Volume 8, Issue 2 (Spring 2020)
Iran J Health Sci 2020, 8(2): 1-8 |
Back to browse issues page
Mohammad Effatpanah 
, Reza Rezaee-Taheri , Saeedreza Jamali Moghadam Siyahkali , Omid Dadras * , Elahe Abedi-Taleb , Rezvan Hashemi , Reza Tavakolizadeh , Yousef Mojtahedi , Elnaz Asadollahi , Seyedahmad Seyedalinaghi
, Reza Rezaee-Taheri , Saeedreza Jamali Moghadam Siyahkali , Omid Dadras * , Elahe Abedi-Taleb , Rezvan Hashemi , Reza Tavakolizadeh , Yousef Mojtahedi , Elnaz Asadollahi , Seyedahmad Seyedalinaghi
Kyoto University. Japan , omiddadras@yahoo.com
Abstract: (2672 Views)
Background and purpose: Maternal depression and anxiety can cause nutritional problems in offspring. Despite the numerous literature, the knowledge regarding the impact of maternal mental health on child’s eating disorder is still limited. This study explored the impact of maternal depression and anxiety on eating disorders among children aged 6 to 36 months in Tehran, Iran.
Material and Methods: A total number of 320 children aged 6 to 36 months old and their mothers were enrolled at a teaching university hospital in Tehran (Ziaeian Hospital). To collect the data, the inventory of problematic eating behaviors for 36-month old children, Beck Depression Inventory (BDI-II) questionnaire, Beck Anxiety Inventory (BAI) questionnaire, and demographic information questionnaire were used. To examine the relationship between maternal depression and anxiety with childhood feeding problems, bivariate (Chi-square) and multivariate (logistic regression) analyses were employed.
Results: The mean mothers’ depression and anxiety scores were found to be 15.97 (SD = 12.08) and 14.26 (SD = 11.87), respectively. An estimated 23.8 % of children were suffering from eating disorders. There was a significant association between the mother’s severe depression and child’s eating disorder [OR = 5.7; CI (95%) = 2.92-11.43]. Although this association attenuated for the moderate level of depression in mothers, it was still statistically significant [OR= 2.25; CI (95%) = 1.05-4.8]. There was also a significant association between the moderate level of anxiety in mother and child’s eating disorder [OR = 2.17; CI (95%) = 1.15-4.10].
Conclusion: It appeared that the children of mothers with higher levels of depression experienced more eating disorders during childhood. Furthermore, middle maternal anxiety level was associated with more feeding abnormalities in children. Therefore, screening and addressing the mental health issues in mothers at the early stages could prevent from future eating disorders in offspring.
Material and Methods: A total number of 320 children aged 6 to 36 months old and their mothers were enrolled at a teaching university hospital in Tehran (Ziaeian Hospital). To collect the data, the inventory of problematic eating behaviors for 36-month old children, Beck Depression Inventory (BDI-II) questionnaire, Beck Anxiety Inventory (BAI) questionnaire, and demographic information questionnaire were used. To examine the relationship between maternal depression and anxiety with childhood feeding problems, bivariate (Chi-square) and multivariate (logistic regression) analyses were employed.
Results: The mean mothers’ depression and anxiety scores were found to be 15.97 (SD = 12.08) and 14.26 (SD = 11.87), respectively. An estimated 23.8 % of children were suffering from eating disorders. There was a significant association between the mother’s severe depression and child’s eating disorder [OR = 5.7; CI (95%) = 2.92-11.43]. Although this association attenuated for the moderate level of depression in mothers, it was still statistically significant [OR= 2.25; CI (95%) = 1.05-4.8]. There was also a significant association between the moderate level of anxiety in mother and child’s eating disorder [OR = 2.17; CI (95%) = 1.15-4.10].
Conclusion: It appeared that the children of mothers with higher levels of depression experienced more eating disorders during childhood. Furthermore, middle maternal anxiety level was associated with more feeding abnormalities in children. Therefore, screening and addressing the mental health issues in mothers at the early stages could prevent from future eating disorders in offspring.
Type of Study: Original Article |
Subject:
Health
References
1. Arikpo D, Edet E, Chibuzor M, Odey F, Caldwell D. Educational interventions for improving primary caregiver complementary feeding practices for children aged 24 months and under. The Cochrane Database of Systematic Reviews. 2018. [DOI:10.1002/14651858.CD011768.pub2] [PMID] [PMCID]
2. Lewinsohn P, Holm‐Denoma J, Gau J, Joiner T, Striegel‐Moore R, Bear P, et al. Problematic eating and feeding behaviors of 36‐month‐old children. International Journal of Eating Disorders. 2005;38(3):208-19. [DOI:10.1002/eat.20175] [PMID] [PMCID]
3. Sanders M, Patel R, Le Grice B, Shepherd R. Children with persistent feeding difficulties: an observational analysis of the feeding interactions of problem and non-problem eaters. Health Psychology. 1993;12(1):64. [DOI:10.1037/0278-6133.12.1.64] [PMID]
4. Dovey T, Staples P, Gibson E, Halford J. Food neophobia and 'picky/fussy'eating in children: a review. Appetite. 2008;50(2):181-93. [DOI:10.1016/j.appet.2007.09.009] [PMID]
5. Northstone K, Emmett P. The associations between feeding difficulties and behaviours and dietary patterns at 2 years of age: the ALSPAC cohort. Maternal & child nutrition. 2013;9(4):533-42. [DOI:10.1111/j.1740-8709.2012.00399.x] [PMID] [PMCID]
6. Chan L, Magarey A, Daniels L. Maternal feeding practices and feeding behaviors of Australian children aged 12-36 months. Maternal and child health journal. 2011;15(8):1363-71. [DOI:10.1007/s10995-010-0686-4] [PMID]
7. Walker S, Wachs T, Gardner J, Lozoff B, Wasserman G, Pollitt E, et al. Child development: risk factors for adverse outcomes in developing countries. The lancet. 2007;369(9556):145-57. [DOI:10.1016/S0140-6736(07)60076-2]
8. Baird J, Fisher D, Lucas P, Kleijnen J, Roberts H, Law C. Being big or growing fast: systematic review of size and growth in infancy and later obesity. Bmj. 2005;331(7522):929. [DOI:10.1136/bmj.38586.411273.E0] [PMID] [PMCID]
9. Rahman A, Iqbal Z, Bunn J, Lovel H, Harrington R. Maternal depression and child severe acute malnutrition: a case-control study from Kenya. BMC Pediatrics. 2018;3(18):289. [DOI:10.1186/s12887-018-1261-1] [PMID] [PMCID]
10. Hope S, Micali N, Deighton J, Law C. Maternal mental health at 5 years and childhood overweight or obesity at 11 years: evidence from the UK Millennium Cohort Study. International Journal Obesity. 2019;43(1):43-52. [DOI:10.1038/s41366-018-0252-5] [PMID] [PMCID]
11. Jani Mehta R, Mallan K, Mihrshahi S, Mandalika S, Daniels L. An exploratory study of associations between Australian‐Indian mothers' use of controlling feeding practices, concerns and perceptions of children's weight and children's picky eating. Nutrition & Dietetics. 2014;71(1):28-34. [DOI:10.1111/1747-0080.12046]
12. Golik T, Avni H, Nehama H, Greenfeld M, Sivan Y, Tauman R. Maternal cognitions and depression in childhood behavioral insomnia and feeding disturbances. Sleep medicine. 2013;14(3):261-5. [DOI:10.1016/j.sleep.2012.10.025] [PMID]
13. Beck A, Ward C, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Archives of general psychiatry. 1961;4:561-71. [DOI:10.1001/archpsyc.1961.01710120031004] [PMID]
14. Dozois D, Dobson K, Ahnberg J. A psychometric evaluation of the Beck Depression Inventory-II. Psychological assessment. 1998;10(2):83. [DOI:10.1037/1040-3590.10.2.83]
15. Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a Persian‐language version of the Beck Depression Inventory‐Second edition: BDI‐II‐PERSIAN. Depression and anxiety. 2005;21(4):185-92. [DOI:10.1002/da.20070] [PMID]
16. Beck A, Epstein N, Brown G, Steer R. An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology. 1988;56(6):893. [DOI:10.1037/0022-006X.56.6.893] [PMID]
17. Kaviani H, Mousavi A. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran University Medical Journal TUMS Publications. 2008;66(2):136-40.
18. Blanco M, Sepulveda A, Lacruz T, Parks M, Real B, Martin‐Peinador Y, et al. Examining Maternal Psychopathology, Family Functioning and Coping Skills in Childhood Obesity: A Case-Control Study. European Eating Disorders Review. 2017;25(5):359-65. [DOI:10.1002/erv.2527] [PMID]
19. Lucarelli L, Ammaniti M, Porreca A, Simonelli A. Infantile anorexia and co-parenting: a pilot study on mother-father-child triadic interactions during feeding and play. Frontiers in psychology. 2017;8:376. [DOI:10.3389/fpsyg.2017.00376] [PMID] [PMCID]
20. Bould H, Sovio U, Koupil I, Dlman C, Micali N, Lewis G, et al. Do eating disorders in parents predict eating disorders in children? Evidence from a Swedish cohort. Acta Psychiatrica Scandinavica. 2015;132(1):51-9. [DOI:10.1111/acps.12389] [PMID]
21. Bould H, Koupil I, Dalman C, DeStavola B, Lewis G, Magnusson C. Parental mental illness and eating disorders in offspring. International Journal of Eating Disorders. 2015;48(4):383-91. [DOI:10.1002/eat.22325] [PMID]
22. De Barse L, ardona Cano S, Jansen P, addoe V, Verhulst F, Franco O, et al. Are parents' anxiety and depression related to child fussy eating? . Archives of disease in childhood. 2016;10(6):53-538. [DOI:10.1136/archdischild-2015-309101] [PMID]
23. Allen K, Gibson L, McLean N, Davis E, Byrne S. Maternal and family factors and child eating pathology: risk and protective relationships. Journal of Eating Disorders. 2014;2(11). [DOI:10.1186/2050-2974-2-11] [PMID] [PMCID]
24. Petzoldt J, Wittchen H, Einsle F, Martini J. Maternal anxiety versus depressive disorders: specific relations to infants' crying, feeding and sleeping problems. Child: Care, Health and Development. 2016;42(2):231-45. [DOI:10.1111/cch.12292] [PMID]
25. Martini J, Petzoldt J, Knappe S, Garthus-Niegel S, Asselmann E, Wittchen H. Infant, maternal, and familial predictors and correlates of regulatory problems in early infancy: The differential role of infant temperament and maternal anxiety and depression. Early Human Development. 2017:23-31. [DOI:10.1016/j.earlhumdev.2017.08.005] [PMID]
26. Takács L, Smolík F, Putnam S. Assessing longitudinal pathways between maternal depressive symptoms, parenting self-esteem and infant temperament. PLoS One. 2019;18(8):699-707. [DOI:10.1371/journal.pone.0220633] [PMID] [PMCID]
27. Watson H, O'Brien A, Sadeh-Sharvit S. Children of parents with eating disorders. Current Psychiatry Reports. 2018; 20(11): 101. [DOI:10.1007/s11920-018-0970-3] [PMID]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |