Bédard Alexandra, Côté Marilou, Meilleur Dominique, Meglio Giuseppina Di, Gingras Nathalie, Pesant Caroline, Taddeo Danielle, Bélanger Richard, Thibault Isabelle, Nadeau Pierre-Olivier, Agostino Holly, Stheneur Chantal, Frappier Jean-Yves, Bégin Catherine
Centre Nutrition, Santé et Société (NUTRISS), Institut Sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, Québec, Canada.
Département des Fondements et Pratiques en Éducation, Faculté des Sciences de l'Éducation, Université Laval, Québec, Québec, Canada.
Fam Process. 2025 Sep;64(3):e70070. doi: 10.1111/famp.70070.
Parental psychological distress and accommodating and enabling behaviors may represent maintaining factors of anorexia nervosa (AN). However, very few studies included both parents; their interdependence is unknown. Using a dyadic approach, this study aimed to examine the relationship between parental psychological distress and accommodation at the admission of their child to specialized eating disorder programs, and their observation of their child's eating disordered behaviors 1 year later. Ninety-one dyads of mixed-gender couples of parents of children and adolescents diagnosed with AN (M = 14.5 ± 1.5 years) were recruited from one of the five University Health Centers across the province of Québec, Canada. At admission, parents completed the Psychological Distress Index and the Accommodation and Enabling Scale for Eating Disorders. Furthermore, parents reported their child's anorexic behaviors 12 months later using the Anorexic Behavior Observation Scale. The dyads were nondistinguishable by gender, suggesting a similar pattern of associations for mothers and fathers. Path analyses guided by the actor-partner interdependence model revealed an indirect effect within each parent; higher parental psychological distress was associated with higher child's eating disordered behaviors at the 12-month follow-up through greater parental eating disorder accommodation. A partner effect was also found; when one parent experienced psychological distress, the other parent was more likely to engage in concomitant accommodating behaviors, which, in turn, was associated with a report of more child's eating disordered behaviors by this parent at the 12-month follow-up. These findings highlight the importance of a dyadic perspective in exploring parents' emotional states and behaviors toward children with AN.
父母的心理困扰以及迁就和助长行为可能是神经性厌食症（AN）的维持因素。然而，很少有研究将父母双方都纳入其中；他们之间的相互依存关系尚不清楚。本研究采用二元分析方法，旨在探讨在孩子进入专门的饮食失调项目时，父母心理困扰与迁就行为之间的关系，以及一年后他们对孩子饮食失调行为的观察情况。从加拿大魁北克省五个大学健康中心之一招募了91对患有AN的儿童和青少年（平均年龄M = 14.5 ± 1.5岁）的父母组成的混合性别夫妻二元组。在入院时，父母完成了心理困扰指数和饮食失调的迁就与助长量表。此外，父母在12个月后使用厌食行为观察量表报告了孩子的厌食行为。二元组在性别上没有差异，这表明母亲和父亲的关联模式相似。由行为者 - 伙伴相互依存模型指导的路径分析揭示了每位父母内部的间接效应；在12个月的随访中，父母心理困扰程度越高，通过更大程度的父母饮食失调迁就，与孩子的饮食失调行为越高相关。还发现了伙伴效应；当一方父母经历心理困扰时，另一方父母更有可能同时采取迁就行为，而这反过来又与该父母在12个月随访中报告的更多孩子饮食失调行为相关。这些发现凸显了二元视角在探索父母对患有AN的孩子的情绪状态和行为方面的重要性。
