Martini Maria Giulia, Yim See Heng, Eisler Ivan, Micali Nadia, Schmidt Ulrike
Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, UK.
Children and Young People Eating Disorder Service, Central and North West London NHS Foundation Trust, London, UK.
Eur Eat Disord Rev. 2025 Mar;33(2):221-238. doi: 10.1002/erv.3144. Epub 2024 Oct 18.
To summarise existing evidence on bonding and parent-child quality of interaction in parents with eating disorder (ED).
A scoping review was conducted. Seven databases (PsycInfo, Embase, Medline, Pubmed, OpenGrey, ProQuest and Google Scholar) were examined and studies exploring research into bonding and quality of interaction in parents with ED were included.
Seventeen quantitative studies were included in the review. Reviewed literature suggests that parents with ED tend to be more intrusive, may exhibit more negative expressed emotions and may be involved in higher levels of mealtime conflicts during mealtimes. Additionally, they may be less sensitive and may offer less structured in non-feeding interactions. Children of parents with ED may have a more difficult temperament, may display greater internalisation and externalisation problems, may be less responsive to their parents and exhibit more behavioural difficulties.
Overall, we found that parents with ED are more likely to have difficulties during interactions with children, compared with controls, both in feeding and non-feeding contexts which might impact children's mental health. Proposals for future research are suggested to enhance our understanding of the intergenerational transmission of ED, holding the potential to pinpoint therapeutic and preventative targets for both parents with ED and their children.
总结关于饮食失调（ED）父母的亲子联结及互动质量的现有证据。
进行了一项范围综述。检索了七个数据库（PsycInfo、Embase、Medline、Pubmed、OpenGrey、ProQuest和谷歌学术），纳入了探索ED父母的亲子联结及互动质量研究的文献。
该综述纳入了17项定量研究。综述文献表明，患有ED的父母往往更具侵入性，可能表现出更多负面情绪表达，并且在进餐时间可能会卷入更高水平的进餐冲突。此外，他们可能不太敏感，在非喂食互动中提供的结构较少。患有ED的父母的孩子可能气质更难养，可能表现出更多内化和外化问题，对父母的反应可能更少，行为困难更多。
总体而言，我们发现与对照组相比，患有ED的父母在与孩子互动时，无论是在喂食还是非喂食情境中都更容易出现困难，这可能会影响孩子的心理健康。建议开展未来研究，以增进我们对ED代际传递的理解，有望为患有ED的父母及其子女确定治疗和预防目标。
