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Mother-Father Distress, Accommodation, and Child Eating Disorder Behaviors: A Dyadic Perspective
Alexandra Bédard1, Marilou Côté1,2, Dominique Meilleur3
1Centre Nutrition, Santé et Société (NUTRISS), Institut Sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, Québec, Canada.
Parental psychological distress and accommodation predict anorexia nervosa (AN) behaviors in children. A dyadic approach revealed that parental distress indirectly impacts child AN behaviors through accommodation, with partner distress also influencing accommodation and subsequent child behaviors.
Area of Science:
- Psychology
- Clinical Psychology
- Family Studies
Background:
- Parental psychological distress and accommodating behaviors are potential maintaining factors for anorexia nervosa (AN).
- Limited research has explored the interdependence of these factors within both parents simultaneously.
Purpose of the Study:
- To investigate the relationship between parental psychological distress, accommodation, and child's eating disordered behaviors using a dyadic approach.
- To examine the actor and partner effects within parental dyads concerning AN.
Main Methods:
- A dyadic study involving 91 couples of parents with children/adolescents diagnosed with AN.
- Data collected at admission included parental psychological distress and accommodation scales.
- Child's anorexic behaviors were assessed via parental observation at 12-month follow-up.
Main Results:
- Parental psychological distress was indirectly associated with increased child's eating disordered behaviors through greater parental accommodation.
- A partner effect was observed: one parent's distress correlated with the other's accommodation, which predicted child's behaviors.
Conclusions:
- A dyadic perspective is crucial for understanding parental influences on child anorexia nervosa.
- Interventions may benefit from addressing both parents' psychological states and behaviors.
- The interdependence of parental distress and accommodation warrants further investigation in AN treatment.
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