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母亲对儿童暴饮暴食行为的影响。

Maternal influences on binge eating behaviors in children.

作者信息

La Barrie Dominique, Hardy Raven A, Clendinen Cherita, Jain Jahnvi, Bradley Bekh, Teer Andrew P, Michopoulos Vasiliki, Vance L Alexander, Hinrichs Rebecca, Jovanovic Tanja, Fani Negar

机构信息

Emory University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.

Emory University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States; Atlanta VA Medical Center, United States.

出版信息

Psychiatry Res. 2021 Jan;295:113600. doi: 10.1016/j.psychres.2020.113600. Epub 2020 Nov 26.

Abstract

Binge eating in childhood has been linked to adverse future health outcomes. Parental factors, such as parents' emotion regulation and executive functioning, are likely to influence children's self-regulatory behaviors, including eating. Executive functioning describes a range of higher-order cognitive functions such as planning, abstraction, inhibitory control and working memory, which involves the ability to learn, update and manipulate new information while managing distractions. No studies have examined associations between maternal emotion regulation and executive functioning and the child's maladaptive eating patterns, which was the goal of the present study. Forty-eight mother and child pairs completed self-report clinical measures of emotion dysregulation and attentional control, and mothers completed a brief neuropsychological battery, which included executive functioning measures. Child's disordered eating was measured with the Child Binge Eating Disorder Scale. Linear regression results indicated that mother's performance on a working memory task and child's emotion dysregulation was significantly associated with child's binge eating symptoms (R  = 0.34). These data, which reveal that maternal executive functioning is associated with self-regulatory behaviors in children, indicate a possible mechanism through which maladaptive eating behaviors may emerge early in development. This relationship merits further exploration in larger-scale prospective intergenerational studies.

摘要

儿童期暴饮暴食与未来不良健康后果有关。父母因素,如父母的情绪调节和执行功能,可能会影响孩子的自我调节行为,包括饮食。执行功能描述了一系列高阶认知功能,如计划、抽象、抑制控制和工作记忆,这涉及在管理干扰的同时学习、更新和操纵新信息的能力。此前尚无研究考察母亲的情绪调节和执行功能与孩子的适应不良饮食模式之间的关联,而这正是本研究的目标。48对母婴完成了情绪失调和注意力控制的自我报告临床测量,母亲们完成了一套简短的神经心理学测试,其中包括执行功能测量。用儿童暴饮暴食障碍量表测量儿童的饮食失调情况。线性回归结果表明,母亲在工作记忆任务上的表现和孩子的情绪失调与孩子的暴饮暴食症状显著相关(R = 0.34)。这些数据表明母亲的执行功能与孩子的自我调节行为有关,揭示了适应不良饮食行为可能在发育早期出现的一种潜在机制。这种关系值得在更大规模的前瞻性代际研究中进一步探索。

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