Understanding problematic eating in out-of-home care: The role of attachment and emotion regulation

Norrish, Anna; Green, Rachael; Simpson, Angela; Bergmeier, Heidi; Bruce, Lauren; Savaglio, Melissa; Pizzirani, Bengianni; O’Donnell, Renée; Smales, Madelaine; Skouteris, Helen

doi:10.1016/j.appet.2018.12.027

Cited by 16 publications

(11 citation statements)

References 26 publications

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“…In fact, numerous studies have found that attachment anxiety and emotional dysregulation are positively correlated, and these two variables also appear to contribute to maladaptive behavior and affective problems, such as problematic internet use (Estevez et al, 2018), eating disorders (Norrish et al, 2019), anxiety (Esbjorn et al, 2012; Nielsen et al, 2017), and depression (Marques et al, 2018; Owens et al, 2018; Read et al, 2018). Difficulties in emotion regulation are in particular considered risk factors for both substance (e.g., alcohol and drug abuse) and behavioral addiction (e.g., gambling disorder, video game addiction, and smartphone addiction).…”

Section: Introductionmentioning

confidence: 99%

Adult Attachment Style, Emotion Regulation, and Social Networking Sites Addiction

Liu

2019

Front. Psychol.

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While there is substantial evidence that emotion regulation plays a role in the maintenance of substance and behavior addiction, its role in addiction to social networking sites (SNS) remains unclear. Drawing on attachment theory, we explore whether emotion regulation mediates the relationship between insecure attachment and SNS addiction among 463 college students. The participants completed the short version of the Experience in Close Relationships Scale, Difficulties in Emotion Regulation Scale, and Chinese Social Media Addiction Scale. The results indicated that attachment anxiety positively predicted SNS addiction and that emotion regulation mediated this link. These findings suggest that individuals’ affective regulation capability should be a target of future interventions and treatments.

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Section: Introductionmentioning

confidence: 99%

Adult Attachment Style, Emotion Regulation, and Social Networking Sites Addiction

Liu

2019

Front. Psychol.

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“…8,[11][12] Specifically, certain eating behaviours (i.e., hoarding, binge eating) can arise from previous food deprivation, lack of access or exposure to healthy foods, and inconsistent or irregular meals. [13][14] Without a trauma-informed approach to the promotion of healthy lifestyles, the impact of previous traumatic experiences can often become exacerbated while in care. 15 One of the most complex challenges that the heath and child welfare sector faces internationally is how to reduce the burden of morbidity that is disproportionately shouldered by CiC.…”

Section: Health Promotion Among Children In Care (Cic)mentioning

confidence: 99%

“…1, [28][29] For example, previous studies have found that nearly a third of CiC do not eat any fruit or vegetables, 30 approximately 38% experience difficulty around eating and mealtimes, including binge eating and a preference for "junk" foods, 14 and 51% exhibit low nutritional status and malnourishment in comparison to 13.5% in the general population. 31 Children's eating behaviours and relationships with food can be impacted adversely by early traumatic experiences or previous food insecurity and deprivation, resulting in: (1) "emotional eating" -the use of "junk" food to cope with negative feelings; 13,14,32 (2) favouring less nutritional or a low variety of foods; and (3) foodrelated anxiety. 13 Further, CiC generally do not meet the physical activity recommendations of moderate to vigorous activity for 60 minutes daily.…”

Section: Healthy Lifestyle Behaviours Of Cicmentioning

confidence: 99%

How are health, nutrition, and physical activity discussed in international guidelines and standards for children in care? A narrative review

et al. 2021

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Background Children in care (CiC) have often experienced trauma and, as a result, are at high risk for poor health outcomes. It is imperative that human-service stakeholders provide trauma-informed health services and interventions. However, little is known about how health promotion is addressed in the standards and guidelines for CiC. For this scoping review, the aim was to examine and compare how nutrition and physical activity are discussed in: 1) federal standards for CiC across the United Kingdom, the United States, New Zealand, and Australia; and 2) state and territory guidance in Australia. Method The grey literature was searched for documents outlining key child-welfare standards, guidelines, or policies for the provision of care across foster, kinship, or residential care. Documents were examined for the inclusion of recommendations and/or strategies focused on primary health and the promotion of nutrition and/or physical activity. Results A total of 52 documents were included in this review: 28 outlining international federal guidance and 24 Australian documents. In the United States, New Zealand, and Australia, references to physical activity were often broad, with minimal direction, and nutrition was often neglected; the United Kingdom provided more detailed guidance to promote nutrition and physical activity among CiC. Conclusion There is a lack of consistency and specificity in guidelines supporting healthy lifestyle interventions for CiC both internationally and within Australia. It is recommended that 1) specific trauma-informed health promotion guidelines are developed for CiC; and 2) trauma-informed health promotion training is provided to carers. Doing so will ensure that care is provided in a manner in which stakeholders recognize the signs and consequences of trauma in order to determine the most appropriate health interventions to improve outcomes and prevent ongoing trauma for this population.

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“…maltreatment and/or neglect). These experiences may result in disrupted or insecure attachment, lack of security and emotion dysregulation, which have been identified as key risk factors for unhealthy lifestyle behaviors (Norrish et al, 2019; Savaglio et al, 2019). This is particularly relevant for young people in residential care, given the very nature of entering care suggests a disrupted attachment with at least one primary caregiver.…”

Section: Introductionmentioning

confidence: 99%

“…This is particularly relevant for young people in residential care, given the very nature of entering care suggests a disrupted attachment with at least one primary caregiver. These early experiences can have a pervasive, long-term impact on a young person's eating behaviors, relationship with food, and participation in physical activity (Bruce et al, 2019; Cox et al, 2017; Norrish et al, 2019). Health status and healthcare needs are ongoing issues for this population; fostering a healthy, safe, and secure environment for young people living in residential care can support healthier lifestyles (Cox et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Meeting the nutrition and physical activity needs of young people in residential out-of-home care

Green¹,

Savaglio²,

Bruce³

et al. 2023

Journal of Social Work

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Summary Health outcomes for young people living in residential out-of-home care are poor. There has been increased emphasis on the need to prioritize preventative support and upskill residential care workers to better meet young people's health needs. The aim of this study was to examine the food quality and physical activity environment in residential care houses in Victoria, Australia prior to staff undertaking Healthy Eating, Active Living Matters (HEAL) training; 102 residential care houses participated. House representatives completed an online survey exploring: (1) physical activity equipment and engagement and (2) weekly food budget and expenditure. Findings The average weekly food expenditure per household was $318.98 (SD = $106.51), with variation between different sized households. The majority (61%) of houses’ weekly food expenditure was spent on ultra-processed food products that are ready to eat with no/little preparation, in comparison to 36% spent on unprocessed foods (fresh fruit and vegetables). The majority of houses reported having two types of equipment. Young people were not often engaged in physical and/or recreational activities in their community. Application Residential care houses in Victoria require additional supports to ensure that young people are supported to eat well and be active at home and in the community. HEALing Matters aims to provide this, by offering professional development for residential carers to better facilitate engagement in physical activity and healthy eating among the young people in their care. If successful, HEALing Matters may provide an effective pathway to improved health and wellbeing outcomes for young people in residential care.

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Understanding problematic eating in out-of-home care: The role of attachment and emotion regulation

Cited by 16 publications

References 26 publications

Adult Attachment Style, Emotion Regulation, and Social Networking Sites Addiction

Adult Attachment Style, Emotion Regulation, and Social Networking Sites Addiction

How are health, nutrition, and physical activity discussed in international guidelines and standards for children in care? A narrative review

Meeting the nutrition and physical activity needs of young people in residential out-of-home care

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