Department of Psychiatry, Yale School of Medicine, United States.
Department of Psychiatry, Yale School of Medicine, United States.
Prev Med. 2017 Dec;105:265-270. doi: 10.1016/j.ypmed.2017.10.009. Epub 2017 Oct 5.
Parents are integral stakeholders in children's health and development, and yet there is a dearth of research on parental attitudes and parents' personal weight and eating psychopathology, which have the potential to influence pediatric obesity and eating disorder treatments meaningfully. Overvaluation of weight/shape is a core concept in eating-disorder assessment and treatment defined as self-evaluation excessively based on weight/shape, which research has demonstrated to be clinically important psychopathology. A novel and related concept, parental overvaluation of weight/shape, could be defined as parents' self-evaluation unduly based on their child's weight/shape, yet this concept has not been studied and its clinical importance is unknown. The aim of this study was to examine the distinctiveness of parental overvaluation of weight/shape from personal overvaluation of weight/shape, and to examine associations of parental overvaluation with parents' psychopathology and children's weight and eating behaviors. The current study examined differences among parents with (n=134) and without (n=872) parental overvaluation using a cross-sectional design. Parental overvaluation was more common among parents with binge-eating disorder and bulimia than obesity and healthy-weight. Parental overvaluation was modestly associated with personal overvaluation. Parents with and without parental overvaluation differed on personal eating-disorder psychopathology and children's weight and eating behaviors. Importantly, differences remained after adjusting for personal overvaluation and child BMI. This study highlights a novel construct-parental overvaluation-associated with, but distinct from, parental eating disorders and personal overvaluation. Parental overvaluation may warrant clinical attention among parents seeking pediatric obesity or eating-disorder treatment, or treatment for personal eating disorders.
父母是儿童健康和发展不可或缺的利益相关者，但关于父母的态度以及父母自身的体重和饮食心理病理学的研究却很少，而这些因素有可能对儿科肥胖症和饮食障碍的治疗产生重大影响。过度重视体重/体型是饮食障碍评估和治疗中的一个核心概念，它指的是基于体重/体型进行自我评估，而研究已经证明这是一种具有临床重要性的心理病理学。一个新颖且相关的概念，即父母对体重/体型的过度重视，可以被定义为父母基于孩子的体重/体型进行不适当的自我评估，但这个概念尚未得到研究，其临床重要性也未知。本研究旨在检验父母对体重/体型的过度重视与个人对体重/体型的过度重视之间的区别，并研究父母对体重/体型的过度重视与父母的心理病理学以及儿童的体重和饮食行为之间的关联。本研究采用横断面设计，比较了有（n=134）和没有（n=872）父母对体重/体型过度重视的父母之间的差异。暴食症和贪食症患者的父母比肥胖症和健康体重患者的父母更常见对体重/体型过度重视。父母对体重/体型的过度重视与个人对体重/体型的过度重视有一定的相关性。有和没有父母对体重/体型过度重视的父母在个人饮食障碍心理病理学以及儿童的体重和饮食行为方面存在差异。重要的是，在调整了个人对体重/体型的过度重视和儿童 BMI 后，这些差异仍然存在。本研究强调了一个新的概念——父母对体重/体型的过度重视，它与父母的饮食障碍和个人对体重/体型的过度重视有关，但又与之不同。父母对体重/体型的过度重视可能值得关注，特别是在寻求儿科肥胖症或饮食障碍治疗或治疗个人饮食障碍的父母中。
