Keitel-Korndörfer Anja, Bergmann Sarah, Nolte Tobias, Wendt Verena, von Klitzing Kai, Klein Annette M
a University Medical Center IFB Adiposity Diseases , Leipzig , Germany.
b Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics , University of Leipzig , Leipzig , Germany.
Attach Hum Dev. 2016 Oct;18(5):487-507. doi: 10.1080/14616734.2016.1196376. Epub 2016 Jun 23.
Previous research on childhood obesity has shown that maternal obesity is an important risk factor for this malady. Because biological and environmental factors are able to explain the transgenerational transmission of obesity only in part, psychological risk factors (e.g., emotional eating) have become more important in recent research. As maternal mentalization - which lays the foundation for the child's ability to regulate his/her emotions - has not yet been investigated, we examined the effects of mentalization on maternal and childhood obesity. By investigating groups of obese (n = 30) and normal-weight (n = 30) mothers and their children aged 18 to 55 months, we found, contrary to our expectations, that obese mothers' mentalization (Reflective Functioning Scale) was similar to that of mothers with normal weight and that mentalization showed no direct effect on the child's weight. However, we found hints of an indirect influence of mentalization via emotional eating on mothers' but not on children's weight and via mother-child attachment (Attachment Q-Set) on children's weight. Possible reasons for these inconclusive effects are discussed.
先前关于儿童肥胖的研究表明，母亲肥胖是这种疾病的一个重要风险因素。由于生物和环境因素只能部分解释肥胖的代际传递，心理风险因素（如情绪化进食）在最近的研究中变得更加重要。由于母亲的心理化——这是孩子调节自己情绪能力的基础——尚未得到研究，我们研究了心理化对母亲和儿童肥胖的影响。通过对肥胖母亲组（n = 30）和体重正常母亲组（n = 30）以及她们18至55个月大的孩子进行调查，我们发现，与我们的预期相反，肥胖母亲的心理化（反思功能量表）与体重正常的母亲相似，并且心理化对孩子的体重没有直接影响。然而，我们发现心理化通过情绪化进食对母亲的体重而非孩子的体重、以及通过母婴依恋（依恋Q分类法）对孩子的体重存在间接影响的迹象。我们讨论了这些不确定影响的可能原因。
