Developmental antecedents of abnormal eating attitudes and behaviors in adolescence

Int J Eat Disord. 2014 Nov;47(7):813-24. doi: 10.1002/eat.22331. Epub 2014 Jul 21.

Abstract

Objective: This study capitalizes on developmental data from an Australian population-based birth cohort to identify developmental markers of abnormal eating attitudes and behaviors in adolescence. The aims were twofold: (1) to develop a comprehensive path model identifying infant and childhood developmental correlates of Abnormal Eating Attitudes and Behaviors in adolescence, and (2) to explore potential gender differences.

Method: Data were drawn from a 30-year longitudinal study that has followed the health and development of a population based cohort across 15 waves of data collection from infancy since 1983: The Australian Temperament Project. Participants in this analysis were the 1,300 youth who completed the 11th survey at 15-16 years (1998) and who completed the eating disorder inventory at this time point.

Results: Developmental correlates of Abnormal Eating Attitudes and Behaviors in mid-adolescence were temperamental persistence, early gestational age, persistent high weight, teen depression, stronger peer relationships, maternal dieting behavior, and pubertal timing. Overall, these factors accounted for 28% of the variance in Abnormal Eating Attitudes and Behaviors at 15-16 years of age. Depressive symptoms, maternal dieting behavior, and early puberty were more important factors for girls. Late puberty was a more important factor for boys.

Discussion: Findings address an important gap in our understanding of the etiology of Abnormal Eating Attitudes and Behaviors in adolescence and suggest multiple targets for preventive intervention.

Keywords: adolescents; developmental correlates; eating attitudes and behaviors; family; longitudinal survey.

MeSH terms

  • Adolescent
  • Attitude to Health*
  • Child
  • Child, Preschool
  • Data Collection
  • Depression / psychology
  • Developmental Disabilities / psychology*
  • Feeding Behavior / psychology*
  • Feeding and Eating Disorders / psychology*
  • Female
  • Humans
  • Infant
  • Longitudinal Studies
  • Male
  • Overweight / psychology
  • Peer Group
  • Puberty / psychology
  • Sex Factors
  • Temperament