating Disorders and Outcomes On Their Offspring's mentioning

confidence: 99%

“…In summary, several studies have addressed the onset of internalizing and externalizing symptoms in children of ED parents and the homotypic (i.e., the same clinical manifestations of parents persist in their children) or heterotypic (i.e., the disorder takes on different clinical phenomenologies) transmission of psychopathology from parents with EDs to their offspring (Reba‐Harrelson et al., ; Stein, Woolley, Senior et al, . However, to our knowledge, no previous study has assessed the entire range of psychiatric problems in children of parents diagnosed with BED.…”

Section: Parental Eating Disorders and Outcomes On Their Offspring's mentioning

confidence: 99%

Impact of Parental Binge Eating Disorder: Exploring Children's Emotional/Behavioral Problems and the Quality of Parent–child Feeding Interactions

Cimino

Cerniglia

Porreca

et al. 2018

Infant Mental Health Journal

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This study examines psychopathological problems in children of parents with binge eating disorder (BED), particularly the effect of parental diagnosis on their offspring's psychopathology and the mediating power of the quality of parent-infant feeding interactions. Two hundred parents and their offspring were administered a questionnaire for the assessment of their children's psychopathology at 18 (T1) and 36 (T2) months of age. An observational measure to evaluate feeding interactions was administered at T1. Children with both parents with BED showed the highest affective, anxiety, oppositional/defiant, and autism spectrum problems, but no influence of paternal diagnosis was found on the offspring's psychopathology. Maternal BED had an influence on children's affective and autism spectrum problems, and diagnosis of BED in both parents had an effect on infants' affective problems. Paternal BED had an effect on oppositional/defiant problems through the quality of father-infant interactions, and maternal BED had an effect on the offspring's affective and anxiety problems through the mediation of mother-infant interactions. These results suggest the importance of intervention programs focusing both on parental psychopathology and on mother-child and father-child feeding interactions in families with parents with BED.

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“…89 Finally, supportive counseling or video-feedback interactional treatment may improve mother-infant interaction, infant autonomy, and infant weight in situations of maternal bulimia nervosa. 95 Interestingly, success of eating disorder treatment may be monitored using a modality that is familiar to gynecologists-transvaginal ultrasonography. As noted above, an active eating disorder with suppressed hypothalamic-pituitary-ovarian axis is characterized by ovaries that are small in volume with few apparent follicles and an endometrial lining that is thin.…”

Section: Box 5 Scoff Questionnairementioning

confidence: 99%

Eating Disorders in the Obstetric and Gynecologic Patient Population

Andersen

Ryan

2009

Obstetrics &Amp; Gynecology

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The eating disorders anorexia nervosa and bulimia nervosa and eating disorders not otherwise specified disproportionately affect women, have profound effects on the overall well-being of women and their children, and can have mortality rates as high as those found with major depression. These disorders may present to obstetrician-gynecologists (ob-gyns) clinically as menstrual dysfunction, low bone density, sexual dysfunction, miscarriage, preterm delivery, or low birth weight in offspring. Ninety percent of eating disorders develop before the age of 25 in otherwise healthy young women, a group that characteristically seeks the majority of their health care from ob-gyns. For all of these reasons, ob-gyns must have a greater awareness of these disorders and a lower index of suspicion for screening their patients than they currently do. Otherwise, they may miss life-threatening illness, treat characteristic amenorrhea inappropriately, or inadvertently intervene to help these women conceive, contributing to maternal and fetal risks. As providers of both primary and specialty care for women, ob-gyns have the opportunity to play a vital role in prevention and diagnosis of eating disorders and in the multidisciplinary management required to effectively manage these disorders.

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Treating Disturbances in the Relationship Between Mothers With Bulimic Eating Disorders and Their Infants: A Randomized, Controlled Trial of Video Feedback

Cited by 51 publications

References 15 publications

Maternal perinatal mental health and offspring academic achievement at age 16: the mediating role of childhood executive function

Maternal perinatal mental health and offspring academic achievement at age 16: the mediating role of childhood executive function

Impact of Parental Binge Eating Disorder: Exploring Children's Emotional/Behavioral Problems and the Quality of Parent–child Feeding Interactions

Eating Disorders in the Obstetric and Gynecologic Patient Population

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