Author:
Micali N.,De Stavola B.,Ploubidis G.,Simonoff E.,Treasure J.,Field A. E.
Abstract
BackgroundEating disorder behaviours begin in adolescence. Few longitudinal studies
have investigated childhood risk and protective factors.AimsTo investigate the prevalence of eating disorder behaviours and
cognitions and associated childhood psychological, physical and parental
risk factors among a cohort of 14-year-old children.MethodData were collected from 6140 boys and girls aged 14 years.
Gender-stratified models were used to estimate prospective associations
between childhood body dissatisfaction, body mass index (BMI),
self-esteem, maternal eating disorder and family economic disadvantage on
adolescent eating disorder behaviours and cognitions.ResultsChildhood body dissatisfaction strongly predicted eating disorder
cognitions in girls, but only in interaction with BMI in boys. Higher
self-esteem had a protective effect, particularly in boys. Maternal
eating disorder predicted body dissatisfaction and weight/shape concern
in adolescent girls and dieting in boys.ConclusionsRisk factors for eating disorder behaviours and cognitions vary according
to gender. Prevention strategies should be gender-specific and target
modifiable predictors in childhood and early adolescence.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
87 articles.
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