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Childhood food neglect and adverse experiences associated with DSM-5 eating disorders in U.S. National Sample.
Coffino, J A; Grilo, C M; Udo, T.
Afiliación
  • Coffino JA; Department of Psychiatry, Yale University, United States; Department of Psychology, University at Albany, State University of New York, United States. Electronic address: jcoffino@albany.edu.
  • Grilo CM; Department of Psychiatry, Yale University, United States.
  • Udo T; Department of Health Policy, Management, and Behavior, University at Albany, State University of New York, United States.
J Psychiatr Res ; 127: 75-79, 2020 08.
Article en En | MEDLINE | ID: mdl-32502721
OBJECTIVE: Adverse childhood experiences (ACEs) and restricted food access have been associated with risk for eating disorders (EDs). This study examined the relationship between childhood food neglect, an ACE specifically involving restricted food access, and DSM-5-defined EDs in a nationally representative sample of U.S. adults, with a particular focus on whether the relationship persists after adjusting for other ACEs and family financial difficulties. METHODS: Participants were 36,145 respondents from the National Epidemiological Survey on Alcohol and Related Conditions III (NESARC-III) who provided data regarding childhood food neglect. Prevalence rates of lifetime anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) were determined for those who reported versus denied childhood food neglect. Analyses compared the odds of each ED diagnosis after adjusting for sociodemographic characteristics (Model 1) and further adjusting for other ACEs and governmental-financial support during childhood (Model 2). RESULTS: Prevalence estimates for AN, BN, and BED with a history of childhood food neglect were 2.80% (SE = 0.81), 0.60% (SE = 0.21), and 3.50% (SE = 0.82), respectively and 0.80% (SE = 0.07), 0.30% (SE = 0.03), and 0.80% (SE = 0.05) for those without a history (all significantly different, p < .05). In the fully-adjusted model, odds of having an ED diagnosis were significantly higher for AN (AOR = 2.98 [95% CI = 1.56-5.71]) and BED (AOR = 2.95 [95% CI = 1.73-5.03]) in respondents with a history of childhood food neglect compared with those without. CONCLUSION: Individuals who experience childhood food neglect may be at increased risk for AN and BED and the elevated risk exists after adjusting for other adverse experiences and financial difficulties during childhood.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anorexia Nerviosa / Trastornos de Alimentación y de la Ingestión de Alimentos / Bulimia Nerviosa / Trastorno por Atracón Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: J Psychiatr Res Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anorexia Nerviosa / Trastornos de Alimentación y de la Ingestión de Alimentos / Bulimia Nerviosa / Trastorno por Atracón Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: J Psychiatr Res Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido