A six-year prospective study on children of mothers with eating disorders: the role of paternal psychological profiles

Eur Eat Disord Rev. 2013 May;21(3):238-46. doi: 10.1002/erv.2218. Epub 2012 Dec 12.

Abstract

Background: Several studies have suggested that maternal eating disorders (EDs) represent a significant risk factor for children's affective and behavioral development. Yet, little emphasis has been placed on the paternal role.

Objectives: The present longitudinal study aimed to clarify the role of maternal EDs and the influence of paternal psychological profiles on children's emotional development.

Method: Our sample was composed of N = 64 families with firstborn children selected through preschools, primary schools, and outpatient clinics in central Italy. Parents and children participated in a 6-year longitudinal protocol that included a diagnostic interview conducted by clinicians (Structured Clinical Interview for DSM-IV Axis I Disorders [SCID-I]), a self-report (Symptom Checklist-90-Revised [SCL-90-R]), and a parental report-form questionnaire (Child Behavior Checklist [CBCL]).

Results: The influence of mothers' EDs on their children's emotional development was confirmed. Moreover, fathers' anxiety and obsessive-compulsive problems in association with mothers' EDs and depressive symptoms influenced the onset of both internalizing and externalizing difficulties in their children over time.

Conclusion: Our results suggest that fathers' psychopathological risk affects the development of emotional problems in children with mothers who have EDs.

MeSH terms

  • Adult
  • Anxiety / psychology
  • Child
  • Child of Impaired Parents / psychology*
  • Child, Preschool
  • Depression / psychology
  • Emotions
  • Fathers / psychology*
  • Feeding and Eating Disorders / psychology*
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Mothers / psychology*
  • Parent-Child Relations*
  • Prospective Studies